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OB > Final > Flashcards

Final Flashcards

1
Q

Heparin rescue

A

Protamine sulfate

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2
Q

More after pains happen when?

A

With big babies

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3
Q

What should you give for after pains?

A

Motrin

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4
Q

What do you give for mastitis?

A

Antibiotics

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5
Q

Is it ok to breastfeed with mastitis?

A

yes

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6
Q

When is the best time to breastfeed baby?

A

When baby is awake

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7
Q

Rescue for Mag

A

Calcium gluconate

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8
Q

How far apart should contractions be before discontinuing pit?

A

90 seconds

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9
Q

What does the patient experience when bladder is distended?

A

Uterine atony

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10
Q

Where will the full bladder lie?

A

Off to the side

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11
Q

What should you have patients do after C-Section?

A

Turn, cough, deep breathe

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12
Q

Should you push before dilation is complete?

A

NO!

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13
Q

What is amniotomy?

A

Artificial Rupture of membranes (AROM)

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14
Q

What should you assess after AROM?

A

Fetal heart tones and mom’s temp

*nothing in vagina

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15
Q

Why do you give a bolus before an epidural?

A

To avoid hypotension

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16
Q

What do early decels indicate?

A

Head compression

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17
Q

What do variable decels indicate?

A

Cord issues

*Prolapsed cord

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18
Q

What should you do if baby has late decels?

A

Put mom on left side with O2.

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19
Q

What is methergine used for?

A

Bleeding control

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20
Q

What medication is used for induction?

A

Pit

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21
Q

What is erythema toxicum?

A

Flea bite looking rash on newborn. Reaction to atmosphere.

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22
Q

What does it mean if AFP is low?

A

Down syndrome

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23
Q

What could it mean if AFP is high?

A

Neural tube defects

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24
Q

Is flaring and grunting normal or abnormal in newborn?

A

abnormal

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25
Q

What is an SGA (small for gestational age) baby at risk for?

A

Asphyxia, hypoglycemia, hypothermia, and hypocalcemia

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26
Q

What is macrosomia?

A

LGA (large for gestational age) baby

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27
Q

What is an LGA baby at risk for?

A

Polycythemia=bruising and jaundice

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28
Q

What is considered term?

A

38 weeks

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29
Q

What is premature?

A

20 weeks-37 weeks +6 days.

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30
Q

What can happen if baby is VERY jaundice?

A

brain cells could die.

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31
Q

What is gavage feeding?

A

breastmilk or formula goes directly to baby’s stomach via NG tube.

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32
Q

What is asphyxia?

A

Hypoxia, hypercapnia and acidosis occurring in the uterus, during or after birth.

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33
Q

Common risk factors of asphyxia

A

Cord compression
Anesthesia
Abruption=no circulation

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34
Q

What is the treatment for asphyxia?

A

CPR

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35
Q

What is TTN?

A

Transient tachypnea of newborn

Delayed reabsorption of lung fluids

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36
Q

When does TTN happen?

A

When baby doesn’t get a good squeeze!

Usually in C-Section babies

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37
Q

Treatment for TTN

A

O2 and possible ventilation

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38
Q

What is the prenatal Rh incompatibility test called?

A

Indirect coombs

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39
Q

Where do you get the sample for Direct coombs testing?

A

Cord blood

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40
Q

What is the normal temp range for newborns in Albuquerque?

A

97.7-99.5

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41
Q

What happens to baby’s temp when septic?

A

It decreases

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42
Q

What type of babies get cold fast?

A

Premies

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43
Q

What type of defect can low set ears be?

A

Chromosomal defect

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44
Q

What is normal CBG for newborn?

A

Above 40

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45
Q

When does mom get checked for GBS?

A

36 weeks

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46
Q

What hormone does pregnancy test for?

A

HCG

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47
Q

What are signs of PIH?

A

Increased B/P=140/90
Edema
2+ protein
Rapid weight gain

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48
Q

If mom is HIV +, when would baby be tested?

A

at 6 months of age

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49
Q

If mom is HIV +, does that mean baby is also?

A

NO.

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50
Q

S/S of threatened abortion

A

Spotting and cramping

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51
Q

Is HCG low or high in molar pregnancies?

A

HIGH

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52
Q

Gestational diabetic moms have _____ babies

A

large

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53
Q

When will a mom with gestational diabetes go back to normal?

A

within 24 hours postpartum

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54
Q

How does a mom with gestational diabetes manage?

A

Diet and exercise

*Will need a snack

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55
Q

Increased CBGs are normal because of what?

A

placental lactogen

56
Q

If baby has low CBG, what should you do?

A

Feed baby, wait 20 minutes.

If no change, call doctor!

57
Q

Should mom that is experiencing bleeding be “checked”?

A

No!

58
Q

What vital goes first when in shock?

A

Heart rate

59
Q

What vital goes last when in shock?

A

B/P

60
Q

When is a CVS done?

A

8-12 weeks

61
Q

When is an amniocentesis done?

A

14 weeks

62
Q

What is para?

A

Number of deliveries

63
Q

An amniocentesis increases Rh baby’s chance of having what?

A

Jaundice

64
Q

What should you tell mom to do after amniocentesis?

A

Rest

65
Q

When are xrays ok for mom?

A

After 36 weeks

66
Q

Babies with low CBG

A

Overdue babies
Premies
Stressed babies

67
Q

S/S of low CBG in baby

A

Jittery

68
Q

What does cold stress effect?

A

Glucose

69
Q

What happens with moro reflex?

A

Babies arms go out

70
Q

What is caput?

A

Edema on baby’s head

71
Q

What type of formula do premies need to be on?

A

High calorie formula.

24 cal formula

72
Q

What problems can shoulder dystocia lead to?

A

Clavical injury and brachial plexus problems

73
Q

What assessment is done to rule out coarctation of aorta?

A

Blood pressure in all 4 limbs

74
Q

Can coarctation of aorta be fixed?

A

Yes, with surgery

75
Q

What is RDS?

A

Respiratory Distress Syndrome

76
Q

Signs of RDS

A

Grunting and nasal flaring

77
Q

What causes RDS?

A

low surfactant

78
Q

How do we give surfactant?

A

Endotracheal

79
Q

What is TEF?

A

Tracheoesophageal fistula

80
Q

What are the interventions for TEF?

A

NG tube
No feeds
Surgery

81
Q

What is Necrotizing Enterocolitis (NEC)?

A

when part of the bowel dies

*listen to bowel sounds

82
Q

S/S of NEC

A

No stools for a while
When stools do pass, they will be bloody
Belly will get bigger

83
Q

What are asymmetrical folds in legs a sign of?

A

Hip dysplagia or congenital hips

84
Q

Treatment for hip dysplagia or congenital hips?

A

braces

85
Q

What is an overdue baby at risk for?

A

meconium aspiration

86
Q

If a baby is meconium stained, what should you do first?

A

Check before stimulating

87
Q

What are sunset eyes a sign of?

A

Increased intracranial cranial pressure (ICP)

88
Q

What medication is given to baby in withdrawal?

A

Phenobarbital or morphine

89
Q

Baby narcan is for when mom’s are given what med?

A

Demerol

90
Q

What is meningomyelocele?

What should you do for it?

A

Bump on the back

Wrap in plastic

91
Q

Erythroblastosis is caused by what?

A

Rh incompatability

92
Q

What can happen to baby with erythroblastosis?

A

CHF

93
Q

S/S fetal alcohol syndrome

A
  • physical abnormalities
  • facial anomalies
  • heart defects
  • skeletal defects
  • low apgars
  • easily overstimulated
  • decreased tone
94
Q

Are soft, mobile lumps usually cancerous?

A

NO. Hard, immovable lumps usually are.

95
Q

On what side of body should you do B/P or blood draw on woman with mastectomy?

A

Opposite side of mastectomy! Never on the same side!

96
Q

What is the only way to diagnose cancer?

A

Biopsy

97
Q

What is breast, ovarian, and uterine related to?

A

Estrogen

98
Q

Patient with breast cancer is at ______ risk of ovarian cancer

A

higher

99
Q

S/S ectopic pregnancy

A
  • Regular S/S of pregnancy, uterus does not enlarge
  • Lower quadrant pain
  • Vaginal bleeding (maybe)
  • Pain in shoulder
  • Hypovolemic shock
  • Cullin’s sign (blue inside belly button)
100
Q

What is important with severe preeclampsia?

A

Seizure prevention. Low stimulation

101
Q

What medication are ectopic pregnancies treated with?

A

Methotrexate

102
Q

If baby has low heart rate in utero, what should you check?

A

Mom’s heart rate to make sure it’s not mom’s instead.

103
Q

If baby is tachy, what should you check?

A

Mom’s temperature

104
Q

Is sickle cell dangerous to mom or baby?

A

Both. Mom and baby!

105
Q

When is a heart patient most at risk?

A

5 minutes after placental delivery

106
Q

Signs of abruption

What should you check?

A

Pain
Board belly

Check fetal heart tones

107
Q

Signs of previa

What should you check?

A

Light bleeding

Check fetal heart tones

108
Q

How can mom get endometritis?

A

Prolonged ROM (rupture of membranes)

109
Q

How do you know mom has endometritis?

A

Smells like dead chicken

110
Q

What medications do you give mom with postpartum hemorrhage?

A

Pit

Methergine

111
Q

When should you not give mom methergine?

A

If she had any type of B/P issues

112
Q

When should you give mom mag?

A

For high B/P

To stop labor

(Mag slows labor)

113
Q

What type of exercise should you do if you have osteoporosis?

A

Walking

114
Q

Do lab tests diagnose cancer?

A

No, they screen for cancer.

Biopsies diagnose.

115
Q

What are leiomyomas?

A

Fibroids of the uterus

116
Q

S/S of HPV

A

warts

117
Q

What can HPV lead to?

A

Cervical cancer

118
Q

What does white curd indicate?

A

Yeast infection

119
Q

What does “radical” mean when it comes to surgery for cancer?

A

Taking nodes

120
Q

What is a PC for fetal demise?

A

DIC

121
Q

Signs of DIC

A

Bleeding at IV site, urine, stool.

122
Q

Who is at risk for bleeding?

A

Post op patients

123
Q

What is the purpose of mammograms?

A

Screening for cancer

124
Q

What is radiation used for?

A

Discrete tumors

125
Q

What type of infection is Toxic Shock Syndrome (TSS)?

A

Staph infection

126
Q

Weight loss should be within __%.

If more, what should you do?

A

10

Call doctor!

127
Q

Asphyxia (Blessed Virgin Mary)

A

Bag
Vent
Mask

128
Q

Mag sulfate toxicity signs

A

Slurred speech
Muscle weakness
Reflex decrease

129
Q

What are possible reasons for fundal height to be increased by 2cm?

A

Multiple babies

Polyhydramnios

130
Q

GTPAL

A

G-number of pregnancies

T-term births

P-premature births

A-abortions

L-living children

131
Q

What is one of the most important characteristics of FHR that indicates well-being?

A

Variability

132
Q

HELLP is worse than preeclampsia because it involves the _____ and _________.

A

liver; platelets

133
Q

What is a sign of diaphoramic hernia?

A

Scaphoid abdomen-when the belly sinks in.

134
Q

What can an ultrasound detect?

A

Neural tube defects

135
Q

When does a pregnant mom get an ultrasound?

A

18-20 weeks.

OB (2 decks)

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