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OB > exam 2 > Flashcards

exam 2 Flashcards

1
Q

whos at risk for jaundice

A

Preterm, breastfed, cephal hematoma, RH incapability

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2
Q

returning to pre-pregnant state

A

involution of uterus

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3
Q

boggy uterus

A

hemorrhaging

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4
Q

types of lochia

A

rubra- 1-3 days, dark red
Serosa: 3-10 days, pink/brown
Alba: 10 days-6 weeks, creamy/yellow

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5
Q

H/A, blurred vision, photophobia, proteinuria, abdominal pain (liver), does not go away with delivery

A

preeclampsia

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6
Q

Rooting, sucking on fingers, smacking noises, looking around

A

feeding cues

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7
Q

late sign of hunger

A

crying

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8
Q

women with engorged breast what do we want to tell them

A

continue breastfeding on that side,massage her breasts, warm heat on breasts helps

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9
Q

recommended weight gain

A

25-35 lbs

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10
Q

Breast milk composition

A

colostrum, transitional, mature milk

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11
Q

breastfeeding contraindications

A

HIV positive
Active drug dependency
Some medications ( Ex: chemotherapy)

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12
Q

Administer within 1 hour of birth; can be delayed.
Give intramuscularly.
One dose prevents bleeding problems.

A

vitamin K

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13
Q

signs of respiratory distress

A

tachypnea, retractions, nasal flaring, cynaosis, grunting

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14
Q

blood pooling in the skull

A

Cephalohematoma

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15
Q

an edematous area on the head from pressure against the cervix. It may cross suture lines.

A

Caput succedaneum

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16
Q

it occurs when the infants head and trunk are allowed to drop back 30 degrees when the infant is in a slightly raised position

A

moro reflex

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17
Q

hypoglycemia symptoms

A

Jittery, floppy, poor suck, respiratory difficulty, or low temp

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18
Q

normal glucose

A

40-60 mg/dL the first day of life

50-90 mg/dL thereafter

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19
Q

waxy or cheese-like white substance found coating the skin of newborn human babies. It is produced by dedicated cells and is thought to have some protective roles during fetal development and for a few hours after birth.

A

vernix

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20
Q

tiny white bumps that appear across a baby’s nose, chin or cheeks

A

milia

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21
Q

color change is a cutaneous condition seen in newborn babies characterized by momentary red color changes of half the child, sharply demarcated at the body’s midline.

A

Harlequin

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22
Q

characterized by blotchy red spots on the skin with overlying white or yellow papules or pustules.

A

Erythema toxicum.

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23
Q

hair that covers the body of some newborns.

A

languo

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24
Q

occurs when the baby’s skin looks blue or pale and blotchy

A

mottling

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25
Q

discoloration of the human skin caused by a vascular anomaly (a capillary malformation in the skin).

A

Port-Wine Stain (Nevus Flammeus)

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26
Q

lesions are flat and can occur on any part of the body, but are most commonly seen on the head and neck

A

nevus simplex

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27
Q

what does ballard score measure

A

gestational age; used for physical characteristics and neuromuscular

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28
Q

posture in term and preterm baby

A

The healthy full-term infant remains in a strongly flexed position.B, The preterm infant’s extremities are extended.

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29
Q

produced as lungs mature

A

surfactant

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30
Q

can occur during birth or bathing from moisture on skin, as a result of wet linens or clothes, and from insensible water loss

A

evaporation

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31
Q

when the infant comes into contact with cold objects or surfaces such as a scale, circumcisin restraint board, cold hands, or a stethoscope

A

conduction

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32
Q

occurs when drafts come from open doors, air conditioning, or even air currents created by people moving about

A

convection

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33
Q

heat loss occurs when an infant is near cold surfaces. heat is loss from the infants body to the sides of the crib or incubator and to the outside walls and windows

A

radiation

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34
Q

hemoglobin

A

48-69%

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35
Q

leukocytes

A

9-30

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36
Q

platlets

A

84-478

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37
Q

first stool excreted

A

meconium ; black and tarry stool

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38
Q

second type of stool

A

transitional ; yellowish green

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39
Q

Stools are seedy and mustard colored.

A

breastfed

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40
Q

stools are more frequent

A

breastfed

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41
Q

Stools are firmer in consistency.

A

formula

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42
Q

Stools have a sweet-sour smell.

A

breastfed

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43
Q

Stools are pale yellow to light brown.

A

formula

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44
Q

Stools have the characteristic odor of stools.

A

formula

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45
Q

Unconjugated bilirubin causes

A

jaundice and kernicterus.

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46
Q

physiologic Jaundice is visible when bilirubin level

A

greater than 5

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47
Q

what is considered hypoglycemia

A

below 40-45

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48
Q

who/what gets after pains

A

multipara
distension of the bladder
breastfeeding

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49
Q

what can a nurse do for after pains

A

medicate immediately before breastfeeding; analgesics

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50
Q

Less than a 2.5-cm (1-inch) stain on the peripad

A

scant

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51
Q

Saturated peripad in 15 minutes

A

excessive

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52
Q

Less than 15-cm (6-inch) stain

A

moderate

53
Q

Saturated peripad in 1 hour

A

heavy

54
Q

what influences lochia

A

activity, breastfeeding, and time of day

55
Q

fully saturating pad in 15 minutes

A

excessive

56
Q

what is the permanent change in the cervix

A

slit os

57
Q

unrelieved by meds and is super painful; heaviness or pressure pain in vaginal or rectal area

A

hematomas

58
Q

risk for bleeding by inhibiting PLT function for the half-life of the drug

A

NSAIDS

59
Q

poisons the PLT for the rest of the PLT life

A

aspirin

60
Q

separation of rectus muscles of the abdomen

A

diastasis recti

61
Q

headaches unrelieved by analgesics think

A

preeclampsia

62
Q

H/A, blurred vision, photophobia, proteinuria, abdominal pain (liver), does not go away with delivery

A

preeclampsia

63
Q

what to know about moms pulse

A

could be bradycardia first 6-10 days but if shes tachycardia think hemorrhage / infection

64
Q

assessment of the perineum

A

REEDA

65
Q

sharp dorsiflexion

A

positive for DVT; this is the homans sign

66
Q

kegel exercises

A

help with muscle tone and the release of urine

67
Q

nothing in the vagina

A

for 6 weeks

68
Q

what to know about the rubella vaccine

A

it is a live virus and is given before discharge

do not get pregnant for at least 28 days after vaccine

69
Q

who needs rhogam

A

if mom is rh - and baby is rh +
given within 72 hours to prevent antibodies
it is also given to rh - moms at 28 weeks

70
Q

Warning Signs to Report

A
  • Bright red bleeding, passing large clots
  • Odor to lochia
  • Temperature above 100.4
  • Excessive pain
  • Reddened or warm areas of breast
  • Inability to urinate
  • Calf pain, redness
71
Q

wbc elevation

A

as high as 30,000 immediately post partum but usually 14-16,000

72
Q

Puerperal Phases

A

taking in phase- focused on own need for fluid, food, sleep
taking hold phase- mother becomes more independent
letting go phase- couple relinquishes role as a childless couple

73
Q

 Gives up idealized expectations of birth experience
 Accepts real infant
 Allow to verbalize feelings of grief

A

letting go phase

74
Q

 Assumes responsibility for own self-care
 Begins to shift attention to infant
 Welcomes information about newborn behavior
 May verbalize anxiety about her competence as a mother
 Ideal time to provide instructions and demonstrations

A

taking hold phase

75
Q

 Allows others to make decisions

 Mother is integrating her birth experience into reality

A

taking in phase

76
Q

stages of transition in mom role

A

o Anticipatory: during pregnancy
o Formal: birth of the infant to 4-6 weeks
o Informal: parents learn to respond to the infant’s cues
o Personal: parent feels comfortable in parental role

77
Q

whats given for post partum depression

A

 Psychotherapy, medication (SSRIs), TCA’s

78
Q

blood pressure for baby

A

65-95/30-60

79
Q

temp in c

A

36.5-37.5 C

80
Q

weight

A

5 lb. 8 oz. to 8 lb. 13 oz.)

81
Q

length

A

19-21 in

82
Q

head

A

13-15 in

83
Q

chest

A

2-3 cm smaller than head

84
Q

can cause respiratory depression

A

ssri

85
Q

knowing maternal history for respiratory

A

GBS, narcotic use, ssri

86
Q

crackles are normal for baby when

A

for the first 2 hours

87
Q

signs of ttn

A

retractions, flaring, wheezing, cyanosis, grunting, asymmetry

88
Q

blocked nasal passage

A

Choanal atresia

89
Q

reddish/ruddy skin tone

A

Plethora

90
Q

what is Plethora indicative of

A

polycythemia which increases risk for jaundice

91
Q

sign of insufficient oxygen

A

flaring of nares

92
Q

Murmur is common until WHAT is functionally closed

A

ductus arteriosus

93
Q

how is cap refill checked

A

pressing on chest, abdomen, or extremity

94
Q

Bluish hands and feet after birth is normal

A

Acrocyanosis

95
Q

how to differentiate bruising from central cyanosis

A

assessing the pulse ox

96
Q

shape of anterior fontanel

A

diamond

97
Q

shape of posterior fontanel

A

triangle

98
Q

sunken fontanels

A

dehydration

99
Q

bulging fontanels

A

increased cranial pressure

100
Q

edema over all of head from pressure in vaginal birth of use of vacuum

A
  • Caput Succedaneum:
101
Q

bleeding between periosteum and skull, increased risk for jaundice

A

cephal hematoma

102
Q

webbing on the neck means

A

Trisomy 21 or Turner’s Syndrome

103
Q

what is the umbilical cord made up of

A

1 vein 2 arteries and whartons jelly

104
Q

webbing between digits

A
  • Syndactyly
105
Q

extra digits

A

polydactyly

106
Q

Simian crease

A

down syndrome

107
Q

sign of low glucose or low calcium

A

jittery

108
Q

when is blood glucose necessary

A

if mom has gestational diabetes or if baby is large for gestational age

109
Q

hypoglycemia signs

A 
o	Jittery
o	Floppy
o	Poor suck
o	Respiratory difficulty
o	Low temp
110
Q

what treats thrush

A

nystatin

111
Q

when does baby have first stool

A

12-48 hours

112
Q

soft, yellow, seedy stools

A

breastfed stool

113
Q

tan pasty stools

A

bottle fed stool

114
Q

when do babies usually void

A

within first 24-48 hours

115
Q
  • Brick dust staining of diaper is normal
A

caused by uric acid crystals

116
Q

meatus on underside of penis

A

Hypospadias

117
Q

meatus on top of penis

A

epispadias

118
Q

strawberry hemangioma

A

o Nevus vasculosus

119
Q

harmless permanent light brown areas

A

o Café au lait spots

120
Q

neuromuscular ballard scale

A

look up

121
Q

physical characteristics on ballard scale

A

look up

122
Q

APGAR Scoring

A
  • Activity (muscle tone)
  • Pulse
  • Grimace
  • Appearance (skin color)
  • Respirations
123
Q

 See-saw respirations, nasal flaring, expiratory grunting or sighing, intercostal or xiphoid retractions, central cyanosis, increased RR with hyperthermia, circum-oral cyanosis

A

respiratory depression

124
Q

periods of no breathing

A

5-15 seconds is normal

over 20 seconds - apnea NOT GOOD

125
Q

TTN: transient tachypnea of the newborn

A

60-70 rr

126
Q

first feeding is important becaus

A

it helps to stabilize infants blood sugar and temp

127
Q

Rich in immunoglobulins and IgA

A

colostrum

128
Q

decrease of 2 pts hgb is equal to

A

500 cc of blood loss

129
Q

bp

A

65-95/30-60

OB (5 decks)

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