OB Exam 3

Question 1

What are the findings of chorioamnionitis?

Answer 1

Fever
Fetal tachycardia
Uterine Tenderness
Foul smelling fluid

Question 2

What are the signs and symptoms of Puerperal infection?

Answer 2

Lethargy
Fever

Question 3

How do we reduce endometritis after c section?

Answer 3

Treat with Prophylactic Antibiotics
Ex. Cefazolin, Vancomycin, Gentamicin

Question 4

What should the nurse say to a mom who reports her baby has yellow stool while breast feeding?

Answer 4

This is normal

Question 5

Patient has a perineal laceration with symptoms such as ; pale, clammy, weak and a rapid pulse, what may be occuring?

Answer 5

Hypovolemic Shock

Question 6

How do you treat idiopathic thrombocytopenic purpura? (ITP)

Answer 6

Corticosteroids

Question 7

A baby has an APGAR score of 7, What is the nurses next action?

Answer 7

repeat every 5 minutes for 20 minutes

Question 8

What may a patient with postpartum psychosis experience?

Answer 8

Bizarre thoughts and behaviors

Question 9

A 24 hour newborn is experiencing dehydration, what may the nurse find on assessment?

Answer 9

Sunken anterior fontanel

Question 10

A mother is breastfeeding for the first time, what should you educate?

Answer 10

Position and latch

Question 11

A mother has mastitis, what education should be provided in regards to breastfeeding?

Answer 11

Warm compress and frequent pumping

Question 12

What is the goal for phototherapy?

Answer 12

Unconjugated must be conjugated

Question 13

The babys head appears elongated with swelling, what may this be?

Answer 13

Caput Succedaneum

Question 14

What is paralysis of the hand and arm called?

Answer 14

Torn brachial plexus

Question 15

If mom has diabetes, what is the priority nursing assessment?

Answer 15

Hypoglycemia

Question 16

What reflex is associated with drinking?

Answer 16

Sucking

Question 17

What are white pinpoint papules?

Answer 17

Milia

Question 18

What are blush spots on the buttock?

Answer 18

Mongolian Spots

Question 19

What will the nurse expect on an assessment of a baby with NAS?

Answer 19

tremors, seizures, high pitch crying, mottling, yawning, frantic sleep pattern, diaphoresis, uncordinated sucking

Question 20

What is accumulation of fluid around the testes called?

Answer 20

Hydrocele

Question 21

What are contraindications of cicumcision?

Answer 21

Hypospadias, Epispadias

Question 22

What care is used when cleaning umblical cord?

Answer 22

keep dry, only use water when soiled

Question 23

The infant stop breathing for 18 seconds and has irregular breathing, what might the nurse do?

Answer 23

Nothing as of now, this is normal

Question 24

A mother has diabetes, how often should she breast feed?

Answer 24

every 1-2 hours

Question 25

What are contraindications when breast feeding?

Answer 25

Alcohol, Cocaine, Meth, Weed

Question 26

What teaching should be provided of a mom wanting to bottle feed?

Answer 26

use commercial grade formula

Question 27

What do blue hands and feet indicate?

Answer 27

Acrocyanosis

Question 28

What should the nurse report to the provider when doing her 6 hour assessment on a newborn?

Answer 28

Nasal Flaring seesaw respirations subcostal retractions

Question 29

What is a sign of possible neurological impairment?

Answer 29

Weak reflexes

Question 30

What is the reason for administering Erythromycin?

Answer 30

To prevent ophthalmia neonatorum

Question 31

What is the reason for administering Vitamin K?

Answer 31

to stimulate red blood cells to prevent hemmorage

Question 32

What is contraindicated when giving methergine?

Answer 32

Blood pressure (Hypertension)

Question 33

The nurse observes the mom crying easily but still participates in care, what is this called?

Answer 33

baby blues

Question 34

A pelvic exam reveals an enlarged uterus, what does this indicate?

Answer 34

Subinvolution

Question 35

What does skin to skin contact promote?

Answer 35

Temperature, bonding, cardiopulmonary stabilization

Question 36

A mom has diabetes, what is the baby at risk for?

Answer 36

Respiratory distress syndrome

Question 37

A baby has meconium aspiration, what may the baby experience?

Answer 37

Tachypnea

Question 38

Flat reddish pink patch on the neck indicates what?

Answer 38

Nervus simplex

Question 39

An infant born to drug addiction may experience what?

Answer 39

Tremors and perspiration

Question 40

What does skin to skin contact promote?

Answer 40

Thermal Stability

Question 41

What is are priorities after a c section?

Answer 41

Tachycardia and Oliguria

Question 42

What is the immidiate intervention to reduce respiratory collapse?

Answer 42

Surfactant Deficiency, replace via ET tube

Question 43

Flaring and grunting is a sign of what system problem?

Answer 43

Respiratory

Question 44

Math answers on test

Answer 44

42 ml/hr 1.5ml 200ml/hr 4ml 12ml/hr

Question 45

What baby is at risk for hyperbillirubia?

Answer 45

Babies with a Cephalhematoma due to increase hemolysis preterm infants