Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB > exam 3 new > Flashcards

exam 3 new Flashcards

1
Q

normal blood loss for vaginal and what is considered hemorrage

A

300 / 500

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

3 cardio changes in preg

A

inc WBC
inc CO
inc coag and clotting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how does uterine involution happen

A

release of oxytocin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what pt will likely have more uterine involution 3 factors

A

breastfeeding, early ambulation and empty bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how many weeks can bleeding be in PP

A

4-8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

1 risk, assessment and intervention for perineal tear

A

macrosmia
assess skin integrity for infection
pain management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

intervention for perineal hematoma

A

ice, sitx bath etc and NOTIFY HCP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

priority info for women before discharge afte r PP

A

contraception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

7 GI changes PP

A

increase in hunger
Decreased GI motility
Dehydration
Perineal pain
hemorroids common
CONSTIPATION
increased urination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

interventions for bladder care ppost partum 3

A

early ambulation, remove catheter as soon as possible, void within 12 (6-8 is best) hours after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

6 ADL education post partum

A

No driving for 2 weeks.

No strenuous exercise or heavy lifting until after 6 week exam.

Rest when the baby sleeps.

No sexual intercourse until 6 week check-up.

Can conceive prior to resumption of menses and during breastfeeding.

Mood swings are common.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what temp to call provider when discharged and how much blood

A

100 deg and saturating pad every hour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

most major complication of PP hem.

A

shock r/t hypovolemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

most common cause of PP hemm

A

uterine atony

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

assessments for uterine atony 4

A

Boggy fundus, saturation of peripad w/in 15 minutes, blood clots, s/sx shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

methergine nursing intervention

A

take BP

17
Q

biggest RF for perineal tear

A

macrosomia >4000 grams

18
Q

who is most at risk for endometritis 2

A

ROM for >24 hours / internal monitoring

19
Q

temp for PP infection

A

101

20
Q

ss of uterine subinvolution and how to treat

A

prolonged bleeding and heavy lochia - give methergine

21
Q

normal temp, HR, resp

A

97.8-99.5
100-160
30-60

22
Q

apgar

A
23
Q

2 factors that can impede resp transition

A

Decreased surfactant levels (<36wks) (helps w/ oxygen exchange in lungs)

Persistent hypoxemia and acidosis - leads to constriction of the pulmonary arteries.

24
Q

8 signs of resp distress

A

Cyanosis (Central - mouth, lips)
Apnea,
tachypnea (>60)
Retractions
Grunting
Flaring of nostrils
Hypotonia
Rate <30 or >60

25
Q

5 assessments of cold stress

A

Axillary temp less than 98

Increased RR and HR

Decreased O2 saturation

Hypoglycemia

Respiratory Distress

26
Q

what causes jaundice 4

A

Immature liver function

High RBC count at birth

Increased hemolysis

Impaired elimination

27
Q

physiological jaundice

A

often resolves without
treatment; appears after 24 hrs and usually resolves by 7 days.

28
Q

pathological jaundice

A

1st 24 hours - bilirubin >15

29
Q

4 ss of hypoglycemia

A

jitteriness (jittery judah), hypotonia, hypothermia, apnea

30
Q

7 normal skin variations

A

Vernix caseosa - “Cheesy”, white coating
Nevus Simplex “Stork Bite”
Milia Tiny, white bumps
Dermal Melanocytosis - blue-greyish on butt
Erythema toxicum - macules/papules
Nevus flammeus - Port-wine stain
Hemangiomas

31
Q

Caput succedaneum vs cephalohematoma

A

Caput Succedaneum: crosses suture lines, above periosteum (more symmetric) - fits like a “cap” (ie: over sutures)

Cephalohematoma: Under periosteum, does NOT cross suture lines (more asymmetric) collection of blood from trauma ** at greater risk for jaundice **

32
Q

what baby is greater risk for jaundice, cephalohematomy or caput

A

chephalohematoma

33
Q

5 risk factors for LGA

A

Maternal diabetes
Prior history of a macrosomic infant
Postdates gestation
Maternal obesity
Genetics

34
Q

risk factors for SGA 5

A

Pre-eclampsia
Smoking
Drug Use
Decreased Maternal Nutrition
Multiple Gestation Prior

35
Q

AGA vs SGA vs LGA

A

AGA - 80% of newborns!
SGA - 2500
LGA - 4000

36
Q

what is LGA baby more at risk for

A

jaundice

37
Q

postpartum assessment physical acronym

A

BUBBLEHE

38
Q

5 ways to prevent cold stress

A

Dry the newborn,
put on hat
Skin to skin (or radiant warmer)
Swaddle
Maintain neutral thermal environment

OB (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions