PROCTORED REVIEW

Question 1

Breast engorgement non pharmacological therapies:

Answer 1

-cabbage leaves inside bra
-warm shower or warm compress
-empty breast completely at feedings
-cool compress after feedings apply 15 minutes on and 45 minutes off
-breast creams
-breast shells in the bra to soften the nipples if they’re irritated or cracked

Question 2

Diaphragm contraceptive:

Answer 2

-inserted 6 hours prior to intercourse and removed 6 hours after but no more than 24 hours
-wash with mild soap and water after use
-replace every 2 years
-needs to be refitted if weight gain of 20%

Question 3

Neonatal abstinence syndrome:

Answer 3

Jitteriness, lethargy, irritability, poor feeding

REDUCE STIMULI FOR THIS BABY

Question 4

Vitamin K (phytonadione):

Answer 4

Given IM vastus lateralis

Question 5

Erythromycin ointment:

Answer 5

Given as ppx to prevent ophthalmia neonatorum

Question 6

Circumcision:

Answer 6

-need informed consent
-the newborn will not be able to be bottle fed for 2 to 3 hours prior to prevent vomiting and aspiration
-the newborn is restrained during the procedure
-keep area clean, change diaper every 4 hours, clean penis with warm water with each diaper change
-with clamp procedures, apply petroleum jelly with each diaper change for at least 24 hours to keep diaper from adhering to penis
-no bath tubs until healed
-notify doctor s/s of infection
-avoid pre moistened towels as they contain alcohol

Question 7

Leopold’s maneuver:

Answer 7

Abdominal palpation of the fetal presenting part, lie, attitude, descent, and probable location where FHR can be auscultated on the client’s abdomen

Question 8

Non pharm pain methods:

Answer 8

Hypnosis ok

Question 9

IVF:

Answer 9

Procedure collecting the patient’s eggs from the ovaries, fertilizing the eggs in the lab with sperm, and transferring the embryo to the uterus

Question 10

Identification of the newborn:

Answer 10

Match baby’s ID with mom’s ID only