MCN

Question 1

Newborn assessment

Answer 1

HR 110-160 
F: 97.7- 99.5
RR 30-60
Length: 45-55
Lbs: 5.5-8.8

Question 2

Biophysical Profile

Answer 2

asses fetal breathing movements 
gross body movements 
fetal heart rate 
reactive FHR (NST)
amniotic fluid

Question 3

amniocentesis

Answer 3

patent iv 
monitor FHR 
asses signs of labor 
asses for vaginal bleeding 
rohgam

Question 4

MSAFP

Answer 4

16-18 weeks

Question 5

Fetal assessment

Answer 5

110-160 bpm
no movement or decreases in 12hrs-bad
less than 10 kicks 2 hrs bad

Question 6

GBS

Answer 6

culture obtained 35-36 wks

Positive culture tx with PCN q4H IVPB during labor

Question 7

TORCH

Answer 7

T- toxoplasmosis 
O- other ( syphilis , varicella, parvovirus)
R- rubella 
C- cytomegalovirus  
H- herpes

Question 8

Gestational Hypertension

Answer 8

begins after 20th week
140/90
no proteinuria
returns to normal 6 weeks postpartum

Question 9

Eclampsia - s/s

Answer 9

proteinuria 
160/110
oliguria 
cerebral or visual disturbances 
DTRS 
hepatic dysfunction 
RUQ pain 
blurred vision 
seizures 
elevated URIC acid

Question 10

HELLP

Answer 10

H- hemolysis
EL- elevated liver enzymes
LP- low platelets

Question 11

Protein

Answer 11

60-70g

Question 12

Ectopic pregnancy

Answer 12

delayed or missed menses 
unilateral stabbing pain and tenderness in lower abdomen 
bleeding 
shock 
12 weeks RUQ

Question 13

Braxton hicks

Answer 13

pain above the lower back or abdomen above the umbilicus

decreases with walking or position changes

Question 14

True labor

Answer 14

walking can increase contraction intensity

usually felt in lower back and radiating to abdomen

Question 15

Terbutaline

Answer 15

used for preterm labor

monitor for SE: headaches, dizziness, tremors. tachycardia, monitor K

Question 16

Amniotomy

Answer 16

artificial rupture of amniotic membranes
typically begins in 12 hours
at risk for cord prolapse and infection

Question 17

Prolapsed cord

Answer 17

knee to chest
reverse trendenberg
8-10 L non rebreather

Question 18

hypoglycemia newborn

Answer 18

<40
flaccid muscles 
tremors 
poor feeding 
heel stick w/in 2 hrs

Question 19

RDS

Answer 19

tachypnea 
intercostal/ substernal retractions 
cyanosis 
pre term 
nasal flaring

Question 20

jaundice newborn

Answer 20

24 hours after ok
24 hours before bad
bilirubin above 5 bad

Question 21

3 mos

Answer 21

raises head prone

Question 22

6 mos

Answer 22

rolls back to front

Question 23

8 mos

Answer 23

sits unsupported

Question 24

9 mos

Answer 24

pincer grasp more precise

Question 25

solid foods

Answer 25

4-6 mos

iron fortified cereals first

Question 26

3 yrs

Answer 26

tricycle

Question 27

4 years

Answer 27

skips and hops

Question 28

5 years

Answer 28

walks backward heel to toe

Question 29

hypertrophic pyloric stenosis

Answer 29

projectile vomiting after feedings
constant hunger
failure to gain weight

Question 30

hirschsprungs disease

Answer 30

section of colon is big and causes decreased motility and obstruction
newborn-no meconium first 48 hrs
older children ribbon like stool older children

Question 31

intussception

Answer 31

telescoping of intestines
palpable sausage shaped mass
red currant jelly stool