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ob hesi study guide > Review Of Exam 3 > Flashcards

Review Of Exam 3 Flashcards

1
Q

What is the 4th stage of labor ?

A

begins with the birth of the placenta
until 1 hour after or when mom is stable

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2
Q

Right after the baby is born, where does the baby go ?

A

into moms chest

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3
Q

what scoring system do we use to assess the baby?

A

APGAR

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4
Q

what does Apgar stand for?

A

activity
pulse
grimace
appearance
respiration

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5
Q

the umbilical cord is a 3 vessel cord which is made out of ?

A

1 vein
2 arteries

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6
Q

postpartum is defined as?

A

giving birth to the infant and placenta to when you’re body goes back to non pregnant state

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7
Q

to make sure the placenta is fully out, what do we normally do for mom?

A

a fundal massage

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8
Q

The fundus is massaged every how minutes to make sure its firm?

A

15mins

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9
Q

can we send mom off home if she isn’t firm?

A

no

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10
Q

why does the uterus or fundus need to be firm?

A

in order to clamp down to stop bleeding, and slowly revert back into the nonpregnant state

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11
Q

right after delivery the uterus is what?

A

-2

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12
Q

what does involution mean?

A

return of the rupture to non pregnant state

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13
Q

then after 24 hours, it goes into 20th week gestation, then after that it rapidly decreases 1-2cm until what day ?

A

6th day

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14
Q

after 24 hours pp, the uterus shrinks to size of what week gestation?

A

20th week

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15
Q

what does subinvolution mean?

A

the uterus failed to contract down and shrink

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16
Q

why do we recommend moms to go empty out their bladder?

A

in order to help involution to occur and we can clamp down and stop bleeding

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16
Q

what is the most common cause of PP hemorrhage?

A

uterin atony

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17
Q

what are the 3 main things that can cause subinvoltion to occur ?

A

retained parts of the placenta
vaginal/cervical laceration
full bladder

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18
Q

what are some medications we can use to help mom with PP cramps and pain ?

A

Nsaids and narcotics

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19
Q

what is lochia rubra?
what is lochia serosa ?
what is lochia alba ?

A

dark red blood, 3-4th day, heavy menstrual period, small clots, odor, fleshy

pinkish in brown, 4-12 days, 2weeks pp, moderate to small amount

yellowish-white discharge, 12 days to 3 weeks, scant creamy whitish

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19
Q

its important to tell mom, if that her lochia flow changes from serosa back to rubra she should what?

A

stop being overactive and stress
relax and sit down

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20
Q

Mother Nature has come to help us by not losing so much fluids by causing moms to be what?

A

hypervolmic (40-50%)

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20
Q

vaginal bleeding is bound to occur in pregnancy, so what are some things we are going to encourage mom to do ? (2)

A

encourage breastfeeding and emptying the bladder

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20
Q

when we see vaginal bleeding, we want to what as nurses?

A

massage the fundus

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21
Q

why do we encourage breastfeeding in order to help slow down vaginal bleeding ?

A

the body will release oxycontin and signals to clamp down
its like, oh baby is out, oxycotonin come out and stop this bleeding!

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22
Q

if vaginal bleeding is still occurring, even if the fundus is nice and firm, what are the two things we suspect?

A

laceration and hematoma

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23
Q

a saturated pad within 15mins is considered to be what?

A

medical emergency
ask mom to lift up to see the amount of pooling too

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24
Q

in breastfeeding we have a
decrease in?
increase in?

A

decrease in progesterone
triggers
increase in prolactin

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25
Q

prolactin does what 2 things ?

A

ovulation prevention
( lactational amenorrhea )
milk production

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26
Q

its important to tell moms that prolactin is not what?

A

a form of contraceptives, so please watch out

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27
Q

not only is breast-feeding going to help mom clamp down, what does it help for the baby to do that we as nurses want to see?

A

help them pass their first poop, meconium

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28
Q

in vaginal birth how much blood do we lose

in c-sections how much blood do we lose ?

A

300-500ml (10%)

500-1000ml(15-30%)

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29
Q

in breast-feeding, moms are famous for producing colostrum, which is this very thick yellow-white pasty thing, what is inside of it and can babies drink it?

A

its low fat, immune cells, antibodies and laxatives

babies can drink it

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30
Q

breastfeeding moms
10weeks-6months

nonbreastfeeding moms
6-10weeks

of not having their periods

A
31
Q

what is engorgement?

A

breasts are enlarged and heavy

32
Q

how can we prevent engorgement

A

fully emptying out the breast

33
Q

how can we treat engorgement?

A

ice packs

34
Q

what is crackled nipples ?
what is the main cause?
how can we treat?

A

literally as it sounds
bad bf positioning
ointment

35
Q

newborns breastfeed how many times in a 24hour period ?

A

8-12x

36
Q

what is plugged milk duct?
how do we treat?

A

milk is stuck
warm compression

37
Q

how to treat mastitis ?

A

antibiotics

37
Q

what is mastitis ?

A

flu like symptoms of inflammation of the breasts

38
Q

can we still breastfeed with mastitis?

A

yes

39
Q

do nonbreasting feeding moms still produce milks and colostrum?

A

yes

40
Q

breastmilk is usually the best option to feed your baby for the firs what?

A

6 months of life
and continuous with that with other foods

41
Q

what are some contraindications of breastfeeding ?

A

active herpes
active tb
HIV

42
Q

by how many weeks does cardiac output decrease by 30% ?

A

2 weeks

43
Q

by how many weeks do mainly all of our systems take to go back to normal?

A

6-8weeks

44
Q

with the decrease in estrogen and vascular pressure causes moms to what?

A

dirureis and excessive sweating

45
Q

are moms still at risk for preeclampsia even after giving birth?

A

yes

46
Q

is having an increase WBC after birth normal ?

A

yes

47
Q

is having a somewhat fever after birth normal ?

A

yes

48
Q

when do we gave regam to mom?

A

rh negative mom
rh positive baby

49
Q

what type of vaccines do we not give to mom?

A

live annotated vaccines

50
Q

any live vaccines, we tell mom to not what?

A

get pregnant for 28 days because of teratogen effects

50
Q

what are 3 phase role attainment ?

A

dependent
24-48hours mom needs help

dependent/taking hold
day
somewhat there, excited to learn

interdepend
mom is ready to take care of baby

51
Q

when is the neonatal period ?

A

from birth to day 28 of life

51
Q

what is the medication we give for babies of vitamin K?

A

phytonadione

52
Q

why do we give eye prophylaxis?

A

avoid infections, gonnrorrhea and chylamida mainly

53
Q

mom should wait for another baby for how long ?

A

2 years or 18 months at least

54
Q

what is extrauterine life ?
when does it occur ?

A

baby learning how to live without like mom

6-8hours of live

55
Q

what is first period activity ?
when is it ?

A

baby most active ever
30mins of life

56
Q

what are the 4 ways baby loss heat?

A

convection
radiation
evaporation
conduction

57
Q

what is convection?

A

loss of heat to open air, not swaddled

58
Q

what is radiation?

A

loss of heat to like cooler, air vent

59
Q

what is evaporation ?

A

not drying the baby fast enough

60
Q

what is conduction?

A

loss of heat to direct surface
like cold table

61
Q

what is thermogenesis ?

A

baby way of trying to keep warm
increase muscle acitivyt

62
Q

if a baby is going to be circumscioned we want to see what within 24 hours ?

A

them void

63
Q

what is thermoregulation main?

A

the maintenance of balance between heat loss and heat production

64
Q

how long should meconium pass ?

A

within 48hours of life

64
Q

with physiologic jaundice we recommend what to mom?

A

breastfeed the baby

65
Q

what is vernix caseoa?

A

white sticky stuff covering the baby

66
Q

should sweat glands appear on a baby and if so what does it mean ?

A

no
means heart failure

67
Q

what is Mongolian spot?

A

big black back spot

68
Q

for females they usually are born with what for reproductive ?

A

discharge and bloody spots

normally due to all the estrogen in the body

69
Q

for males what are they usually born with ?

A

epithelial pearls on the tip of the penis

70
Q

what does hypospadias mean ?

A

tip is placed wrong, making it difficult to void

71
Q

testes are palpable by what week?

A

38-40

72
Q

what is caput succedaneum?

A

swelling of the scalp usually due to the pressure of the uterus during the vaginal devilry

no treatment needed

73
Q

what is cephalhematoma ?

A

accumulation of blood under the scalp, unusual bumps, lumps

no treatment really needed, goes away on its own

74
Q

most common signs of pain in a baby is what?

A

crying

75
Q

what does LATCH stand for in breastfeeding?

A

latch
audible swallow
type of nipple
comfort
hold

ob hesi study guide (4 decks)

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