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Fortis Nursing > OB Exam 3 > Flashcards

OB Exam 3 Flashcards

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1
Q

What are the findings of chorioamnionitis?

A

Fever
Fetal tachycardia
Uterine Tenderness
Foul smelling fluid

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2
Q

What are the signs and symptoms of Puerperal infection?

A

Lethargy
Fever

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3
Q

How do we reduce endometritis after c section?

A

Treat with Prophylactic Antibiotics
Ex. Cefazolin, Vancomycin, Gentamicin

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4
Q

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

A

This is normal

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5
Q

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

A

Hypovolemic Shock

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6
Q

How do you treat idiopathic thrombocytopenic purpura? (ITP)

A

Corticosteroids

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7
Q

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

A

repeat every 5 minutes for 20 minutes

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8
Q

What may a patient with postpartum psychosis experience?

A

Bizarre thoughts and behaviors

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9
Q

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

A

Sunken anterior fontanel

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10
Q

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

A

Position and latch

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11
Q

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

A

Warm compress and frequent pumping

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12
Q

What is the goal for phototherapy?

A

Unconjugated must be conjugated

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13
Q

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

A

Caput Succedaneum

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14
Q

What is paralysis of the hand and arm called?

A

Torn brachial plexus

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15
Q

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

A

Hypoglycemia

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16
Q

What reflex is associated with drinking?

A

Sucking

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17
Q

What are white pinpoint papules?

A

Milia

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18
Q

What are blush spots on the buttock?

A

Mongolian Spots

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19
Q

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

A

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

20
Q

What is accumulation of fluid around the testes called?

A

Hydrocele

21
Q

What are contraindications of cicumcision?

A

Hypospadias, Epispadias

22
Q

What care is used when cleaning umblical cord?

A

keep dry, only use water when soiled

23
Q

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

A

Nothing as of now, this is normal

24
Q

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

A

every 1-2 hours

25
Q

What are contraindications when breast feeding?

A

Alcohol, Cocaine, Meth, Weed

26
Q

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

A

use commercial grade formula

27
Q

What do blue hands and feet indicate?

A

Acrocyanosis

28
Q

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

A

Nasal Flaring
seesaw respirations
subcostal retractions

29
Q

What is a sign of possible neurological impairment?

A

Weak reflexes

30
Q

What is the reason for administering Erythromycin?

A

To prevent ophthalmia neonatorum

31
Q

What is the reason for administering Vitamin K?

A

to stimulate red blood cells to prevent hemmorage

32
Q

What is contraindicated when giving methergine?

A

Blood pressure (Hypertension)

33
Q

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

A

baby blues

34
Q

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

A

Subinvolution

35
Q

What does skin to skin contact promote?

A

Temperature, bonding, cardiopulmonary stabilization

36
Q

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

A

Respiratory distress syndrome

37
Q

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

A

Tachypnea

38
Q

Flat reddish pink patch on the neck indicates what?

A

Nervus simplex

39
Q

An infant born to drug addiction may experience what?

A

Tremors and perspiration

40
Q

What does skin to skin contact promote?

A

Thermal Stability

41
Q

What is are priorities after a c section?

A

Tachycardia and Oliguria

42
Q

What is the immidiate intervention to reduce respiratory collapse?

A

Surfactant Deficiency, replace via ET tube

43
Q

Flaring and grunting is a sign of what system problem?

A

Respiratory

44
Q

Math answers on test

A

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

45
Q

What baby is at risk for hyperbillirubia?

A

Babies with a Cephalhematoma due to increase hemolysis
preterm infants

Fortis Nursing (4 decks)

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