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Final Ob Flashcards

1
Q

What is the acronym for post partum assessment?

A

MABUBBLLEEHHHEAD

M - Mental assessment

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2
Q

How long after birth do they keep you?

A

Vaginal delivery 2 - 3 days
C section 3 - 4 days

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3
Q

How much blood loss is acceptable with birth? Vaginal and C-section

A

Vaginal 500 ml
C section 1000 ml

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4
Q

What are the heights of fundus acceptable for day 2, 3, and 4?

A

Day 1 - umbellicus
Day 2 - 1 cm
Day 3 - 2 cm
Day 4 - 3 cm

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5
Q

How long for the fundus to go back down into the pelvis?

A

9 - 10 days

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6
Q

A normal uterus will always be what normally?

A

Midline at the umbilicus and firmly contracted

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7
Q

If the fundus is deviated to left or right it is because what?

A

The bladder is distended

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8
Q

Anytime uterus is soft or boggy you have to what?

A

Massage the fundus

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9
Q

What happens if the bladder is distended?

A

It will displace the uterus and predispose to bleeding

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10
Q

How long does lochia discharge last?

A

28 days

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11
Q

What are the three different types of lochia discharges?

A
  • Rubra 1 - 3 days
  • Serosa 4 - 10 days
  • Alba 10 - 28 days
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12
Q

What is lochia?

A

The vaginal discharge after birth

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13
Q

What are the management for laceration and episotomy for the first 24 hours, then to 48 hours?

A
  • Ice first 24 hours
  • Tucks pad and witch hazel
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14
Q

What is the management of hemorrhoids?

A

Tucks pad and witch hazel

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15
Q

What are the three stages of Rubin adaptation?

A
  • Taking in
  • Taking hold
  • Letting go
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16
Q

When do we do the APGAR score?

A

1 minute after birth

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17
Q

What is a normal APGAR score?

A

8 - 10 but still monitor

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18
Q

What score APGAR can baby go home with mother?

A

3 consecutive 8 - 10

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19
Q

If baby has APGAR score 4 - 7 what do you do?

A

Give oxygen and stimulation and go to nursery

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20
Q

If baby has APGAR score 0 - 3 what do you do?

A

CPR and intubation, baby goes to NICU

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21
Q

What does APGAR stand for? Need to type all 5 words.

A
  • Appearance
  • Pulse
  • Grimace
  • Activity
  • Respiration
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22
Q

What is a normal RR for baby?

A

30 - 60

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23
Q

What is acrocyanosis, is it normal?

A

It is normal, it is the blue hint of the hands and feet up to one week after birth

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24
Q

What is puerperium? When does it occur?

A

The fourth trimester of labor, last 6 weeks after birth

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25
Q

After birth how long after can you not have sex?

A

6 weeks

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26
Q

Is it normal for the WBC to raise after birth?

A

Yes

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27
Q

What are the postpartum moods?

A
  • Blues
  • Depression
  • Psychosis
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28
Q

When is the first period of reactivity after birth?

A

0 - 30 minutes

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29
Q

When is the third phase of reactivity after birth?

A

2 to 8 hours

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30
Q

What are the four methods that the baby will lose heat from?

A
  • Evaporation
  • Conduction
  • Convection
  • Radiation
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31
Q

What is a normal Blood glucose for a baby?

A

40 - 60

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32
Q

How many wet diapers per day is normal for an infant?

A

6 - 8 wet diapers a day

33
Q

Postpartum mother needs for breast feeding?

A

500 calories
8 - 10 glasses of fluids per day

34
Q

How many months minimum should you breastfeed a child?

A

6 months minimum

35
Q

Never prop a bottle, true or false?

36
Q

List 5 postpartum complications.

A
  • Hemorrhage
  • Infection
  • Thromboembolism
  • Lacerations
  • Emotional complications
37
Q

The child should be rear facing in car seat until he is blank.

A

2 years or 20 pounds

38
Q

Bleeding with trickle means what?

A

There is laceration

39
Q

What rate does the uterus descend per day after birth?

A

1 cm per day

40
Q

What is the difference between Caput vs cephalohematoma?

A
  • Caput is swelling
  • Cephalohematoma is blood collection
41
Q

How much sleep should the newborn get?

A

15 to 20 hours a day

42
Q

What is normal temp in infant?

A

97.1 to 99.8 F

43
Q

What is a pulse in infant normal?

44
Q

What is normal RR in infant?

45
Q

What is average weight of baby?

A

6 - 9 pounds

46
Q

How much weight does infant lose in the first 3 to 4 days after birth?

A

5 to 10% of its birth weight

47
Q

After circumcision the baby has to what before discharge?

A

Use the bathroom, go pee

48
Q

What are the two types of jaundice?

A
  • Pathological
  • Physiological
49
Q

What causes physiological jaundice? When does it appear?

A

Dehydration 3 - 4 days

50
Q

What causes pathological jaundice? When does it happen?

A

ABO incompatibility, it happens 0 - 24 hours

51
Q

What is the normal infant bilirubin levels?

52
Q

What are the two treatments of jaundice in infants?

A
  • Phototherapy
  • Exchange transfusion
53
Q

What to remember when you do phototherapy?

A

Cover eyes and genitalia
Feed
Temp
Bond with mother

54
Q

What do high levels of oxygen cause in baby?

55
Q

When do lungs start to develop? When are they fully developed?

A
  • Start at 24 weeks
  • Fully at 34 weeks
56
Q

What causes NEC ( necrotizing enterocolitis)

A

Unclean utensils
Unclean feeding

57
Q

Apgar checks at what times?

A

1 min after birth
5 min after birth for 10 min

58
Q

Fibrobectin test determines

A

Preterm labor

59
Q

4 tacolytics

A

Indomethacin
Nifenadine
Magnesium sulfate
Debutante

60
Q

Latent phase

61
Q

Active phase

62
Q

Transition phase

63
Q

4 stages of labor

A

Stage 1. Dilation and effacement
Stage 2. Delivery of baby
Stage 3. Delivery of placenta
Stage 4. Postpartum care

67
Q

Nursing care for bleeding

A

6-8 pads in 24 hrs
Change pad every 4 hrs
Large clots
Pad saturated in less than 24 hrs

70
Q

Rubin adaption

A

Taking in
Taking hold
Letting go

72
Q

Pregnancy hormones

A

Estrogen
Progesterone
Hcg
Hpl

74
Q

Labor hormones and what they do?

A

Prostaglandins- softens cervix
Prolactin- milk
Oxytocin- contractions

76
Q

For laceration or episiotomy?

A

24 hrs of ice pack
Sits bath

78
Q

Nitrazie test

A

Test measures ruptured membranes

Maternity And Ob (5 decks)

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