Final Flashcards
Oral contraception if you’re teaching a teenager for birth control how are you gonna start that convo with the teenager?
What parts make you nervous?
What are the most reliable methods of contraception?
IUD
side effects for terbutaline?
Tachycardia
Side effects of methergine and hemabate?
Hypertension
Hemabate: diarrhea
The reason why we give Rhogam and what does it do?
Rh negative mother and Rh positive baby
Prevents antibody formation for mom
If a patient is trying to get pregnant, what would you tell them to monitor temp for ovulation when is the best do it?
In the morning before they get out after bed
Same time everyday
You walk in and pt delivers and its been under a day so you palpate the fundus where is it located?
At the level of the umbilicus
ou walk and she is grand malted, and you palpate fundus and it is shifted to the right, what do you do?
Urinate they have a full bladder
A patient is coming in for a trial labor after a c section what are some things to be careful of? And what can cause it ?
- Uterine rupture
- Pitocin can cause uterine rupture from contraction over 2 minutes long
- Tachysystole
Name some of the things you’re doing for a baby with myelomeningocele?
- Prone position
- Cover with sterile, non adhering and moist saline gauze
- Prevents rupturing and breaking of sac
- Check head circumference for hydrocephalus
you’re walking in and get report and there’s a whole bunch of pts in labor what are we gonna be mindful for with a pt with preeclampsia?
Facial edema
vision changes
headache
epigastric pain
NGN the pt is crowning and getting ready to deliver what movements are we gonna do to help maneuver the baby?
- Flexing legs and bring back (mcRoberts)
- Suprapubic pressure
- Check clavicle and upper extremities
We are doing NST, we want a nst to be what and what does that mean
- Reactive: 2 accels within 20 mins and have 15x15
- Semi fowler position or on their side
- Measures movement
What are the vaccines you can get during pregnancy?
Flu
TDap
NGN: What are some reports for preeclampsia that we are assessing?
- visual disturbances
- I&O
- check their weight
- edema
- DTR
If your discharging someone with mild preeclampsia what are the big things we are gonna teach them?
- low sodium
- drink water (48-64 oz per day)
NST and period of 20 mins there’s no accelerations and minimal variability what do we
call it
nonreactive
If a mom says to you my baby keeps crossing their eyes
It goes away, it is normal
What type of exercise is good during the whole pregnancy and for how long?
Light exercise for 30 minutes, don’t run
What are some signs of endometriosis?
- pelvic pain
- dysmenorrhea
- pain not responsive to NSAID (ibuprofen)
What are some of the thing your going to teach about condom use?
- prevent STI
- no oil based lubricants
- no multiple use
Fibrocystic of the breast is more active and more evident during when?
before menstruation
If a female is going through early menopause what should they be expecting
- hot flashes
- dysmenorrhea
- mood swings
- vaginal dryness with intercourse
You have a pt who you are assessing for possible infection postpartum what are we going to look for?
Odor, temperature, dark discharge
You are walking in pt discharged gave birth a couple hours ago and have a lot of saturated pads what are we gonna do?
Massage the fundus
contraindication for oral contraception
- hypertension
- DVT
- smoking
NGN: you have a preterm pt coming in and are having cramping how do we distinguish from preterm labor and from UTI
UTI - fever
Vaginal discharge - preterm
pelvic pain - both
Prescription for magnesium sulfate what is the normal loading dose for mag and what is the normal maintenance rate for mag what to monitor for?
- Loading: 4
- Maintenance: 2
Monitor respiratory rate, DTR, blood pressure Q15min, I&O, lay on their side
NGN: they come and and suspected of having genital herpes. What is the drug of
choice? What’s expected and unexpected?
drug of choice: Acyclovir
expected:
- open lesions
unexpected:
- fever
You assess induction of labor and finding no cervical change in over 8 hours and
contractions are spaced out what are we gonna do and what do we monitor for?
- Give pitocin
- Monitor for frequency contractions, FHR, cervical change
NGN BOWTIE: You walk in and theres some hemorrhage and we think theres a possibility of subinvolution of the uterus. What are we going to do and monitor?
subinvolution of uterus
action:
- oxytocin
- methergine
monitor:
- fundus
- bleeding
Pt comes in and you’re taking vitals. They are feeling faint and dizzy. What are we going to do?
Take them off of their back and retake the blood pressure
What is one of the possible complications of an IUD
ectopic pregnancy
What is secondary infertility?
A couple who had first baby, but having hard time with second baby
How can pelvic inflammatory disease affect pt who wants to get pregnant in the future?
Scarring and obstruction in the fallopia which prevent egg from migrating down
What is the best way on a breastfeeding pt to dispatch the baby?
Put finger in corner of mouth
Pt is coming in and having a chorionic villi sample what are we looking out for
- ROM
- bleeding
- infection
- give Rhogam if Rh -
So your coming in and pt has come in with bleeding late in pregnancy what are we going to assess for?
Assess FHR, Vital Signs
Triaging you have 4 patients which is priority to see first?
C section 4 hours ago and has excruciating pain
Pt is come in and tested positive for chlamydia what are we going to do?
azithromycin to pt and partner
NGN: we have a pt who has Preterm PROM what are we going to do?
- betamethasone
- daily NST
What is the best predictor for chromosomal abnormalities in the fetus?
- alpha serum maternal fetoprotein
- amniocentesis
You walk in and the doctor wants to rupture the pt and pt is at -3 what are you going to do?
question rupture of membranes
What is the most likely cause of fetal hypoxia during a dysfunctional labor?
Prolonged contractions
So the patient comes in and you look and think they’re getting ready for birth what are we going to see?
bloody show
crowning
Which conditions is breastfeeding really contraindicated in?
HIV
Amultip coming in, what is most important to check on this patient?
VS
contractions
FHR
You walk in and see the pad is saturated and their is a lot of lochia there what are we thinking and what do we do?
Postpartum hemorrhage:
- palpate fundus
- empty bladder
- check VS (blood pressure)
- check for bleeding (Lochia)
So you’re watching a baby and the baby is 97 degrees. What are we thinking and what are things for it?
cold stress
monitor blood glucose
How often are we expecting an infant to breastfeeding the first 24 hours after being born
every 2-4 hours for 15-20min
NGN: so a pt comes in what are some of the signs they have diabetes mellitus
Frequent urination, ketones in urine, check blood sugar, glucosuria, excessive thirst
Draw a HbA1C
You walk in and pt delivered within the last 4 hours and is still getting postpartum pitocin and is still having heavy lochia. What are we gonna do?
methergine
When we have a pt who is having induction of labor when are we gonna stop the pitocin?
when contractions are 1.5-2 min apart lasting 90 secs
uterus firm
What is the #1 complication of an epidural
hypotension
Contraction stress tests are what? What are we doing during the test? What do you want to see
How the baby is tolerating the contraction which shows uteroplacental insufficiency
Normal: negative result
Bruise that doesn’t cross the suture line on head and that does cross line?
Cephalohematoma: does not cross suture line
Caput: crosses suture line
Plus 1 station doctor wants to rupture the membrane. What are we going to monitor?
FHR
What do we want to do when we see a late deceleration?
reposition
What is the #1 risk factor for placental abruption?
hypertension
Where are you expecting to find fetal heart tones on a baby when they come in? Where will will hear it for a breach and a frank breech?
below umbilicus
breech: at or above umbilicus
frank breech: above umbilicus, at ribs of mom
Maternal serum alpha fetoprotein test for?
Neural tube or Spinal defects
Name some of the cervical ripening drugs we can use
- cytotec (misoprostol)
- dinoprostone
- cervidil
Sign of ectopic pain?
unilateral cramping pain
When does quickening occur?
4-5 months or 14-16 weeks gestation
sign that methergine is working?
firm fundus
vital sign for a mag patient
respirations
Sign of labor?
cervical change
What will be seen for a hydatidiform mole?
coffee ground discharge
high Hcg
larger uterus
Umbilical cord, how many veins and arteries?
2 arteries
1 vein
After birth what vaccines can we give?
MMR
varicella
Talking to someone older who is at risk for osteoporosis to prevent it?
weight bearing exercises (walking)
Urinary frequency occurs when?
1st and 3rd trimester
Pt is delivered via c section and spinal anesthesia what is number one VS to monitor for?
respirations
Number 1 sign that the patient has placenta previa? What are we gonna avoid?
bright red painless bleeding
avoid cervical exam
One day postpartum where do we expect to find the fundus?
below umbilicus
Antepartum who are we going to see first?
Preterm pt with Painless vaginal bleeding
How do we not check the temperature of a newborn?
no rectal temp
use axillary
They are breastfeeding and want to prevent breast engorgement what are we going to teach
Frequent feeding and cold compress (no warm compress)
What is the main contraindication for diaphragm use?
hx of toxic shock
You walk in and they are within 12 hours of delivery and these are some of the things your finding. What would you treat first?
The DTR of 4+ are concerning (can be high BP or sign of seizure)
Number one thing we want to check on a preeclamptic patient
BP
A guy is going in and having fertility issues and hes gonna have a semen analysis. What
are we gonna tell them not to do?
no lotion
do not ejaculate 2-5 prior
What position will you place a baby with spina bifida?
prone position
How much of the nipple should go into the baby’s mouth when breastfeeding?
all of the nipple and part of areola
What are medications that can interfere with oral contraception?
anticonvulsants
antibiotics
How to prevent toxic shock syndrome?
proper hygiene
no super absorbent tampons
In a clinic a teen comes in with pelvic inflammatory disease and they need meds but are afraid to tell parents what are we going to say?
Let’s talk about this. It sounds like you’re afraid of your parents.
GTPAL she is 28 weeks with 1 pregnancy term by elective abortion birth of twins and spontaneous abortion?
G: 4
T: 0
P: 1
A: 2
L: 2
RH negative mom what is the indirect coombs test for on the baby ?
Formation of antibodies in mother’s blood
We have a complicated delivery and wanna do a C-section and do an amniocentesis check fetal lung maturity?
LS ratio should be 2:1
