Goad test 1 deck 3

Question 1

The head is born. What do I do

Answer 1

1- suction mouth, 2- suction nose, 3- feel for a cord and extend the loop if there is one

Question 2

WHat do you do about post birth shaking and chills for mom?

Answer 2

usually normal, no action needed except blanket

Question 3

How ofetn do you do VS postpartum?

Answer 3

q15m x4, q1hr x2, then qshift

Question 4

What 5 factors are assessed for Apgar?

Answer 4

heart rate, resp effort, muscle tone, reflex irritability, color

Question 5

VBAC mom is G2, so is her labor time like a primip or a multip?

Answer 5

primip

Question 6

What nerves are cervix and uterus?

Answer 6

T10 through T12 and L1

Question 7

What nerves must be blocked for c section?

Answer 7

T6 through T8

Question 8

What nerves serve pudenda?

Answer 8

S2, S3 S4

Question 9

Why are labor drugs harder on preterm infant?

Answer 9

liver less mature

Question 10

Where do you shoot an intrathecal drug?

Answer 10

into the spine

Question 11

Name 2 good intrathecal drugs. How long to take effect? How long will they last? Can she feel the urge to push?

Answer 11

morphine and fentanyl, 15 to 30 min to take effect, lasts 4-7 hours, and she can feel the urge to push

Question 12

Name 2 drugs used for regional anesthetic effect?

Answer 12

chloroprocaine (Nesacaine) or

bupivacaine (Marcaine)

Question 13

Where does epidural anesthesia go? Cna it increase contraction strength?

Answer 13

L4-5, L3-4 or L2-3 space. It can.

Question 14

Prime side effect of epidural/ prime way to prevent it

Answer 14

Hypotension/ get her well hydrated

Question 15

What drug combo reduces hypotension risk in epidural best?

Answer 15

Fentanyl (Sublimaze) & bupivacaine (Marcaine)

Question 16

Nursing inteventions for epidural

Answer 16

hydration, have pt lie on side and then turn to other side to distribute

Question 17

What is the cervical dilation when epidural is started, usually?

Answer 17

4-5cm

Question 18

What is a wet tap?

Answer 18

The dura mater lies just below the tiny epidural space

Sometimes this membrane is accidentally punctured with the epidural needle or catheter is inserted through it

Question 19

when do they test for strep b in pregnancy

Answer 19

week 35 to 37

Question 20

What do you do for a wet tap?

Answer 20

push caffeine & fluids, instruct patient to lie flat, analgesics
If all interventions fail may be a candidate for
blood patch

Question 21

What happens if you post a post spinal anesthesia pt in trendelenmburg position?

Answer 21

anesthesia can rise up her spinal column to the nerves that enervate her lungs and she could stop breathing

Question 22

When would you use a pudendal nerve block? WHat;s the advantage?

Answer 22

episiotomy & for most low forcep deliveries- no effect on contractions

Question 23

what is cervical cerclage?

Answer 23

cervical stitch, is a treatment for cervical incompetence

Question 24

what is a macrosomic fetus?

Answer 24

really big

Question 25

Nursing interventions to prevent post-op complications:

Answer 25

turn cough deep breathe, incentive spirometry, early

ambulation, leg exercises, etc.

Question 26

Lochia: more or less w/ cesarean?

Answer 26

less

Question 27

Will cesarean affect intestines?

Answer 27

Yes- manipulation will decrease or stop its function, so return to normal diet slowly.

Question 28

How long after the Foley is out should she probably have peed?

Answer 28

4-8 hours

Question 29

REEDA

Answer 29

Redness, Edema, Ecchymosis, Drainage, Approximation

Question 30

How long do u have to wait to drive after c sec

Answer 30

at least 2 weeks

Question 31

These problems after c sec need to be explained

Answer 31

Temperature above 38C (100.4F) • Increased abdominal pain • Frequency or burning on urination • Redness or drainage from incision line • Lochia heavier than a normal period • Chest pain • Calf pain