Maternal Newborn

Question 1

HELLP syndrome

Answer 1

Hemolysis
Elevated Liver enzymes
Low platelet

Question 2

Dystocia, 4 P’s

Answer 2

Powers
Passageway
Passenger
Psych

Question 3

Infections during pregnancy

Answer 3

Toxoplasmosis
Other (hep b, syphyilis, step b)
Rubella
Cytomeglovirus
Herpes

Question 4

IUD problems

Answer 4

Period (menstrual: late, spotting, bleeding)

Abdominal pain, dyspareunia

Infection (abnormal vaginal discharge)

Not feeling well, fever or chills

String missing

Question 5

APGAR

Answer 5

Appearance

Pulse

Grimace

Activity

Respiratory effort

Question 6

GTPAL

Answer 6

Gravida

Term

Preterm

Abortions (SAB, TAB)

Living children

Question 7

Preterm infant
TRIES

Answer 7

Temperature regulation (poor)

Resistance to infections (poor)

Immature liver

Elimination problems (necrotizing enterocolitis [NEC])

Sensory-perceptual functions (retinopathy of prematurity [ROP])

Question 8

VEAL CHOP MINE

Answer 8

V variable decels / Cord compression/ movement
Early Decels / head/ id progress
Accelerations/ okay / nothing
Late decels / placenta / execute delivery

Question 9

Placenta previa

Answer 9

Painless bright red

bed rest
asses fundal heigh
NO VAG EXAMS
have O2 ready

Question 10

Abrutio Placenta

Answer 10

DArk red stabbing.

Question 11

hypertension in maternal

Answer 11

<160/110
Give mag
NO ACE

Question 12

pre eclampsia

Answer 12

hypertension, edema, and proteinuria during pregnancy

20 weeks

CAN DEVELOP UP TO 6 WEEKS POSTPARTUM

Question 13

eclampsia

Answer 13

hypertension, edema, proteinuria, SEZIURES

NEED TO DELIVER BABY

Question 14

LATE DECELS

Answer 14

Emergency delivery

Reposition from side to side
Discontinue Oxytocin if being infused
Administer oxygen
Assist amnioinfusion
Assist vaginal exam

Question 15

Postpartum Hemorrhage Findings

Answer 15

Boggy uterus
Blood clots bigger than a quarter
Perineal pads in less than 15 minutes
Bright red blood
tachycardia
hypotension
Pallor
oliguria

Question 16

Risk for ovarian Cancer

Answer 16

Age greater than 40
Nulliparity or first pregnancy
Hx of ovarian breast cancer
DM
Late menopause
Endometriosis
High fat diet
Infertility

Question 17

Diaphragm

Answer 17

Must stay in place 6 hr after intervourse but no more than 24 hours.

Question 18

IUD

Answer 18

Monitored by client after menstruation to ensure presence of small string.

Question 19

Cleanse an uncircumcised penis

Answer 19

Wash w soap and water and rinse penis. DO not force back foreskin.

Question 20

Postpartum Blues

Answer 20

10 days postpartum
Mood swings
tearfulness
insomnia
lack of appetite
feeling of letdown

Question 21

postpartum depression

Answer 21

12 months post delivery

sadness ad intense mood swings

Question 22

Rhogam

Answer 22

All rh negative clients who have newborns must be administered rhogam

Question 23

Withdrawal babies

Answer 23

Shrill cry
irritability
tremors
mono reflex
increased deep tendon reflex
disturbed sleep

Question 24

Fibrocystic Breast Condition

Answer 24

Decrease salt
wear supportive bra
apply local heat or cold

Question 25

Maternal PKU

Answer 25

high PKU danger to fetus

Client do PKU diet 3 months prior to pregnancy
avoid fish, poultry, meat, eggs, nuts, dairy

Question 26

Terbutaline

Answer 26

inhibits uterine activity

Asses for cardiac

Question 27

Caput Succedaneum

Answer 27

swelling of soft tissue of scalp

Question 28

Values for newborn

Answer 28

Hgb 14 - 24
Hct 44-64
Glucose 40-60
Bilirubin 24 hours 2-6, 48 hours 6-7, 3-5 days 4-6
WBC 9,000 to 30,000

Question 29

Masitis

Answer 29

Adm ABX

Allow nipples to air dry
Completely empty breast so no milk stasis
Use ice packs
Continue breastfeeding frequently 2-4

Question 30

Masitis

Answer 30

Adm ABX

Allow nipples to air dry
Completely empty breast so no milk stasis
Use ice packs
Continue breastfeeding frequently 2-4

Question 31

DO NOT GIVE IBPROFEN TO PREGNANT