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ATI concepts for OBsetrics

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Indications for initiating Oxytocin   show
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Contraindications of initiating Oxytocin (pitocin)   show
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show Premature rupture of membranes  
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Actions to take for umbilical cord prolapse...   show
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Instructions to include to the client for the non-stress test   show
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Leopald maneuver steps...   show
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show BMI over 30, pregestational DM, multifetal pregnancy, maternal age less than 19 and greater than 40  
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show acrocyanosis, positive Babinski, anterior fontanel larger than posterior, observing 2 arteries and one vein in the umbilical cord  
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Expected adverse effects of magnesium sulfate (this means you do not need to report)   show
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Use of Amniocentesis   show
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show ID fetal blood type and RBC when there is a risk of isoimmune hemolytic anemia  
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show Amount of fetal blood in the maternal circulation when there is a risk of Rh isoimmunization  
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Magnesium sulfate toxicity signs   show
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Magnesium sulfate antidote   show
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show Shallow respirations, diaphorisis / clammy skin, and blurred or double vision  
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Expected findings in a newborn   show
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show Hypotonia, poor feeding behaviors, hypothermia, respiratory distress  
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Use of Maternal Alpha-fetoprotein   show
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show Part of amniocentesis to evaluate fetal lung maturity  
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If a client has Fifth's Disease what are the risks to the fetus?   show
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Pt Edu and Nursing Interventions for Misoprostol   show
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Common adverse effects of oral contraceptives   show
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What is a nuchal cord   show
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Findings of a nuchal cord   show
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Adverse effects of carboprost   show
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show Length = 45 to 55 in. Weight = 5.5 -8.8 lb. HR = 110 -160. RR = 30 to 60. Chest circumference = 12 -13 in.  
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1st trimester reportable signs   show
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show Edema of face and hands, epigastric pain, severe headaches  
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Signs of hypergpycemia   show
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show Clammy pain skin, weakness, tremors, irritability, and lightheadedness.  
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Leopold Maneuvers can determine what   show
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Location of fetal heart tones when fetus is in vertex presentation.   show
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Location of fetal heart tones when fetus is in breech presentation.   show
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Preparation of client before Leopold manuvers   show
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show Pregnancy can occur when breastfeeding even though menses hasn't started. If breast feeding do not take oral contraceptives until milk production is well established (6 weeks).  
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When will menses start again post partum?   show
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show Around 28 weeks of gestation  
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Sibling adaption: Encourage parents to do the following   show
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Normal vitals for a new born   show
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IV Flow Rate Equation   show
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How and When to give Betamethasone   show
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show 1st - 1 - 2 kg (2.2 -4.4 lb) 2nd - 0.5 kg (1 lb) per week for last 2 trimesters 3rd - ^^  
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Conditions that are indications for fetal assessment via electronic fetal monitoring are? (besides hypertension and diabetes)   show
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Nursing actions for phototherapy for hyperbilirubilemia   show
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Nursing actions for back pain at 8 cm dilation   show
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Post partum taking hold phase includes   show
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show Reflection of birthing experience Repeating of information to ensure client understanding  
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show Hyperglycemia Hypokalemia Hypotension Tachycardia Palpitations Chest pain  
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show Cholecyctisis (gall bladder) Hypertension Migraine headaches Thromboembolic disorders Diabetes with vascular problems Breast or Estrogen related cancers Cirrhosis or liver tumor  
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show Small flexible agents are insert into the vagina past the cervix and into the Fallopian tubes. This causes scar tissue in the tubes and prevents conception. 3 month post exam is done to make sure the fallopian tubes are blocked.  
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show Perforation can occur Delay in effectiveness up to 3 months, unwanted pregnancy can occur during this time. Increased risk of ectopic pregnancy if pregnancy occurs  
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What does an epidural block treat?   show
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Where and when is the epidural block injected?   show
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show Insulin decreased during 1st trimester and level of exercise Insulin increase during 2nd and 3rd trimesters and with increased caloric intake, infection, stress, and growth spurts.  
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show Sit patient in reclining chair, semi-fowlers, or left lateral position Conduction gel to abdomen FHR is two belts Patient should push hand held button every time fetus moves  
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If there is no fetal movement during the nonstress test, what can you do?   show
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show Premature rupture of membranes Maternal infection Decreased fetal movement Intrauterine growth restrictions  
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show Blood ferritin - less than 12 mcg/L Hgb - less than 11 mg/dL Hct - less than 33%  
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show Document time of the rupture Temperature checks every 2 hours Comfort measure (frequently changing pads, perineal cleansing)  
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show All are uterine stimulantsintr Oxytocin Methylergonovine Misoprostal Carboprost tromethamine  
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show Membranes must be ruptured Cervix must be sufficiently dilated  
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show Painful or tender localized mass and reddened area on one breast Flu like symptoms (chills fever headache) Fatigue Enlarged tender axillary lymph nodes on affected side  
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show Compress bulb before insertion Avoid center of the mouth to prevent stimulating gag reflux Aspirate mouth first then nostrils  
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Uses of oxytocin   show
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