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OB - Napier > Final exam > Flashcards

Final exam Flashcards

1
Q

when is NAS seen?

A

newborn is withdrawing

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2
Q

what does the new Ballard test measure?

A

estimates gestational age

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3
Q

how long does post partum blues last?

A

2 - 10 days (transient)

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4
Q

what is an amniocentesis?

A

procedure for the removal of amniotic fluid

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5
Q

how should fundal height be measured?

A

from symphysis pubis to uterine fundus

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6
Q

what is the best way to promote thermal regulation?

A

skin to skin contact

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7
Q

what medication may be given for the mother who is experiencing contractions close together without breaks between?

A

terbutaline

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8
Q

what is the name for the external palpation of fetus that is used to determine how the fetus is lying in utero?

A

Leopold’s maneuver

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8
Q

what is involution?

A

return of uterus to prepregnant state

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8
Q

what assessment will likely be used first if a mother comes in stating she has not felt the fetus move?

A

non stress test

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9
Q

how rapidly should involution occur?

A

1 fingerbreadth per day

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10
Q

what intervention should be used for minimal fetal HR variability caused by the fetus sleeping?

A

reposition the mother

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11
Q

what stage of labor does fetus come out?

A

2nd

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12
Q

what stage of labor does placenta come out?

A

3rd

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13
Q

how would the nurse document the presence of blue/black spots? (common in dark skin babys)

A

mongolian spots

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14
Q

what is the white cheesy substance that covers a newborn?

A

vernix

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15
Q

what reflexes help with feeding?

A
  • rooting
  • sucking
  • latching
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16
Q

what may cause a pathological jaundice?

A

ABO incompatibility

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17
Q

what is the 1st line tx for pathological jaundice?

A

phototherapy

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18
Q

which hormone does a pregnancy test monitor for?

A

hCG

19
Q

what nursing actions should be taken for an umbilical cord prolapse?

A
  • apply pressure to presenting fetal part to relieve pressure on cord
20
Q

when is methergine contraindicated?

A

HTN

21
Q

what defines true labor?

A

cervical changes (dilation)

22
Q

what often causes back labor?

A

fetus in OP (sunny side up)

23
Q

what is the most common side effect of epidural?

A

hypotension

24
Q

where is the most common site of birth trauma?

A

perineum

25
Q

what are 3 causes for low birth weight?

A
  • smoking
  • HTN
  • type 1 DM
26
Q

what type of sign is pregnancy test?

A

probable sign

27
Q

what type of sign are these:
- breast tenderness
- n/v
- period is late ?

A

presumptive

28
Q

what is an expected genitourinary change during pregnancy?

A

urinary frequency

29
Q

how long should a contraction last?

A

90 secs max

30
Q

should epidural be given during transition stage of labor? why?

A

no
dilation is too far at this point (8-10cm)

31
Q

when can epidural be given?

A

active stage (4-7 cm)

32
Q

how would the nurse note fetus with no heart tones, but has not yet been delivered?

A

missed abortion

33
Q

what is the antidote to magnesium sulfate?

A

calcium gluconate

34
Q

what are signs of mag toxicity?

A

loss of reflexes
respiratory depression

35
Q

what are some nursing assessments to be performed with hyperemesis gravidarum?

A
  • monitor electrolytes
  • skin turgor and MM
  • blood glucose
36
Q

what type of delivery is indicated for placenta previa?

A

c -section

37
Q

what is the common symptom associated with placenta previa?

A

painless red bleeding

38
Q

what symptom differentiates eclampsia from pre-eclampsia?

A

seizures

39
Q

what fetal size variation is expected for the newborn of a mother with gestational diabetes?

A

large baby

40
Q

what is an ectopic pregnancy?

A

implantation outside of the uterus

41
Q

what surgical procedure is used in the management of cervical incompetence?

A

cerclage

42
Q

what technique is utilized for cervical cerclage?

A

mcdonalds technique

43
Q

what are some signs that patient should report after a cervical cerclage?

A
  • pelvic pressure
  • ROM
44
Q

what nursing actions are indicated for a placental abruption with bleeding?

A
  • obtain type and cross
  • initiate IV access
  • perform vaginal exam
45
Q

what places an infant at risk for meconium aspiration?

A

post term

46
Q

what scenario would cause the nurse to be aware of potential respiratory distress caused by the underdevelopment of lungs?

A

preterm delivery

47
Q

what medication is given to enhance fetal lung maturity?

A

betamethasone

OB - Napier (7 decks)

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