OB test 3

Question 1

What is the acronym for post partum assessment?

Answer 1

MABUBBLLEEHHHEAD

Answer 2

M ental assessment
A uscultation
B reast
U terus
B owel
B ladder
L ochia (vaginal discharge)
Laceration
Episiotomy
Epidural site
Hematoma
Hemorrhoids
Homons sign
Erythema
Affect
Discomfort

Question 3

How long after birth do they keep you?

Answer 3

vaginal delivery 2 - 3 days
C section 3 - 4 days

Question 4

How much blood loss is acceptable with birth? Vaginal and C

Answer 4

Vaginal 500 ml
C 1000 ml

Question 5

What are the heights of fundus acceptable for day 2, 3, and 4

Answer 5

Day 2 - 1 cm
Day 3 - 2 cm
Day 4 - 3 cm

Question 6

How long for the fundus to go back down into the pelvis?

Answer 6

9 - 10 days

Question 7

A normal uterus will always be what normally?

Answer 7

Midline at the umbilicus and firmly contracted

Question 8

If the fungus is deviated to left or right it is because what?

Answer 8

The bladder is distended

Question 9

Anytime uterus is soft or boggy you have to what?

Answer 9

Massage the fundus

Question 10

What happens if the bladder is distended?

Answer 10

It will displace the uterus

Question 11

How long does lochia discharge last?

Answer 11

28 days

Question 11

What are the three different types of lochia discharges?

Answer 11

Rubra 1 - 3 days
Serosa 4 - 10
Alba 10 - 28 days

Question 12

What is lochia?

Answer 12

The vaginal discharge after birth

Question 13

What are the management for laceration and episotomy for the first 24 hours, then to 48 hours.

Answer 13

Ice first 24 hours
Sitz bath after 24 hours

Question 14

What is the management of hemmoroids?

Answer 14

Tucks pad and witch hazel

Question 15

What are the three stages of Rubin adaptation?

Answer 15

Taking in
Taking hold
Letting go

Question 16

When do we do the APGAR score?

Answer 16

1 minute after birth
5 minutes after
Then another 5 minutes after

Question 17

What is a normal APGAR score?

Answer 17

8 - 10 but still monitor

Question 18

What score APGAR can baby go home with mother?

Answer 18

3 consecutive 8 -10

Question 19

If baby has APGAR score 4 - 7 what do you do?

Answer 19

Give oxygen and stimulation and go to nursery

Question 20

0 - 3 apgar what do you do?

Answer 20

CPR and intubation, baby goes to NICU

Question 21

What does apgar stand for? Need to type all 5 words

Answer 21

Appearance
Pulse
Grimacing
Activity
Respirations

Question 22

What is a normal RR for baby?

Answer 22

30 - 60

Question 23

What is accrocynosis, is it normal?

Answer 23

It is normal, it is the blue hint of the hands and feet up to one week after birth

Question 24

What is pueperium? When does it occur?

Answer 24

The fourth trimester of labor, last 6 weeks after birth

Question 25

After birth how long after can you not have sex?

Answer 25

6 weeks

Question 26

Is it normal for the WBC to raise after birth?

Answer 26

Yes

Question 27

What are the postpartum moods?

Answer 27

Blues, depression, psychosis

Question 28

When is the first period of reactivity after birth?

Answer 28

0 - 30 minutes

Question 29

When the third phase of reactivity after birth?

Answer 29

2 to 8 hours

Question 30

What are the four methods that the baby will loose heat from?

Answer 30

Evaporation Conduction Convection Radiation

Question 31

What is a normal BG for a baby

Answer 31

40 - 60

Question 32

How many wet diapers per day is normal for infant?

Answer 32

6 - 8 wet diapers a day

Question 33

Postpartum mother needs how many glasses of fluids a day?

Answer 33

8 - 10

Question 34

How many months minimum should you breast feed child?

Answer 34

6 months minimum

Question 35

Never prop a bottle

Question 36

List 5 post partum complications

Answer 36

Hemorrhage DVT Mood disorders Puerperal infections Subinvolution of the uterus

Question 36

The child should be rear facing in car seat until he is blank

Answer 36

2 years or 20 pounds

Question 37

Bleeding with trickle means what?

Answer 37

There is laceration

Question 38

What rate does the uterus decend per day after birth?

Answer 38

1 cm per day

Question 38

What is the difference between Caput vs cephalohematoma?

Answer 38

Caput is swelling Cephalohematoma is bleeding that does not cross the suture line

Question 39

How much sleep should the newborn get?

Answer 39

15 to 20 hours a day

Question 40

What is normal temp in infant

Answer 40

97.1 to 99.8 F

Question 41

What is a pulse in infant Normal

Answer 41

110 - 160

Question 42

What is normal RR in infant

Answer 42

30 - 60

Question 43

What is average weight of baby

Answer 43

6 - 9 pounds

Question 44

How much weight does infant loose in the first 3 to 4 days after birth?

Answer 44

5 to 10 % of its birth weight

Question 45

After circumsiztion the baby has to what before discharge

Answer 45

Use the bathroom, go pee

Question 46

What are the two types of jaundice?

Answer 46

Pathological and physiological

Question 47

What causes physiological jaundice? When does it appear?

Answer 47

Dehydration 3 - 4 days

Question 48

What causes pathological jaundice? When does it happen?

Answer 48

ABO incompatibility, it happens 0 - 24 hours

Question 49

What is the normal Infant bilirubin levels?

Answer 49

0 - 12.9

Question 50

What are the two treatement of jaundice in infants?

Answer 50

Photo therapy Blood transfusion

Question 51

What to remember when you do phototherapy

Answer 51

Cover eyes and genitalia Check the babies temperature Feed Encourage bonding with mother Position

Question 52

What do high levels of oxygen cause in baby?

Answer 52

Blindness

Question 53

When do lungs start to develop? When are they fully developed?

Answer 53

24 weeks, fully at 34 weeks

Question 54

What causes NEC?

Answer 54

Unclean utensils