Sep 3

Question 1

Post partum: 3 things to check for

Answer 1

Fundus
Lochia
Extremity check

Question 2

Post partum checks: Fundus height

Answer 2

should be the same as the post partum day

Question 3

caput succedaneum vs cephalohematoma

Answer 3

caput succedaneum = C.S. = crosses sutures

Question 4

OB meds: Tocolytics used to

Answer 4

slow contractions

Question 5

OB meds: Tocolytic examples

Answer 5

terbutaline, magnesium sulfate

Question 6

OB meds: Tocolytic: terbutaline causes

Answer 6

maternal tachy

Question 7

OB meds: Tocolytic: magnesium sulfate causes

Answer 7

hypermagnesia (which makes everything go down)

If reflexes go below 1 or RR below 12, stop the infusion

Question 8

OB meds: Oxytoxics are used to

Answer 8

stimulate contractions

Question 9

OB meds: Methergine is used to

Answer 9

stimulate contractions (its an oxytoxic)

Question 10

OB meds: Drugs for increasing fetal lung maturity

Answer 10

Betamethasone

Surfactant

Question 11

OB meds: Betamethasone, 3 implications

Answer 11

Given to mom
Give IM
Give before delivery
(opposite Surfactant)

Question 12

OB meds: Surfactant, 3 implications

Answer 12

Give to baby
Give transtracheal
Give after birth
(opposite Betamethasone)

Question 13

Humulin 70 - 30

Answer 13

A mix of N and R

Question 14

Needle size question: IM injection

Answer 14

pick the answer where both numbers have a 1

think I from IM looks like a 1

Question 15

Needle size question: SQ injection

Answer 15

Think that the S in SQ looks like a 5. Pick answers that both have a 5

Question 16

The only anti psyc you can give to a pregnant patient

Answer 16

Haloperidol

Question 17

Heparin vs Warfarin: Works immediately

Answer 17

Heparin

Question 18

Heparin vs Warfarin: Only given 3 weeks tops

Answer 18

Heparin (except lovenox)

Question 19

Heparin vs Warfarin: Monitor PTT

Answer 19

Heparin

Question 20

Warfarin is only given via

Answer 20

PO

Question 21

Heparin vs Warfarin: takes a few days to a week to work

Answer 21

Warfarin

Question 22

Heparin vs Warfarin: Given long term

Answer 22

Warfarin

Question 23

Heparin vs Warfarin: antidote vit K

Answer 23

Warfarin

Question 24

Heparin vs Warfarin: monitor INR/PT

Answer 24

Warfarin

Question 25

Piaget: 0 - 2 years

Answer 25

Only think about the present

Question 26

Piaget: 3 - 6 years

Answer 26

Pre op (think pre school) Illogical, can't reason

Question 27

Piaget: 7 - 11 years

Answer 27

Concrete Live strictly by the rules

Question 28

Piaget: 12 - 15 years

Answer 28

Formal operation abstract thinking

Question 29

Piaget: 3 - 6 years: how should you teach

Answer 29

shortly before the event (answers that say, "the morning of" etc) But you can also give a TOUR ahead of time

Question 30

Piaget: 7 - 11 years: how do you teach them

Answer 30

a couples ahead of time you can teach them skills

Question 31

Pediatric teaching Hint: if it says "skills" in the question, think

Answer 31

7 to 11

Question 32

Pediatric teaching Hint: if it says "manage" in the question, think

Answer 32

12 - 15 (because younger kids can't be trusted to manage their situation)

Question 33

Prioritizing who is the sickest: Look at the dx, but more importantly

Answer 33

look at the modifying phrase

Question 34

Prioritizing who is the sickest: Acute and Chronic

Answer 34

Acute beats chronic (its not just ABC)

Question 35

Prioritizing who is the sickest: Post op

Answer 35

fresh post op (12 hours) beats medical or other surgical, even if the other surgery is more intense, look at the fresh post op

Question 36

Rather than focusing on the severity of the symptoms, consider

Answer 36

if they're expected of unexpected

Question 37

temp 105

Answer 37

even if its expected, the patient is automatically unstable and should be high priority

Question 38

If you can't decide who is top priority (AFTER the hints) consider the order of organs:

Answer 38

``` Brain Lung Heart liver kidney ```

Question 39

the only meds a UAP can give

Answer 39

topical OTC barrier cream

Question 40

Guess: diet question

Answer 40

chicken, then fish

Question 41

Toddler diet question hint

Answer 41

pick finger foods, even if its not the most healthy

Question 42

If you have no idea what a drug is but the route is PO, pick a SE that has to do with

Answer 42

GI

Question 43

Growth and development; if no clue pick

Answer 43

that it's a normal finding

Question 44

If in doubt about the ages in which a child should be able to do something, choose

Answer 44

the older age

Question 45

If they give you an age and your stuck between which is an appropriate task

Answer 45

pick the easier one

Question 46

Never push

Answer 46

K IV