Mat&Peds

Question 1

Occiput

Answer 1

Top of head

Question 2

In a vertex presentation, what is the normal presenting part?

Answer 2

Occiput

Question 3

Hypotonic Uterine Contractions

Answer 3

Slowing or complete arrest of progress of labor caused by weak or infrequent contractions of uterus.

Question 4

Precipitate birth

Answer 4

Unusually rapid birth

Question 5

Nuchal cord

Answer 5

Umbilical cord around the neck

Question 6

Fundus

Answer 6

Top of uterus

Question 7

Parity

Answer 7

Communicates the outcome of previous pregnancies

Question 8

Midline episiotomy

Answer 8

Incision is made in the middle of vagina opening, straight down towards anus

Question 9

Thromboembolic conditions

Answer 9

• blood clots (thrombi) form in blood vessels
• an embolus is a blood clot that travels through the bloodstream and blocks an artery
• common cause of death in pregnant woman

Question 10

Test done before birth to determine maturity of fetal lungs

Answer 10

L/S ratio

Lecithin-to-sphingomyelin ratio

Question 11

ophthalmia neonatorum

Answer 11

Neonatal conjunctivitis, also known as ophthalmia neonatorum, is a form of conjunctivitis and a type of neonatal infection contracted by newborns during delivery. The baby’s eyes are contaminated during passage through the birth canal from a mother infected with either Neisseria gonorrhoeae or Chlamydia trachomatis.

Question 12

The nurse instills _______ointment into the eyes of all newborns just after birth to prevent _______.

Answer 12

Erythromycin

Ophthalmia neonatorum

Question 13

“Fencing position” under the radiant warmer would mean the infant…

Answer 13

Extends the arm & leg on the side of the face points to and flexes the opposite arm & leg

Question 14

A positive Babinski’s reflex is considered?

Answer 14

A normal reflex until the child is about 12 months -18 months of age.

Question 15

A newborn with spina bifida occulta would present an evident sign of ?

Answer 15

A dimple at the base of the spine on the infant’s back.

Question 16

What helps with the absorption of Iron?

Answer 16

Vitamin C

Question 17

Placenta Previa

Answer 17

Condition in which the placenta is implanted close to, or covers, the cervical os

•painless

Question 18

A client comes in and says her water just broke. WHAT is it important to know?

Answer 18

The colour of the fluid

Is the baby moving ? (Normal is around 6 movements Q2H)

Question 19

Placenta abruption

Answer 19

Serious condition in which the placenta partially or completely separated from the uterus before the baby is born.

This can:
•deprive baby of Oxygen & Nutrients
•cause severe bleeding that is dangerous to both mom & baby

S&S:
•painful
•uterus is hard
•there may be blood

Question 20

What lab tests are done before babe can go home ?

Answer 20

PKU & Bilirubin

Question 21

Gravida

Answer 21

The # of pregnancies the woman has had

Question 22

Nulligravida

Answer 22

A woman who has never been pregnant

Question 23

Multigravida

Answer 23

A woman who has had more than one pregnancy

Question 24

G
T
P
A
L

Answer 24

G: gravida
•total # of pregnancies

T: term
The # of pregnancies that ended at term

P: preterm 
# of pregnancies that ended after 20 weeks & before end of 37 weeks gestation 

A: abortions 
# of pregnancies that ended before 20 weeks gestation 

L: living 
# of children delivered who are alive when Hx is taken

Question 25

When has the fetus reached term ?

Answer 25

At or beyond 38 weeks gestation

Question 26

Anticipatory signs of labor

Answer 26

• lightening or sense that baby has “dropped”
• Braxton Hicks contractions (false labor pains)
• GI disturbances
• expelling the mucous plug
• Feeling a burst of energy
• ripening (softening) and effacement (thinning) of the cervix

Question 27

Prodromal VS. True labor

Answer 27

Prodromal:
•increase in Braxton Hicks without cervical changes
•can be uncomfortable

True:
•progressive dilation
•effacement of cervix

Question 28

Stages of Birthing

Answer 28

1st: DILATION
•early labor (latent phase)
•active labor (active phase)
•transition (transition phase)

2nd: BIRTH
3rd: DELIVERY OF PLACENTA
4th: RECOVERY

Question 29

The “Four P’s” of labor

Answer 29

Passageway

Passenger

Powers

Psyche

Question 30

The passage way consists of ?

Answer 30

• bony pelvis
• soft tissue of cervix
• vagina