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Test 2 OB
| Question | Answer |
|---|---|
| Side effects of an epidural block | HYPOTENSION CANNOT FEEL BLADDER |
| What is done immediately after membranes are ruptured | CHECK FETAL HEART RATE CHECK AMNIOITC FLUID IF POSSIBLE |
| What happens during Stage 1, Stage 2, Stage 3 and Stage 4 of labor | STAGE ONE: CERVICAL DILATION AND EFFACEMENT TAKES PLACE STAGE TWO: BABY IS BORN STAGE THREE: PLACENTA IS DELIVERED STAGE FOUR: PARENTS BOND MOM CHECKED FOR HEMORRHAGE MOM CHECKED FOR A FULL BLADDER BREAST FEEDING CAN START |
| Abnormal newborn assessment: | GRUNTING RESPIRATIONS STERNAL RETRACTIONS |
| Care for a patient who is having variable decelerations | TURN ON LEFT SIDE START OXYGEN AT 10-15 LITERS PER MINUTE |
| Ways to stimulate contraction | WALKING SITTING UP RIGHT MESSAGING NIPPLES |
| Priority when birth is imminent | DO NOT LEAVE THE MOM |
| Normal Fetal Heart Rate | 110-160 |
| Define variable deceleration | ABRUPT DECREASE IN FHR LASTING 15 BEATS PER MINUTE OR MORE. COULD BE CAUSED BY COMPRESSION OF UMBILICAL CORD, TO LITTLE AMNIOTIC FLUID |
| Define early deceleration | REASSURING EVERYTHING IS OKAY. GRADUAL DROPS IN FHR THAT OCCURS DURING AN UTERINE CONTRACTION |
| Define absent deceleration | LESS THAN 6 BEATS PER MINUTE CHANGE IN FHR. CAN BE CAUSED BY MOM HYPOTENSION, PLACENTAL INSUFFCIENCY, CORD COMPRESSION, FETAL HYPOXIA |
| Define late deceleration | FHR CHANGES BEGIN AFTER THE CONTRACTION BEGINS AND DO NOT RETURN TO NORMAL. CAUSED BY REDUCED BLOOD FLOW TO THE PLACENTA |
| Define relaxation phase | RELAXATION PHASE SHOULD LAST AT LEAST 60 SECONDS BETWEEN CONTRACTIONS. NEEDS TO REPORTED IF THERE THE RELAXATION PHASE IS LESS THAN 60 SECONDS |
| Definition of frequency of contraction | ELAPSED TIME FROM BEGINNING OF ONE CONTRACTION UNTIL THE BEGINNING OF THE NEXT CONTRACTION |
| What can a variable deceleration indicate | UMBILICAL CORD COMPRESSION TOO LITTLE AMNIOTIC FLUID |
| Initial care of a newborn at birth | ABC’S BLOOD SUGAR TEMPERATURE REGULATION |
| Pain management in labor when would you not administer? | DILATION BETWEEN 8-10 OR LESS THAN 1 ½ TO 2 HOURS AWAY FROM DELIVERY |
| Position avoided during labor | SUPINE. BECAUSE OF SUPINE HYPOTENSION |
| Definition of precipitate birth | BEGINNING OF LABOR AND DELIVERY OF INFANT IN 3 HOURS OR LESS |
| Definition of relaxation phase of a contraction | the period between uterine contractions during labor, when the muscles of the uterus soften and relax after tightening during a contraction, allowing for the baby to receive oxygen and providing a moment of relief before the next contraction begins; |
| Abnormal amniotic fluid what could it mean | GREEN: MECONIUM STOOL IN UTERUS YELLOW: COULD MEAN MOM HAS AN INFECTION |
| Treatment of a third degree laceration | USUALLY SURGERY MAY USE A ICE BAG TO HELP STOP THE BLEEDING |
| How do you know that true labor has begun: | CONTRACTIONS GET STRONGER AND MORE REGULAR CONTRACTIONS DO NOT STOP FROM WALKING BLOODY SHOW PROGRESSIVE EFFACEMENT AND DILATION OF CERVIX DISCOMFORT IN LOWER BACK OR ABDOMEN |
| Care of a patient with mastitis | WASH BREASTS WITH WATER ONLY PUMP BREAST WITH THE MASTITIS DO NOT ADMINISTER TO THE INFANT WEAR A SUPPORTIVE BRA (NOT WIRE) MESSAGE BREASTS WARM SHOWERS |
| Post Partum Hemorrhage Nursing Care | ASSESS FOR SIGNS OF SHOCK (TACHYCARDIA FIRST SIGN) MONITOR OXYGEN NEEDS MONITOR BLADDER STATUS ASSESS THE FUNDUS: IF FUNDUS IS FRIM THE CAUSE IS A LACERATION MESSAGE FUNDUS IV FLUIDS |
| Treatment of abnormal decelerations | TURN ON LEFT SIDE OXYGEN 10-15 LITERS |
| What is the Bishop Score used for | TO DETETERMINE IF THE MOM’S UTERUS IS READY FOR INDUCTION |
| Priority assessment after amniotomy | FHR |
| Why does breast feeding cause pain in the uterus | BREAST FEEDING SENDS A MESSAGE TO THE PITUATURY GLAND AND OXYTOCIN IS RELEASES |
| Location of the uterus after delivery | SHOULD BE AT THE LEVEL OF THE UMBILICUS AND DROP EACH DAY BY 1 CM |
| Risk factors for Hypoglycemia after birth | MACROSOMINA BABY MOM IS DIABETIC PRE TERM BABY POST TERM BABY |
| Soft, boggy uterus what intervention would you do | MESSAGE FUNDUS UNTIL IT BECOMES FRM |
| What is Lochia Rubra | BRIGHT RED, CAN HAVE CLOTS (ALWAYS REPORT IF LOCHIA CHANGES COLOR BACK TO ANOTHER COLOR (WHITE TO RED) |
| What is Lochia Serosa | PINK (ALWAYS REPORT IF LOCHIA CHANGES COLOR BACK TO ANOTHER COLOR (WHITE TO RED) |
| What is Lochia Alba | WHITE (ALWAYS REPORT IF LOCHIA CHANGES COLOR BACK TO ANOTHER COLOR (WHITE TO RED) |
| Bleeding after delivery what should you do first | CHECK BLADDER MASSAGE FUNDUS |
| Priority for care of a newborn after ABC’s | TEMPERATURE AND BLOOD GLUCOSE |
| Causes of an ineffective labor | MOM IS EXHAUSTED TO MUCH AMNIOTIC FLUID |
| Discharge teaching for a Breast Feeding Mom | HOW TO CARE FOR BREASTS WARM SHOWER DO NOT USE SOAP ON BREAST PUMP IF INFANT DOES NOT TAKE ALL THE MILK WEAR A SUPPORTIVE BRA NOT ONE WITH WIRE MESSAGE BREASTS DRINK PLENTY OF LIQUIDS |
| Indications for induction of labor | GESTIONAL HYPERTENSION RUPUTURED MEMBRANES WITHOUT LABOR STARTING INFECTIIN WITHIN THE UTERUS MEDICAL PROBLEMS THAT MOM HAS THAT WORSED DURING PREGNANCY FETAL PROBLEMS PLACENTAL INSUFFICIENCY FETAL DEATH |
| What does the Nurse do after the MD inserts the Epidural | CHECK BP |
| What are signs of hyperventilation | DIZZINESS TINGLING OF HANDS AND FEET CRAMPS AND MUSCLE SPASM OF HANDS NUMBNESS AROUND NOSE AND MOUTH BLURRING OF VISION |
| Signs of shock | TACHYCARDIA |
| What assessments do you need to do before you message a fundus | POSITON OF UTERUS FULL BLADDER |
| What are causes of no lochia | COULD BE A FULL BLADDER RETAINED FRAGMENTS |
| Post partum complications to include in post partum discharge teaching | WHAT TO DO IF BLEEDING DOES NOT STOP WHAT TO IF LOCHIA CHANGES |
| What is Homan’s Sign | PAIN IN CALF OF LEG WHEN THERE IS DORIFLEXION OF FOOT |
| Woman with Varicose veins lead to after birth | MORE LIKELY TO DEVELOP A BLOOD CLOT |
| What medications need to be given to a newborn before discharge | HEPATITIS B VACCINATION VITAMIN K ERYTHYROMYCIN TO THE EYES |
| C-Section Birth Indications | ABNORMAL LABOR FETUS TO LARGE FOR BIRTH CANAL MOM HAS DM OR GH ACTIVE MATERNAL HERPES PREVIOUS SURGERY ON THE UTERUS FETAL COMPROMISE PLACENTA PREVIA OR ABRUPTION PLACENTA |
| What is the Active phase, transition phase of labor | ACTIVE PHASE: CERVIX DIALTES 4-7, AMNIOTIC MEMBRANES MAY RUPTURE CONTRACTIONS 2-5 MINUTES APART TRANSITION PHASE: MOM TEMEPRMENT CHANGES CERVIX 7-10 |
| What is uterine atony | COLLECTION OF BLOOD WITHIN THE UTERUS MUSCLE FIBERS ARE FLACCID DOES NOT COMPRESS VESSELS |
| What is hypotonic and hypertonic labor | HYPOTONIC: CONTRACTIONS WEAK AND INEFFECTIVE. OCCURS IN WOMAN WITH MULTIPLE BIRTHS |
| What is considered hypoglycemia in a newborn | BS LESS THAN 45 |
| What is subinvolution | SLOWER THEN EXPECTED FAILURE OF THE UTERUS TO DESCEND AFTER BIRTH |
| Care of a woman in pre term labor | Magnesium Sulfate terbutaline (Brethine) indomethacin nifedipine (Procardia) Activity Restrictions Positioning on left side Frequent Vital Sign Assessment Monitor I&O Monitor FHR Notify/prepare for NICU |
| Care of a woman in post term labor | NST AMNIOTIC FLUID INDEX BIOPHYSICAL PROFILE KICK COUNTS |
Created by:
ebonyscott2011
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