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ob test 2 Flashcards

1
Q

normal blood loss vaginal and c section and how much gram-ml

A

500ml vaginal
1000ml c section
1gm to 1ml

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2
Q

3 causes of uterine atony

A

preeclampsia
prolonged use of mag sulfate
prolonged use of betamethasone

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3
Q

What is the balloon called for the uterus and one thing to remember

A

Bakri post-partum balloon you can use this on a c section.

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4
Q

What to look for when the fundus is hard but the woman is still bleeding? 4

A

Laceration, episiotomy, hematoma, retained tissue

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5
Q

What is the first-line treatment for post hem? 2 ways?

A

Potocin IV or IM

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6
Q

hemabate what is it why do we use it?

A

For postpart hem it’s man-made oxytocin and it is a long-term drug.

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7
Q

Misoprostal what is it why do we use it? one thing to remember about it

A

Anti-ulcer we use it off label for hem but inserting into vagina or rectum. It is very painful

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8
Q

Methergrine why do we use it? One thing about it?

A

Post hem it causes problems with nursing so we try to avoid it.

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9
Q

Lysteda why do we use it how do we use it

A

IV push promotes clotting

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10
Q

What is puerperal infection 2 things to remember about risks and 2 signs

A

It is when bacteria infects the uterus or surrounding tissues in birth instrument -assisted birth multiple vag exams even before labor foul-smelling lochia WBC-high in pregnancy we are watching trend

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11
Q

How do we assess the perineum?

A

REEDA

Redness, edema, ecchymosis, discharge, approximation.

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12
Q

Time frame for baby blues and when to go to doctor?

A

first 3-10 days lasting a few days to a week or two when it lasts more than two weeks

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13
Q

When does postpart depression show up? when is the most common time?

A

4-6weeks later most common time is 3 months

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14
Q

One tool used to assess postpart depression

A

Edinbrugh postnatal depression scale EPDS

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15
Q

One thing to remember about post part

A

Men can have it two but react with anger and other ways

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16
Q

How much can a newborn stomach hold? when to burp? why regurg?

A

1-2tsp After every oz or between breasts weak sphincters

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17
Q

How often do newborns eat?

A

Every 2-3 hours

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18
Q

What to remember about the neonates stomach?

A

It is sterile and does not produce vit k because there is no bacteria.

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19
Q

What is meconium and one thing about it

A

Black tar stool from amniotic fluid and they may poop in the womb if they are stressed.

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20
Q

What is kernicterus what causes it what are the numbers?

A

Build up of bilirubin causes toxicity greater than 18

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21
Q

When will jaundice appear in newborn two things

A

3 days if from breakdown of RBC

sooner if it is a different problem

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22
Q

Neonate bp and hr WNL

A

pulse- 120-160

BP 60-80/40-45

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23
Q

Normal respiratory findings in a neonate 3

A

Irregular, 30-60 some fluid in lungs for 24 hrs so might hear crackles

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24
Q

What is kidney function percent in a neonate at birth

A

About 30-50 percent

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25
Q

Why are neonates more prone to dehydration

A

Most of their water is extracellular

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26
Q

3 things about urine in a neonate

A

They can’t concentrate urine well
Don’t handle drugs well
brick dust urine is normal

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27
Q

spinal in neonate 2 things

A

No curves, soft mostly cartilage

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28
Q

What is molding

A

Crainial sutures overlap as a result of labor and delivery resolves in 24 hours

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29
Q

What do you want to see with neonates and how to swaddle them

A

Flexed and swaddle flexed with hands by their face

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30
Q

Never

A

Swaddle a baby and leave alone

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31
Q

Desquamates and what does this mean

A

Skin peeling in neonate and normal

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32
Q

Skin and jaundice and babes

A

Ruddy is normal can blanch to check color or look at mouth or sclera

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33
Q

Mottling and newborn

A

Means they are cold

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34
Q

milia how to deal with it

A

Small white/yellow spots on face from clogged sebaceous glands Normal don’t touch it

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35
Q

Erythema toxicum

A

Newborn acne from moms hormones. Normal

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36
Q

Telangiectatic

A

Pale pink or red spots on face or neck normal will fade might not go away

37
Q

Mongolian spots and one thing to remember

A

Black/blue spots in babe record so in the future they don’t think it is child abuse.

38
Q 
Cephalhemeatoma is
one thing
wherex2
What will happen x2
what to watch for
A

Collection of blood from ruptured vessles
does not cross suture line
parietal bone and periosteum
can be unilateral or bilateral
Will stop bleeding because of pressure
blood will get reabsorbed into body in a few weeks
Hyperbilirubinemia

39
Q

Caput succedaneum 3

A

Localized swelling
long labor or vacuum
crosses suture line

40
Q 
Subgaleal hematoma 
What is it?
Where?
From?
When?
Identifier?
What happens?
A 
Hemorrhagic birth injury 
between the scalp and aponeurosis
From vacuum extract
 With in 12-72 hours
Crosses suture
nothing to stop bleeding NICU
41
Q

3 things about vision and a newborn

A

Light sensitive
Likes light/dark contrast
Focuses about 12 in from face

42
Q

Hearing and infant 3

A

Recognizes voices from in utero
Turns head toward sound
hearing is acute

43
Q

Taste and baby

A

Sweet and sour

44
Q

What sense is least developed in a newborn

A

Touch/ pressure

45
Q

When is APGAR done what do the score ranges mean? and One thing to remember about it

A 
1 min and 5 mins 
8-10-excellent
4-7 need stimulation
0-3 needs resuscitation
The nurse needs to do it
46
Q

What does APGAR stand for? how are they scored?

A 
Appearance (Color) 
Pulse (HR)
Grimace (Reflex irritability)
Attitude (mm tone)
Respirations 
0-2
47
Q

How to use a bulb syringe

A

Mouth first then nose

48
Q

optimal temp in newborn and where was it taken

A

97.7-99.5 axillary

49
Q

What does cold stress do to the baby? 3

A

Hypoglycemia, respiratory distress, acidosis

50
Q

Evaporation
Convection
Radiation
Conduction

A

E-Wet
C-lg surface area transfer heat to air
R-Heat goes to cooler things not in contact with babe
C- Heat loss goes to cooler things in contact with baby

51
Q

Identification 2 things

A

Prints of both infants feet and one of mom right index finger
2 bands for baby 1 for mom and 1 for whoever she designates

52
Q

What is a normal newborn Bloodsugar?

A

45

53
Q

When to encourage Breastfeeding after birth?

A

With in 1 hr

54
Q

Vital signs during transition?

A

q15mins

55
Q

When Will vit k production happen on its own in a newborn? When will a babe not be at risk for vit k bleeding?

A

1 week 6-15 weeks

56
Q

llotycin

A

Drops in eyes to prevent bacterial infection

57
Q

llotycin

A

Drops in eyes to prevent bacterial infection

58
Q

3 things to remember during nursing care on a newborn

A

Wash hands
nonsterile gloves until after birth
gloves for diaper changes

59
Q

2 things about cord

A

remove cord clamp in about 24 hours

cord falls off in 7-10 days

60
Q

2 things about babe and sleep

A

newborn sleeps about 15-20hrs a day

3-4 months sleeping on own

61
Q

Weight loss in babe and when to be concerned

A

can lose 10 percent but we are worried at 7 percent

62
Q

How often do we observe breast feeding?

A

At least once a shift

63
Q

One thing that needs to be in formula

A

IRON

64
Q

4 things that need to happen before a circumcision

A

void, vit k, after 24 hours, has not eaten in one hour

65
Q

Gomco vs plastibell main difference

A

Plasti has a tie around it and will fall of and gomco needs to have dressings and vaseline

66
Q

What does the nurse do at the beginning of anneuraxial admin

A

at bedside checking vitals every 3-5 mins

67
Q

When does Hep b shot need to be given and one thing

A

With in 1st hour you need parental consent

68
Q

Puerperium

A

The six week period when moms body is returning to normal

69
Q

What does mom need to do before you assess the fundus post

A

pee

70
Q

When should the size of the uterus return to normal?

A

6 weeks

71
Q

Rubra serosa alba

A

r-first three days deep red with a few clots
serosa- day 4-10 pink brown
Alba 10-6 creamy white to light brown

72
Q

What to know about the placenta site

A

Blood vessels compress to heal and can heal for 6 weeks

73
Q

Peri bottle 3

A

Warm water each time they go to the bathroom blot dry until no discharge

74
Q

What are tucks and dermoplast?

A

Tucks are medicated pads that decrease swelling and dermoplast is a numbing spray

75
Q

When do you change moms pad?

A

after every void

76
Q

Lab values postpartum in mom and time
Clotting factors
WBC
blood volume

A

Increased CF 2-3 weeks
Increased WBS 4-6 days
Blood volume normalizes by 4 weeks

77
Q

Temp and postpartum and mom

A

Slightly elevates in first 24 hours and when milk comes in

78
Q

HR in postpart mom

A

Bradycardic for 6-9 days

79
Q

Late stages of Shock 3

A

Increased HR decreased BP and decreased urine output

80
Q

When will ovulation return? mens? and one thing to remember

A 
O not nursing 2-4 weeks
o nursing- 6 months
mens not nursing 7-9 weeks
Maybe weaning if nursing 
ovulation occurs before mens
81
Q

Oxytocin and prolactin

A

O- In charge of let down

P-in charge of producing milk

82
Q

When does engorgement usually take place?

A

3-5 days

83
Q

How many times to breastfeed in 24 hours

A

8

84
Q

Rule of five in post part

A

5 days of life- 5 poops- 5pees

85
Q

In breast feeding, which is more important duration or frequency

A

Frequency

86
Q

Maternal role therapy and days

A

Taking in phase- days 1-3 dependency
Taking hold phase 3-10 control autonomy
Letting go phase- 10-14 adjustment to new role

87
Q

Partner stages post pat

A

Expectation
reality
transition to mastery

88
Q

LATCH

A 
L = Latch -on= The infant's ability to latch correctly onto the breat
A = Audible swallowing = The amount of audible swallowing noted
T = Type of nipple = The mother's nipple type
C= Comfort = The mother's confort
H= Help/Holding = The position used by the mother and the amount of help she requires

OB (13 decks)

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