OB & Peds Content

Question 1

Amplitude range is undetectable

Answer 1

absent baseline variability

Question 2

Amplitude range is visually undetectable < or = 5bpm

Answer 2

minimal baseline variability

Question 3

Amplitude peak to trough 6-25bpm

Answer 3

moderate baseline variability

Question 4

amplitude range >25bpm

Answer 4

marked baseline variability

Question 5

the peak of the acceleration is > or = to 15bpm over the baseline FHR for > or = 15seconds and <2minutes; before 32wks gestation 10:10

Answer 5

Accelerations

Question 6

normal FHR

Answer 6

110-160

Question 7

the autonomic nervous system has what effect on the FHR

Answer 7

increases FHR

Question 8

the parasympathetic nervous system has what effect on the FHR

Answer 8

decreases FHR

Question 9

lowest point of deceleratoin

Answer 9

nadir

Question 10

are early decelerations good or not?

Answer 10

good: mirror contraction

Question 11

can be a sign of fetal intolerance to labor

Answer 11

late decelerations

Question 12

nuchal cord is tanlgled (grabbed)

Answer 12

variable decelerations

Question 13

intervention for variable decelerations:

Answer 13

1. change position
2. throw mask on mom 8-15mL
3. more fluid (IV)

Question 14

time frame of contraction beginning to end

Answer 14

duration

Question 15

no numeric value, determine by palpate, subjective (strong=forehead, moderate=chin, mild=nose)

Answer 15

intensity

Question 16

beginning of one contraction to next contraction

Answer 16

frequency

Question 17

Output for peds:

Answer 17

1ml/kg/hr

Question 18

• Oxygen Delivery (at childrens all air is humidified)

Answer 18

o Nasal cannula – 1/16L to 3L is typical
o Venturi Mask – 24-55% FiO2
o Simple face Mask – 35-60% Fi02 (6-10L/min)
o Partial rebreather – 70-90% Fi02 (6-15)
o Non-rebreather – 60-100% Fi02 (6-15L/min)
o Blow-by 02
 Croup

Question 19

given at bedtime to give a more steady glucose level (longterm)

Answer 19

Lantis

Question 20

catheter inserted directly through chest wall

Answer 20

Hickman

Question 21

Respiratory; WETFROG

Answer 21

• W- wheezes
• E- Effort
• T- Tachy
• F - Flaring
• R - Retractions
• O - Oxygen
• G - Grunting

Question 22

FLACC

Answer 22

•  Children under age of preschool
•  Faces, Legs, Activity, CRY, Consolability (p.693 Ward & Hisley)
•  Will be given a scale of 0-2, 2 being worst, per category
• Pain Assessment

Question 23

pain assessment, 1st-3rd

Question 24

o Used in Primary Care
o Checking for developmental appropriateness

Answer 24

Denver II Assessment

Question 25

Newborn ~ Flexion of extremities  If newborn’s extremities are hypotonic (not flexed)

Answer 25

1. Prematurity 2. Hypoglycemia (not been fed) 3. Hypothermia 4. May be due to medications 5. May need to be stimulated (woken up)

Question 26

 Put tape cm side out just above eyebrow and top of ear (31cm)

Answer 26

head circumference

Question 27

 Use nipples as a point of reference (25cm)

Answer 27

chest circumference

Question 28

 Paper(measurement paper) on a flat surface

Answer 28

length

Question 29

uterus not supplying enough nutrients to provide for fetus (or one of the fetuses)

Answer 29

IUGR

Question 30

newborn breaths per minute

Answer 30

30-60

Question 31

looks like baby acne, mostly found on nose, chin, forehead (exposed sebaceous glands) o Do not touch or pop, they will resolve on own

Answer 31

milia

Question 32

newborn hair, fine downy like hair, up to 16weeks gestation o Shoulders, back, arms o Provide thermoregulation and protection while in gestation o As gestation progresses vernix starts to disinigrate o A lot of this may be a sign of developmental prematurity

Answer 32

lanugo

Question 33

o Usually found in post term newborns, no sign of vernix

Answer 33

peeling/cracking

Question 34

looks like a thick layer of lotion on baby, slippery, slick, sticky (thick petroleum jelly) o Moisturizes skin in womb o Lubrication during birth process o Protection – natural skin protector o As gestation progresses this starts to disinigrate

Answer 34

vernix caseosa

Question 35

bluish spot found on buttock or lower back, common in African American, latino, not painful o Record presence, location, size o Should resolve by school age

Answer 35

mongolian spot

Question 36

red spots commonly found on forehead between eyes or on back of necks o Resolves on own

Answer 36

hemangioma (stork byte)

Question 37

distict bright red color o Don’t usually interfere with development unless around eyes or nose (interfere w seeing and eating) may need to be surgically removed

Answer 37

strawberry hemangioma

Question 38

newborn rash) – not congenital, wash with mild soap and water, do not rub

Answer 38

erythema toxicum

Question 39

result of baby journey through birth canal, occurs in back of head, fontanels crossing over eachother o Normally resolves within a week

Answer 39

molding (head)

Question 40

bump on fetal head, can cross suture line o Feels spongy o Should resolve within a week

Answer 40

caput

Question 41

bump on fetal head from an accumulation of blood o Will never cross the suture line on top of head, will only be over a plate o May be a result of birth trauma from long labors or from external trauma to speed up birthing process (forceps) o Can take up to three months to resolve

Answer 41

cephalatoma

Question 42

white bumps in mouth

Answer 42

mouth (epstein pearl)

Question 43

feet may appear bluish, normal finding within the first day of birth, body adjusting to environment o Response to cold environment

Answer 43

acrocyanosis

Question 44

response to cold environment

Answer 44

mottling

Question 45

Half of baby’s face or body is more red than other, sometimes color may switch o Abnormal vasodilating in newborn

Answer 45

Harlequin sign

Question 46

BUBBLEHE

Answer 46

~ Breasts ~ Uterus ~ Bowel ~ Bladder ~ Lochia ~ Episiotomy ~ Homan’s Sign ~ Emotions

Question 47

– physician inflicted cut on the floor of the perineal tissue (laterally) o Tear on its own is called a laseration

Answer 47

episiotomy

Question 48

50% accurate, check for blood clot and DVT o Positive if it hurts upon touch at top of calf – screening tool not diagnosis  Visualize – any vein popping out, heat, call physician, check with doppler

Answer 48

homan's sign