Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ABSN Cohort 19 > OB Exam 3 > Flashcards

OB Exam 3 Flashcards

1
Q

TK: What do do if baby is lethargic? fussy?

A 
Lethargic = unswaddle, stimulate, lights on
Fussy = swaddle, rock, lights out
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

TK: Feeding well is indicated by how many diapers?

A

6 - 8 . day

Ratio = 1 diaper:day old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

TK: Fontanels should be…?

A

Flat, soft, Ø bony outline = dehydration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

TK: Medical Malpractice vs. Negligence

A

violation of professional duty, failure to use knowledge

failure to exercise degree of care an ordinary person would

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

TK: Duty vs. Breach

A

perform professional service as a nurse

failure to carry duty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

TK: How to avoid litigation? SOC = ORP meaning?

A

Follow policies and procedures

Standard of Care = Ordinary, reasonable, and prudent Nurse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

TK: ATI Breastmilk Storage viability times (4) and how to thaw (2)

A

Room temp = 8 hrs
Refrigerated = 8 days
Freezer = 6 months
Deep Freezer = 12 months

Thaw in fridge for 24 hrs
Place container in lukewarm water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

TK: Breastmilk preparation DON’TS (4)

A

Thaw in microwave
refreeze thawed milk
re-use used portions
use old formula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

TK: Timing for meat, almond milk, cows milk (+why), and what to mix formula in (+why)

A

Meat = 9 months
Almond/Cows = 1 year
Cows milk is ↑ protein but ↓ carbs, Iron, VitC, Copper, and is hard to digest, doesn’t support growth
Formula in tap water because it has fluoride which helps with development of teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

TK: American Academy on how long to breastfeed child?

A

6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

TK: Rice and cereal in bottle?

A

NO, use spoon.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

TK: Bottle to bed risks? Replacement fluid?

A

Ear infection and tooth decay, replace with water.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

TK: Maternal Adjustment Phases (3)

A

Dependent Taking-in
Dependent-Independent Taking-hold
Independent Letting-go

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

TK: Taking-in-Phase (time, focus, action)

A

First 12 - 24 hours postpartum
personal needs
Rely on others, excited, talkative, reviews exp.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

TK: Taking-Hold Phase (time, focus, action)

A

Day 2 -3 (as long as 10 days/weeks)
Baby care/competency
Wants charge, but still relies, learn/practice care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

TK: TK: Letting-Go Phase (focus, action)

A

Family as a unit

Resumption of previous roles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Transition to Parenthood begins and develops with…?

A

During pregnancy

Time (learning process)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Attachment

A

parent ♥ child, child ♥ parent
Maintained by proximity and interaction.
Strengthened by sensual responses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Bonding

A

first minutes/hours postpartum of contact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Mutuality

A

Infant behaviors eliciting corresponding parental behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Acquaintance

A

Eye contact, touching, talking, exploring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Claiming

A

Identification of new baby by family
Can be POS or NEG
“Dad’s chin and bad attitude”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Nurse Role during Transition

A

Facilitate attachment and assess/improve coping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Early vs Extended Contact

A

facilitates attachment but NOT ESSENTIAL

rooming-in, optimal for family-centered care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Parent-Infant Communication:

Touch, Eye Contact, Voice, Odor, Entrainment

A

Kangaroo! Mom temp ↑ 1º to keep baby warm, stabilize HR, calm respirations
en face = 20cm, Mal de ojo = Spanish rude admiration
can hear in utero @ 24 weeks
areola secrete fluid similar to amniotic fluid, attracts baby
movement in time with parent’s voice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Biorhythmicity

A

Baby is soothed by mom’s ♥ beat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Reciprocity vs. Synchrony

A

R - baby cries, mother soothes response (can be POS/NEG)

S - when event is mutually rewarding to both parent and baby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Psychologist vs. Psychiatrist

A

can’t prescribe but recommends meds

can prescribe meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Focus of parents during transition

A

moving towards normal and achieving identity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

EDINBURGH (EPDS)

A

Depression screen for mom (0/30)

If less than 10, possible depression.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Postpartum Blues (%, r/in if Øtx, time length, counte w/, who to screen?)

A

10 - 15%
Postpartum Depression -> Postpartum Psychosis
Up to 1 year
naps, limiting visitors, ▲ expectations
SCREEN EVERY WOMAN EVER postpartum (during pregnancy if have Hx)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Father’s experience of Birth, nursing counter

A

First 4 - 10 weeks similar to mother.
Left out/jealous, NORMAL
educate and include

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

When is next appt?

Vag Birth vs. Cesarean

A

6 weeks

2 weeks, then 6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Sexual adjustment Postpartum

A

NO sex for 5 - 6 weeks post-delivery

Estrogen r/t breastfeeding r/in dry vagina, lube up.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Adolescent vs. > 35 y/o parents

A

↑ mortality rate (60%)
Needs more developmental teaching
Educate w/ diff. modalities

↑ disease rate (DM)
Sandwich generation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Rehabilitation Act of 1973

A

Hospitals must accommodate the impaired

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Sibling Adaptation expectation and counter

A

Regression/Rivalry is NORMAL

Involve kids in preparation of baby and acquaintance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Grandparents Adaptation

A

More involved b/c teen preg, drug abuse, and HIV

Promote continuity w/ inter-generational relationships

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Infant’s First period of reactivity (4)

time, HR, RR, motor

A

30 min post birth
HR ↑ 160 - 180 bpm but drops 30min
RR 60 - 80, irregular
↓ motor activity after 60 - 100 min + sleep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Infant’s Second Period of Reactivity (4)

time, breathing, meconium, ▲s

A

4 - 8 hours post birth
Tachycardia/pnea occur
Meconium passes
↑ muscle tone, ▲ skin color, ↑ mucous production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Infant Respiratory NOTES (4)

A

Surfactant is low
Abdominal breathers
Respiratory distress = flaring, retractions, grunting
Liquids squished out of lung during vaginal birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Infant Respiratory FOCUS (3)

initiate, maintain, maintain other 2?

A

Initiate breathing
Maintain O2
Maintain Resp/Temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Infant Hematopoietic NOTES (5)

RBC, Leuko, Platelets, Hct/Iron, VitK

A 
4x RBC of adult (r/o hyperbiliruinemia)
↑ Leukocytes
= Platelets to adult
↑ Hct and Iron (enough for 4 - 6 months)
Administer VitK cause it takes 3 days to build
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Infant Cardiovascular NOTES (4)

openings, blood volume x2, HR average

A

3 openings: foramen ovale, ductus venosis, and arteriosis (when arteriosis stays open r/in murmur)
Blood volume 300mL (40% weight)
Blood volume will ↑ if not cut w/in 2 min birth
HR average 120 - 140 bpm, murmur/irregular NORMAL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Infant Renal NOTE (2)

diaper output, kidney fx

A

6 - 8 wet diapers/day

3 - 4 days, kidneys Ø concentrate urine

46
Q

Infant Thermogenic NOTES (3)

shiver, brown fat, cold stress, birth weight

A

CAN’T shiver
Will consume brown fat if too cold/unfed
Cold stress r/in metabolic acidosis
Lose 5 - 7% birth weight by day 3 - 5, will regain in 2 weeks

47
Q

Cold Stress Physiology

A

Cold r/in ↑ O2 consumption r/in ↑ RR r/in vasoconstriciton r/in ↓ O2 uptake/↓ peripheral perfusion r/in Anaerobic Glycolysis r/in ↓ PO2 and pH (metabolic acidosis)

48
Q

4 Ways to Lose Heat (ECCR)

A

Evaporation - H2O loss
Conduction - touching
Convection - through air
Radiation - next to window/fridge

49
Q

Infant Hepatic NOTES (4)

liver, maternal glucose, coag factor, bruising fx

A

Liver is 40% abdomen and has enough Iron for 4 - 6 months (which is when they start solids)
Ø maternal glucose once cut from mother
Ø coag factor b/c gut sterile, need VitK
Bruising ↑ r/o bili cause RBC’s will be turned into Bili

50
Q

How Bilirubin is created

A

RBC -> Hbg -> Heme/Globin -> Iron and Bilirubin -> via LIVER GLURONYL TRANSFERASE becomes conjugated in and in feces

51
Q

Kernicterus

A

When bili passes blood-brain barrier and ↑ r/o mental retardation

52
Q

Infant GI NOTES (3)

poo development (4), cluster feeding, stomach size

A

meconium (dark tarry) -> green -> yellow OR OJbrown if formula
By 2nd week should be feeding q1-2hrs
Never feed > 8 oz b/c r/in spitting up

53
Q

Passive Immunity 2 Sources

A

from mother and from breastfeeding

54
Q 
Infant Genitalia (3)
(NORMAL ♀, ♂, and BOTH)
A

♀ - swollen majora cover it all, mucous/vernix inside
♂ - swollen scrotum, rugae, contracted (opposite w/ premie & transparent)
BOTH - swollen breasts b/c estrogen (blood♀/rust powder♂ in diaper)

55
Q

Infant Integumentary NORMAL findings (5)

A

sweat glands/milia - white dots on nose (pore+vernix)
Desquamation - peeling
Mongolian spots - dark spots towards buttocks
Nevi - birth marks, stork bites, angiomas
Erythemia Toxicum - rash first 3 weeks (flea bites)

56
Q

Infant Integumentary NOT NORMAL findings (3)

A

Caput Succedeneum - edema under scalp
Cephalhematoma - blood under scalp (trauma)
Subgaleal Hematoma - blood down neck (trauma) when S/S apparent… it’s too late.

57
Q

Infant Skeletal NOTES (2)

cartilage vs. bone, hip dysplasia

A

> cartilage than ossified bone
Assess for hip dysplasia by abducting legs (can’t do if out of socket/hear click), ALSO assess symmetry of leg length/creases

58
Q

When assessing infant… it is VERY important to also include…?

A

Pre/Intra/Postpartal periods of mother’s pregnancy

59
Q

Tummy Time and HOW TO SLEEP?

A

SUPERVISED
Promotes muscle strength

On back (↓ 75% SIDS)

60
Q

Infant Sensory NOTES (3)

vision, everything else, hearing?

A

blurry, black/white (3 -4 months), short
EVERYTHING else more accurate
Congenital Hearing loss in 1/301k, catch to intervene

61
Q

Neuro vs. Ballard assessments

A

Reflexes (moro, rooting, babinski) vs. Gestational Age (Scarf sign, square window, recoil) (out of 50)

62
Q

Sleep-Wake States (6)

DLDQAC

A 
Deep sleep
Light Sleep
Drowsy
Quiet Alert (feeding time!)
Active Alert
Crying
63
Q

Mom was on narcotics and baby has ad/fx, treat with…?

A

Narcan

64
Q

Responses to Stimuli (6)

THCCIC

A

Temperament - variation behavior to stimuli
Habituation - protective accustomization to stimuli
Consolability - ability to console self/be consoled
Cuddliness - ability to mold to contour of holder
Irritability - threshold before crying
Crying - signals need, mother learns types, 5 min - 2 hrs

65
Q

APGARs are done @ what 2 times?

Assessment done by what (3) and what time?

A

1 min and 5 min post-birth
Gestational Age, Weight, Circumferences
2 - 3 hours post-birth

66
Q

Nose Bulb Procedure

A

Cheeks first (not too deep) then nose

67
Q

Umbilical Care

A

NO tub bathing until cut/circumcision well healed
Leave open to air, will fall off in 7 - 10 days
Clean like any other wound

68
Q

Erythromycin administration and fx

A

Ribbon inside out, counters gonorrhea, conjunctivis, and chlamydia

69
Q

↑ 90th percentile, ↓ 10th percentile measurements?

A

TOO LARGE

TOO SMALL

70
Q

Term Timings (5)

A

Preterm/mature is ↓ 37 weeks
Late preterm 34 - 36 6/7 weeks
Term 38 - 42
Postterm > 42
Postmature > 42 w/ placental insufficiency
↑ R/o placental calcification (poor O2) and ↓ amniotic fx

71
Q

Infant Phenoketonuria (PKU) assesses for…? (3)

A

Hypothyroidism
Galactosemia
Sick cell anemia

72
Q

Meconium labs vs. Blood

A

More accurate and allows screening for more drugs

73
Q

Soft tissue injuries and reason.

A

bruising, lacerations b/c dystocia (obstructed labor) an use of forceps/vacuum.

74
Q

Physiologic Jaundic
Kernicterus
Jaundice v/a Breastfeeding
Breastmilk Jaundice

A

birth, 80% newborns, look like a pumpkin
1st week, yellow staining in brain cells
2 - 4 days, 10 - 25% breastfed newborns, poor feeding
4 - 6 weeks, 2 - 3% breastfed newborns, bad milk

75
Q

Hypoglycemia and Hypocalcemia ranges

A

↓ 20 - 40 mg/dL and ↓ 7 mg/dL

76
Q

How to assess Infant bili and safe percentile

A

TransQBilimeter

40th - 95th

77
Q

Conjugated Bili/Unconjugated Bili safe ranges

A

1 - 1.5 / 12 - 15 Blood Volume Fraction (BVF)

78
Q

3 ways to restrain Infants to collect labs, what if restrained?

A

swaddling
femoral for femoral IV
side for spinal tap
If child is restrained, check hourly.

79
Q

Breast feeding should be…? and normal oz?

A

On-demand, 2 oz

80
Q

Tx VitK, HepB, Hyperbilirubinemia

A

Shots for 2
Phototherapy - take I/O b/c dehydration
Feeding, exchange transfusion, education

81
Q

Circumcisions (4)

A

Controversial, medically unnecessary by AAP
Gomko or Plastibell procedure
Local anesthetic, lidocaine, penile block can be used
Tx similar to cord stump

82
Q

Tx Neonatal Pain (2)

A

swaddling, pacifier, nonnutritive sucking

Tylenol, MorphineSulfate, Fentanyl, Toredol, Local anesthetic

83
Q

Suncreen for baby?

A

Not until 6 months

84
Q 
Newborn ranges
(temp, RR, feeding (formula/breast), elimination, # and development)
A
  1. 5ºC - 37.2ºC
  2. 7ºF - 98.9ºF

30 - 60/min
q3-4hrs formula, q1-2hrs breast
6 - 8 daipers/day, meconium -> green -> yellow/ojbrown

85
Q

Car seat safety

A

Backseat

Backwards until > 20 lbs, then forward!

86
Q

Vaccination follow up times

A

birth, 2 wks, 2, 4, 6, 12, 15 months THEN Kindergarten.

87
Q

Physical Developmental Milestones

1, 2, 4, 6, 9,12 ,15, 18 months

A

reflexes, head control, roll over,sits, stand w/ help, stands alone, run/climb, mobile!

88
Q

Baby Oil

A

non aromatic, mix w/ water inc. allergic rx

89
Q

Food introduction

A

Solids @ 4 - 6 months, veggies first, then fruits (slowly inc. allergic rx)
Meats @ 9 months
NO COWS/ALMOND for 1 year

90
Q

AAP says (about breastfeeding)

A

exclusively for 6 months, continue for 12.

Weaning will happen by mother/infant over time

91
Q

Lactogensis (highest point, basic concept, uniqueness, 2 porteins)

A

first 10 days postpartum
Supply and demand, baby!
▲ with needs of infant
Whey (lactalbumin)/Casein (Cud)

92
Q

Breastfeeding also r/in release of what hormone? Which is responsible for what reflexes?

A

Oxytocin, Milk-Ejection/Let-Down Relfexes

93
Q

Infant Growth spurts @…?

A

2, 3, 6 weeks, 3, and 6 months

94
Q

Lactogenesis Stage I vs II

A
  1. 16 - 18 weeks, clear yellow w/ IgA (part of passive immunity). ↑ protein ↓ fat
  2. 3 - 5 days, copious milk!
95
Q

FOREMILK vs. HINDMILK

A

F - ↑ fat content, 60% skim 35% whole. lactose, protein, vitamins
H - cream, 10 - 20 min into feeding. ↑ calories for more growth

96
Q

Positionings (4)

A

Football
Across lap
Cradling
Lying sideways

97
Q

Latching Procedure

A

Manually express a few drops to lubricate and entice, GO DEEP. Should be NOT painful, SMOOTH, HEAR swallowing

98
Q

MER/Let Down S/fx

A

uterine cramping, accomodating breasts, tingling, NORMAL

99
Q

Mother…

Diet, weight loss, rest, breastcare, meds

A 
\+ 500 extra calories, continue prenatal
↑ weight loss
Rest as much as possible, when kid sleeps
NO SOAP
Meds mostly safe, check HALE if needed
100
Q

Boob concerns and tx

A

Engorgement - Ø simulation, cabbage
Sore nipples - latch, lanolin
Monilial infx - antifungal
Plugged ducts - massage/warm h2o OR antibiotics

101
Q

High Risk Pregnancy counter

A

proper identification and timely intervention

102
Q

Daily Fetal Movement Counts (DFMC)

A

Ø movement for 12 hrs = fetal alarm signal

103
Q

NonStress Test

A

EFM accelerations with contractions, drink OJ or sugar if needed (acoustic too!)

104
Q

Contraction Stress Test

A

nipple contract/give oxytocin and access for decels

105
Q

Biophysical Profile Tests (5)

UNPAM

A

Ultrasonagraphy - look @ HR and baby
Nuchal Translucency - nape fat (downs)
Percutaneous Umbilical Blood Sampling - placental tissue for disease
Amniocentesis - amniotic fluid for disease
MRI - visual assessment

106
Q

BBP Timings Ultrasound and Nuchal Translucency

A

U - ♥ @ 6 - 7 weeks, GA 22 weeks

N - 10 - 14 weeks

107
Q

Alpha-Fetoprotein (AFP) and Coombs

A

maternal serum for neural tube defects (detects 80 - 85% and recommended for all). Produced in liver, ↓ ind. downs
Coombs tests Rh compatibility (if mom - and baby +, give Rogam)

108
Q

Biophysical Risks (3)

A

Genetic Dz, Nutrition, Medical/Obstetric (PMH/Prego) Dz

109
Q

Psychosocial Risks (5)

A

Smoking, drugs, alcohol, caffeine, psych status

110
Q

Environmental Risks include…?

A

exposure to chemicals/falling down

111
Q

Uteroplacental Insufficiency (UPI)

A

gradual decline of delivery related substance by placenta to fetus, threat to fetal growth.

112
Q

Spooky NST, CST, BPP!

A

Assessments scare family, be therapeutic and educational.

ABSN Cohort 19 (28 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions