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ob unit 3-6
| Question | Answer |
|---|---|
| WHAT IS THE MOST COMMON HEMOLYTIC DISEASE IN NEWBORNS? | PATHOLOGIC JAUNDICE |
| WHAT IS ISOIMMUNIZATION? | RH INCOMPATABILITY |
| wHAT DRUG IS USED FOR PHARMOCOLOGICAL MANAGEMENT OF KERNICTERUS? | PHENOBARBITAL |
| WHAT TYPE OF BLOOD IS USED IN AN EXCHANGE TRANSFUSION? | O NEG |
| WHAT IS PERINATAL LOSS? | DEATH OF FETUS/INFANT FROM CONCEPTION TO 28 DAYS AFTER BIRTH |
| WHAT IS GRIEF? | INDIVIDUAL'S TOTAL RESPONSE TO LOSS |
| WHAT IS MOURNING? | RITUALS USED DURING THE GRIEF PROCESS THAT HELP ADJUSTMENT TO LOSS |
| WHAT IS BEREAVEMENT? | PERIOD OF ADJUSTMENT TO LOSS |
| WHAT IS MISOPROSTOL (CYTOTEC)? | Prostaglandin - terminate pregnancy starts LABOR, induces labor, Complete spontaneous missed abortion, Start labor in 2nd trimester abortions, Start labor in 3rd trimester abortions. Dilate cervix 3-4 hours surgical abortion, Soften cervix for induction |
| WHEN IS PROSTAGLANDIN E 2 USED? | FOR INDUCTION OF LABOR LESS THAN 28 WEEKS |
| WHAT IS PITOCIN? | UTERINE STIMULANT |
| WHAT ARE THE PHASES OF PARENTAL GRIEF? | ACUTE DISTRESS INTENSE GRIEF REORGANIZATION ALL MAY OVERLAP - NOT IN STAGES |
| WHAT ARE THE PHASES OF ACUTE STRESS? | SHOCK NUMBNESS INTENSE CRYING DEPRESSION |
| WHAT ARE THE PHASES OF INTENSE GRIEF? | LONELINESS, YEARNING GUILT ANGER/RESENTMENT/BITTERNESS/IRRITABILITY FEAR/ANXIETY SADNESS/DEPRESSION WITH FULL AWARENESS PHYSICAL SYMPTOMS |
| WHAT ARE THE PHASES OF REORGANIZATION? | SEARCH FOR MEANING - wHY ME REDUCTION OF STRESS REENTERING NL ACTIVITIES FUTURE PREGNANCY PLANNING |
| hOW DO YOU REFER TO AN EARLY FETAL LOSS? | MISCARRIAGE |
| HOW DO YOU REFER TO A STILL BIRTH? | DEAD OR DOED TP HELP INITIATE THE GRIEF PROCESS |
| WHAT IS THE LAW RE: REPORTING FETAL DEATH IN SC? | BORN 20 WEEKS GESTATION OR 350GMS OR MORE |
| WHO MAKES DECISIONS IN A MUSLIM FAMILY> | HUSBAND |
| WHO MAKES DECISIONS IN A HISPANIC FAMILY? | FAMILY |
| WHAT CULTURES VIEW PICTURE TAKING AS TABOO? | AMERICAN INDIAN ESKIMO AMISH HINDU MUSLIM |
| WHAT ARE ROMAN CATHOLIC CUSTOMS AT DEATH? | BAPTISM |
| WHAT IS THE MUSLIM MOTHER'S RESPONSE? | CRYING BUT QUIETLY |
| WHAT IS THE HISPANIC MOTHER'S RESPONSE? | VERY DEMONSTRATIVE CRYING |
| WHEN SHOULD FOLLOW UP PHONE CALLS BE MADE? | 1 WEEK 2-6 WEEKS 4-6 MONTHS 1 YEAR |
| WHAT DO YOU DO WITH A MEMORY BOX IF PARENT DECLINES IT? | STORE IT |
| WHAT ARE THE CARDINAL RULES OF GRIEF SUPPORT? | SILENCE ADMIT WE ARE HELPLESS BE WITH THE PERSON IN GRIEF DON'T JUDGE ANOTHER'S GRIEF BE CLEAR ON YOUR OWN ISSUES ON GRIEF KNOW YOUR LIMITATIONS |
| WHAT TESTS WOULD YOU PERFORM AT 32 WEEKS ON A PREGNANY MOM WITH A PREVIOUS LOSS ? | BPP NON STRESS |
| WHEN SHOULD A MOTHER WITH A PREVIOUS LOSS DELIVER? | ON OR BEFORE HER DUE DATE - NEVER AFTER IT |
| WHAT ARE SOME METHODS USED WHEN THERE IS AN ADOLESCENT WITH A LOSS? | ACKNOWLEDGE LOSS ESTABLISH TRUST PROVIDE CHOICES MAY NEED PICTURES/DIAGRAMS MAY EXPRESS GRIEF THRU PHYSICAL SYMPTOMS |
| WHAT IS COMPLICATED BEREAVEMENT? | EXTREMELY INTENSE REACTIONS THAT LAST FOR A VERY LONG TIME |
| WHAT ARE SOME S/S OF COMPLICATED BEREAVEMENT? | LONELINESS/YEARNING INTENSE GUILT DEPRESSION.ANXIETY DRUG.ALCOHOL USE SUICIDAL THOUGHTS LOW SELF ESTEEM RELATIONSHIP DIFFICULTIES |
| WHAT IS BITTERSWEET GRIEF? | GRIEF THAT OCCURS WITH REMINDERS/ANNIVERSARY DATE |
| WHAT ARE SOME NURSING DX DEATH? | ANXIETY INEFFECTIVE FAMILY COPING POWERLESSNESS INTERUPPTED FAMILY PROCESSES FATIGUE DYSFUNCTIONAL GRIEVING |
| WHAT ARE THE MOST COMMON CONGENITAL DEFECTS FOR INFANTS OF DIABETIC MOTHERS? | COARCTATION OF AORTA TRANSPOSITION OF GREAT VESSELS ATRIAL OR SEPTAL DEFECTS CAUDAL REGRESSION SYNDROME (SACRAL AGENESIS |
| DISCUSS MACROSOMIA | BIG BUT NOT NECESSARILY MATURE FETAL INSULIN RESULTS IN ACCELERATED PROTEIN SYNTHESIS COMBINED WITH A DEPOSITION OF EXCESSIVE GLYCOGEN AND FAT STORES |
| WHAT ARE SOME CHARACTERISTICS OF IDM? | RUDDY EXCESSIVE ADIPOSE TISSUE DECREASED TOTAL BODY WATER INCREASED WEIGHT OF VISCERAL ORGANS EXCEPT BRAIN |
| WHAT ARE IDM'S MOST AT RISK FOR AFTER/DURING BIRTH? | HYPOGLYCEMIA HYPOCALCEMIA HYPERBILIRUBINEMIA SHOULDER DYSTOCIA RESPIRATORY DISTRESS SYNDROME POLYCYTHEMIA BIRTH DEFECTS/TRAUMA |
| WHAT SHOULD BE INCLUDED IN NURSING ASSESSMENT OF IDM? | GLUCOSE TEST - ABRUPT LOSS GLU WHEN CORD IS CUT HCT - POLYCYTHEMIA, BILIRUBIN ASSESS BIRTH TRAUMA OR ANOMALY |
| WHAT ARE S/S HYPOGLYCEMIA IN IDM? | TREMORS/JITTERY IRREG. RESP RATE, CYANOSIS, APNEA POOR FEEDING TEMP INSTABILITY WEAK, HIGH PITCHED CRY HYPOTONIA SEIZURES IN SEVERE CASES |
| WHAT ARE NURSING INTERVENTIONS FOR IDM? | GLU LEVEL 1-3 HRS AFTER BIRTH THEN Q 4 |
| WHAT DO YOU FO FOR AN idm WITH A GLUCOSE < 40? | GIVE THEM AN EARLY FEEDING iF STILL NOT MAINTAINED,DO D10W@ 4-6ML/KG/MIN |
| wHAT CAN YOU DO ONCE GLUCOSE HAS BEEN STABLE FOR 24 HOURS? | INCREASE ORAL FEEDINGS AND DECREASE INFUSION RATES |
| DISCUSS IGG AND IGM LEVELS IN NEONATE | MATERNAL IGM DOESN'T CROSS PLACENTA BABY IGG AND IGM ARE IN ITIALLY LOW AND PHAGOCYTOSIS IS INEFFICIENT SO INCREASED RISK FOR INFECTION |
| WHAT ARE SOME MEANS OF INFECTION (SEPSIS) IN NEONATE? | VIA PLACENTA INTO AMNIOTIC FLUID ASCEND FROM VAGINA TO CERVIX THROUGHT THE BIRTH CANAL NOSOCOMIAL |
| WHAT IS EARLY ONSET SEPSIS? | OCCURS WITHIN 24-72 HOURS USUALLY A/W NORMAL VAGINAL FLORA |
| WHAT IS LATE ONSET OR ACQUIRED SEPSIS? | OCCURS 1-2 WEEKS AFTER BIRTH SLOWER PROGRESSION MAY BE ACQUIRED FROM BIRTH CANAL OR EXTERNAL ENVIRONMENT |
| WHAT IS SEPTICEMIA? | GENERALIZED INFECTION OF THE BLOODSTREAM |
| WHAT IS A COMMON CAUSE OF PERINATAL MORBIDITY? | PNEUMONIA |
| WHAT ARE RESPIRATORY SIGNS OF SEPTICEMIA? | APNEA, TACHYPNEA, GRUNTING, RETRACTIONS, LOW SAT |
| WHAT ARE CARDIAC SIGNS OF SEPTICEMIA? | TACHYCARDIA, HYPOTENSION, DECREASED PERFUSION |
| WHAT ARE CNS SIGNS OF SEPTICEMIA? | LETHARGY, HYPOTONIA, IRRITABILITY, SEIZURES, TEMP INSTABILITY |
| WHAT ARE GI SIGNS OF SEPTICEMIA? | FEEDING INTOLERANCE, AND DISTENTION, N/V/D |
| WHAT ARE INTEGUMENTARY SIGNS OF SEPTICEMIA? | JAUNDICE, PALLOR, PETECHIAE |
| WHAT ARE METABOLIC SIGNS OF SEPTICEMIA? | HYPOGLYCEMIA, HYPERGLYCEMIA, METABOLIC ACIDOSIS |
| WHAT ARE HEMATOLOGIC SIGNS OF SEPTICEMIA? | THROMBOCYTOPENIA, NEUTROPENIA |
| WHAT ARE SOME NON SPECIFIC SIGNS OF SEPTICEMIA? | LETHARGY IRRITABILITY POOR FEEDING POOR WEIGHT GAIN |
| WHAT LAB STUDIES CAN BE DONE TO DIAGNOSE SEPTICEMIA? | BCX, OROPHARYNGEAL CULTURES, STOOL AND URINE SAMPLES CBC WITH DIFF |
| WHAT ARE THE SEQUELA OF SEPTICEMIA? | MENINGITIS DIC SEPTIC SHOCK |
| WHAT ARE SIGNS OF SEPTIC SHOCK? | GRAY, MOTTLED, COOL EXTREMITIES RAPID, IRREGULAR RESPIRATIONS AND PULSE MOST COMMON - DECREASE BP |
| WHAT TYPE OF SOAP SHOULD BE USED WHEN GIVING A NEONATE A BATH? | NON MEDICATED |
| CAN YOU ADD ABX TO FORMULA? | CHECK WITH PHARMACY FIRST - SOME MAY CAUSE DEACTIVATION OR PRECIPITATION |
| WHAT ARE CNS COMPLICATIONS OF FETA; ALCOHOL SYNDROME? | HYPOTONICITY DIFFICULTY BLOCKING REPETITIVE STIMULI MICROCEPHALY LOW IQ, MENTAL RETARDATION ADD POOR SPEECH |
| WHAT ARE SOME OTHER COMPLICATIONS OF FAS? | FTT NURSE POORLY PERSISTENT VOMIT FOR 6-7MONTHS DELAYED RECEPTIVE AND EXPRESSIVE LANGUAGE |
| WHAT ARE SOME EYE CHARACTERISTICS OF NEONATES WITH FAS? | EPICANTHAL FOLDS SMALL EYES SHORT PALPEBRAL FISSURES STRABISMUS PTOSIS HYPOPLASTIC RETINAL VESSELS |
| WHAT ARE SOME CHARACTERISTICS OF THE MOUTH AND EARS WITH FAS? | POOR SUCK CLEFT PALATE/LIP SMALL TEETH - THIN UPPER LIP DEAFNESS |
| WHAT ARE SOME CHARACTERISTICS OF THE HEART AND SKIN IN FAS? | ABNIRMAL PALMAR CREASES IRREGULAR HAIR AV SEPTAL DEFECTS TETRAOLOGY OF FALLOT PDA |
| WHAT ARE SOME CHARACTERISTICS OF KIDNEY AND LIVER IN FAS? | RENAL HYPOPLASIA HYDRONEPHROSIS EXTRAHEPATIC BILIARY ATRESIA HEPATIC FIBROSIS |
| WHAT ARE SOME CHARACTERISTICS OF THE IMMUNE SYSTEM AND FAS? | INCREASED OM INCREASED URI INCREASED IMMUBE DEFICIENCIES |
| HOW SOON WILL YOU MONITOR THE NEONATE FOR WITHDRAWAL? | 6 - 12 HOURS |
| WHICH DRUGS CROSS THE PLACENTA BARRIER AND ENTER FETAL CIRCULATION? | ALMOST ALL OF THEM - CAOCAINE USE HAS DECREASED BUT OXYCONTIN HAS INCREASED |
| WHAT ARE THE FETAL RISKS WHEN THE MOM IS DRUG DEPENDENT? | INTRAUTERINE ASPHYXIA INTRAUTERINE INFECTION LOW APGAR ALTERED BIRTH WEIGHT |
| THERE IS A HIGH OCCURENCE OF ABRUPTIO PLACENTA WITH THE USE OF WHICH DRUG? | COCAINE |
| WHAT ARE THE MOST COMMON CAUSES OF INTRAUTERINE INFECTION? | STD, HIV, HEPATITIS |
| WHAT CAUSES LOW APGARS IN BABIES FROM DRUG ADDICTED MOMS? | INTRAUTERINE ASPHYXIA MEDS DURING LABOR |
| WHAT BEHAVIORAL ABNOMALITIES WILL A DRUG EXPOSED BABY EXHIBIT? | DECREASED INTERACTIVE BEHAVIORS |
| WHAT ARE S/S NEONATAL ABSTINENCE/WITHDRAWAL? | TREMORS EXCESSIVE CRYING, ESP WHEN HUNGRY INCREASED REFLEXES EXPLOSIVE STOOLS RIGID MUSCLES BREAKING OF SKIN INCREASED RESP RATEREPETITIVE SNEEZING/YAWNING VOMITING FEVER |
| WHAT IS TREATMENT FOR NEONATAL ABSTINENCE? | SIDE LYING WITH SPINE AND LEGS FLEXED INTRODUCE ONE STIMULUS AT A TIME WHEN CARING FR INFANT WHEN DISTRESSED, SWADDLE IN A FLEXED POSITION AND ROCK IN SLOW, RHYTHMIC PATTERN |
| WHAT IS THE MOST COMMON SYMPTOM WITH USE OF METHADONE? | JAUNDICE |
| CAN YOU USE NARCAN WITH NEONATES/ | NO - IT IS CONTRAINDICATED. IT MAY CAUSE SEVERE ANSTINENCE SYNDROME AND/OR SEIZURES |
| WHAT ARE SOME NURSING INTERVENTIONS FOR NEONATE WITH DRUG EXPOSURE? | MONITOR HYPOTHERMIA SMALL. FREQUENT FEEDINGS RIGHT SIDELYING OR SEMI FOWLERS LOW STIMULUS MONITOR VITALS Q 15 TIL STABLE |
| CAN YOU DECREASE THE TRANSMISSION OF HIV DURING PREGNANCY? | POSSIBLY WITH USE OF SIDOVUDINE DURING GESTATION |
| WHEN DO YOU PERFROM A CSECTION ON AN HIV POSITIVE MOTHER? | WHEN THERE IS A DETEDTABLE VIRAL LOAD AND NO ANTIRETROVIRAL THERAPY |
| HOW LONG DOE SIT TAKE NEWBORN TO PRODUCE HIV ANTIBODIESS? | CAN TAKE UP TO 15 MONTHS |
| WHAT IS THE PREFERRED METHOD OF TESTING IN INFANTS EXPOSED IN UTERO TO HIV? | DNA POLYMERASE - PCR TES 1 FIRST 48 HOURS TEST 2 1-2 MONTHS AGE TEST 3 3-6 MONTHS AGE |
| WHY DON'T THEY DO ELISA OR WESTERN BLOT TEST TO DETERMINE HIV STATUS IN NEONATES? | BECAUSE THEY CAN'T DETERMINE MOM V BABYHIV ANTIBODIES |
| when do you administer antiretroviral therapy to a neonate with an hiv positive mother? | start 8-12 hrs age for 6 weeks |
| WHEN DO YOU ADMINISTER PROPHYLACTIC ANTIBIOTICS IN HIV EXPOSED NEONATE? | AT 4-6 WEEKS FOR PNEUMOCYSTIS - REGARDLESS OF CD4 |
| WHAT TYPE OF BLEASE SOLUTION DO YOU USE FOR CLEANING WITH HIV? | 1:10 BLEACH TO WATER |
| WHAT IS INFERTILITY? | INABILITY TO CONCEIVE AFTER 1 YEAR REGULAR INTERCOURSE, 2-3 TIMES WEEK WITH NO CONTRACEPTION |
| WHAT IS SUBINFERTILITY? | A PROLONGED TIME TO CONCEIVE RELATED TO REDUCED FERTILITY IN BOTH PARTNERS |
| WHAT IS PROMARY INFERTILITY? | NEVER CONCEIVED |
| WHAT IS SECONDARY FERTILITY? | CONCEIVED AT LEAST ONCE BEFORE |
| WHAT IS UNEXPLAINED INFERTILITY | NO APPARENT CAUSE |
| WHEN IS IVF RECOMMENDED IN UNEXPLAINED INFERTILITY? | IF THERE IS NO PREGNANCY AFTER 2 IUI CYCLES |
| WHAT IS AZOOSPERMIA? | NO SPERM PRODUCED |
| WHAT IS OLIGOSPERMIA? | FEW SPERM PRODUCED |
| WHAT IS OVULATORY CYCLE LENGTHS? | 24-34 DAYS |
| WHAT CERVICAL ABNORMALITIES MIGHT CONTRIBUTE TO INFERTILITY? | ACID MUCOUS |
| WHAT RELIGION BELIEVES AN EMBRYO IS A HUMAN BEING? | ROMAN CATHOLIC |
| WHAT RELIGIONS ARE Against fetal reduction and donor sperm? | protestant, muslim |
| what religion permits insemination but not ivf or surgical procedures? | christian scientists |
| SOME CULTURES MAY REGARD INFERTILITY AS A RESULT OF | SIN, EVIL SPIRITS, INADEQUACY |
| WHAT OCCURS IN A SEMEN ANALYSIS? | ASSESSED AFTER 2-3 DAYS ABSTINENCE DO 2X OVER 6 MONTHS COUNT MOTILITY MORPHOLOGY |
| WHAT SHOULD THE SPERM COUNT BE PER ML? | LESS THAN 20000MILLION |
| WHEN SHOULD OVULATION OCCUR | DAY 14 PLUS OR MINUS 2 DAYS |
| WHAT IS BASAL BODY TEMO? | DO X 3 MONTHS DO 5 MINUTES BEFORE GETTING UP OR SMOKING GRAPH RESULTS |
| WHAT IS PREOVULATORY BBT? | BELOW 98 |
| WHAT IS OVULATORY BBT? | 0.5 - 1.O F RISE INDICATES RELEASE PROGESTERONE AND LH |
| WHEN SHOULD INTERCOURSE OCCUR? | QOD BEGINNING 3-4 DAYS BEFORE AND 2-3 DAYS AFTER ANTICIPATED OVULATION |
| WHAT IS THE SINGLE MOST VALUABLE TEST OF OVARIAN RESERVE OR FUNCTION? | FSH |
| WHEN IS MOST FERTILE TIME? | LH SURGE - 10MG OR HIGHER |
| WHAT ARE THE CHARACTERISTICS OF FAVORABLE CERVICAL MUCUS? | |
| WHAT IS SPINNERBARKEIT? | FORMATION OF STRETCHABLE THREAD OF CERVICAL MUCUS AT TIME OF OVULATION ASSOCIATED WITH CERVICAL MUCUS ELASTICITY AND VISCOSITY |
| WHAT HAPPENS TO MUCUS AT TIME OF OVULATION? | ELASTICITY INCREASES - OPTIMAL 8-10 CM STRETCH OR MORE VISCOSITY DECREASES |
| WHAT IS PATIENT TEACHING RE: SPINNERBARKEIT? | GOOD PREDICTOR OF OVULATION TELL PT TO LOOK FOR WHAT INCREASED AMOUNT MUCUS - SIMILAR APPEARANCE TO EGG WHITE |
| WHAT IS FERNING | D/T DECREASED SALT AND H20 INTERACTING WITH GLYCOPROTEINS IN MUCUS DURING OVULATION - IT WILL FERN INDIRECT INDICATION OF ESTROGEN PRODUCTION INDICATES FAVORABLE CONDITIONS FOR SPERM SURVIVAL |
| WHAT IS HUHNER TEST? | EVALUATED INTERACTION BETWEEN SPERM AND MUCUS NOT A STANDARD TEST |
| WHEN IS HUHNER TEST DONE? | 1-2 DAYS BEFORE OVULATION AND 2-8 HOURS AFTER INTERCOURSE |
| WHEN IS HYSTEROSALPINGOGRAM DONE? | FOLLICULAR PHASE CYCLE - ABOUT 10TH DAY OR ONE WEEK AFTER MENSTRUATION SOMETIMES FLUSH WITH DYE TO OPEN TUBES |
| WHY IS LAPARASCOPE DONE? | DIAGNOSE AND TREAT ENDOMETRIAL CAUSES OR ADHESIONS DONE 6-8 MONTHS AFTER HSG |
| WHAT IS CLOMID/SEROPHENE USED FOR? | TRICKS PITUITARY INTO PRODUCING MORE FSH/LH WHICH STIMULATES OVARIES TO PRODUCE M,ORE FOLLICLES |
| WHAT MUST YOU HAVE TO USE CLOMID? | NORMAL OVARIES NORMAL PROLACTIN LEVEL INTACT PITUITARY |
| WHAT IS PT TEACHING FOR CLOMID? | 1ST ROUND - 50MG PO X 5 DAYS 2ND ROUND - 100MG PO X 5 DAYS 3RD ROUND - UP TO 250MG/DAY MAXIMIM OF 3 CYCLES |
| WHAT IS A CONTRAINDICATION FOR CLOMID? | PERSISTENT OVARIAN CYSTS |
| WHAT ARE SIDE EFFECTS OF CLOMID? | MOOD SWINGS, FLASHES, BLOATING, ABD DISTENTION, BREAST TENDERNESS, N/V VISUAL DISTURBANCE |
| WHAT IS THE FIRST LINE TREATMENT FOR WOMEN WHO DON'T OVULATE? | HUMAN MENOPAUSAL GONADOTROPIN (HMG) iT IS ALSO THE SECOND LINE TREATMENT FOR FAILED CLOMID THERAPY |
| WHAT IS hmg? | COMBINATION OF FSH AND LH PERGONAL, HUMEGON, REPRONEX GIVE IM FOR 7-12 DAYS |
| WHAT DO YOU MONITOR DURING HMG THERAPY | ESTRADIOL LEVELS/US - PREVENT HYPERSTIMULATION |
| WHAT DO YOU GIVE ONCE STIMULATION HAS OCCURED? | HCG 10,000U IM TO STIMULATE OVULATION THEN INTERCOURSE 24-36 HOURS AFTER 2 DAYS HCG |
| WHY IS PROGESTERONE USED IN PREGNANCY? | TO STIMULATE ENDOMETRIUM |
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