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Maternal/Peds/Psych
Maternal Questions
Question | Answer |
---|---|
Why breastfeed NB right after birth? | Baby us wide awake, helps to contract uterus, promotes bonding |
Which hormone is used to detect pregnancy? | Human Chorionic Gonadotropin (HcG) |
Why is ritodrine/yutopar given? | To inhibit uterine contractions |
What is a risk factor for developing an ectopic pregnancy? | Pelvic inflammatory disease (PID) |
Woman is in mid labor and has increased bloody show, what does this mean? | Cervix is dilating |
Woman is in mid labor and has urge to push but is not fully dilated, what do you tell her to do? | Lay on her side and pant |
When someone says the baby is coming, what do you do? | Check perineal area to confirm |
After a C-section, what does a woman need to have before she can have a drink? | Bowel sounds |
When do you have an Rh incompatibility? | When mom is (-) and dad is (+). Give Rhogam |
When baby is under bili lights, what nursing interventions do you need to perform? | Turn and position baby, keep eyes and genitals covered and check temperature of lights. Baby can be fed under lights, rash is normal |
If bilirubin is not controlled, what part of the babys body can it affect? | The brain (kernicterus) |
What disease primarily affects the Jewish population? | Tay Sachs disease |
An elevated temperature in mom within 1st 24 hours after delivery is caused by what? After the first 24 hours? | Dehydration/Infection |
What is the most common cause of post partum hemorrhage? | Uterine atony |
A trickle of blood after delivery is probably caused by what? | Cervical laceration |
What can smoking during pregnancy cause in the baby? | Small for gestational age, intra-uterine growth retardation |
Fundus - firm uterus with excess bleeding? | Vaginal laceration |
First stage of labor begins and ends with? | First contaction until fully dilated |
Second stage of labor? | Fully dilated until birth |
Phases of labor | Latent phase: 1cm-3cm; Active phase: 4cm-7cm; Transition phase: 8cm-10cm |
Early decelerations are caused by? | Head compression. Okay, continue to monitor |
Late decelerations are caused by? | Uteroplacental insufficiency which can be caused by Pitocin. Turn on side, give O2, IV fluids and turn off Pitocin if these don't work |
Variable decelerations are caused by? | Cord compression. Turn on side or put in Trendelenburg position |
Baby in posterior postion means? | Mom will have back pain |
If mom has overdistended uterus (Octomom) what can this cause? | Uterine atony |
How much weight should a woman ideally gain during pregnancy? | 25-30 pounds |