Part 1 of Exam #1

Question 1

Sentinel Event

Answer 1

an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof.

Question 2

Types of Sentinel Event common in maternal child

Answer 2

Leaving a foreign body in a client (sponge, 4x4, forceps)
Falls
Maternal death related to the birth process
Wrong milk to wrong baby
Birth injury

Question 3

GTPALM

Answer 3

Gravida, Term deliveries, Preterm deliveries, Abortions, Living children, Multiples

Question 4

What is a term pregnancy?

Answer 4

37 weeks to 42 weeks

Question 5

What is a preterm pregnancy?

Answer 5

20 weeks to 36.6 weeks

Question 6

What is consider abortion?

Answer 6

Less than 20 weeks

Question 7

What are all pregnant women screened for? Who is re-screened?

Answer 7

HIV, Hepatitis B virus, Syphilis, Chlamydia, and Gonorrhea 1st trimester, Hepatitis C)
Women at risk (multiple sex partners; drug abuse) rescreened 3rd trimester

Question 8

Lab test/ results for chlamydia

Answer 8

When: Screen 1st trimester or when enter healthcare
How: culture or DNA probe, or enzyme immunoassay. CDC recommends nucleic acid amplification test (NAAT) or urinary, vaginal or endocervical areas
Retest 3rd trimester/ if multiple sex partners or younger than 25

Question 9

Lab test/ results for Gonorrhea

Answer 9

Gram stain culture of endocervical, vaginal, rectum and possibly pharynx

Also, chlamydia culture and serologic test for syphilis

Screened at 1st prenatal visit. At risk clients screened again in 3rd trimester (36 weeks)

Question 10

Lab test/ results for Syphilis

Answer 10

Screened at first prenatal visit VDRL or RPR serology and again in 3rd trimester and at time of birth if they are high risk.

(If HIV or other STI always check to see that a RPR or VDRL was done too)

Question 11

Toxoplasmosis

(Protozoan) infection effects:

Answer 11

Mom: Influenza-like aching Lymphadenopathy Spontaneous abortion
Baby: Congenital toxoplasmosis, LBW; hepatosplenomegaly c Jaundice and anemia.

Question 12

Varicella Zoster (chicken pox) infection effects:

Answer 12

Mom: Preterm labor, encephalitis, and varicella pneumonia.
Baby: Congenital varicella syndrome c limb hypoplasia, cataracts, microcephaly, and symetric IUGR during 1st trimester.

Question 13

Rubella infection effects:

Answer 13

Mom: Rash, fever , malaise. Spontanteous ab during 1st trimester of pregnancy.
Baby: Deafness, MR, IUGR, cardiac defects and microcephaly

Question 14

Cytomegalovirus (CMV) infection effects:

Answer 14

Mom: Flu-like symptoms; cervical discharge
Baby: Fetal or neonatal death; Severe generalized disease c hemolytic anemia, jaundice, hydrocephaly or microcephaly.

Question 15

Hepatitis B infection effects:

Answer 15

Mom: Fever, rash, arthralgia, abdominal pain, liver enlarged and tender.
Baby: Prematurity; LBW. Development of acute infection at birth and perhaps neonatal death.