Bootcamp

Question 1

What is an amnihook?

Answer 1

helps release amniotic fluid and can help stimulate labor without medication

Question 2

what is a labor ball?

Answer 2

just sitting on it and rocking gently can help relieve pain during pregnancy, can also help with birth pain

Question 3

should a woman be up and moving before going into labor

Answer 3

yes

Question 4

what is a peanut ball?

Answer 4

used for mothers that have had epidurals, can shorten 1st stage of labor by 90 minutes and 2nd stage by 23 minutes; also has decreased C-section rate (use different positions)

Question 5

what’s a good position for birthing when using a peanut ball?

Answer 5

on her side, slightly squatting position, peanut ball between legs to open pelvis, and HoB up to use gravity

Question 6

what is a Kiwi vacuum extractor?

Answer 6

used at very end when baby’s head coming out and going back in but not making last push (think: maybe mom’s exhausted); goes on back part of baby’s head, when mom pushes, person with extractor pulls down and out (gently)

Question 7

what are forceps/calibers?

Answer 7

used like clamps and lock in position that don’t squish head, but go around head and help with extraction (once they’re applies, will be there until baby’s out)

Question 8

can you reply the kiwi vaccum extractor if it pops off?

Answer 8

yes but only twice

Question 9

toco and ultrasound transducer

Answer 9

toco transduce - higher near fundus, helps with contractions

ultrasound - usually lower and picks up baby’s heart rate

Question 10

what is supine vena cava syndrome?

Answer 10

when mom with near-term baby sleeps on back, the aorta and vena cava become suppressed and it cuts off blood supply; can be simple as tilting on pelvis

Question 11

after cutting the umbilical cord, what’s the next step with a newborn?

Answer 11

dry immediately

Question 12

postpartum assessment upon admission

Answer 12

• vital signs; 1st hour (q15min) during 2nd hour (q30) min; 1st 24 hours (q4h); then q8h
• full head to toe:

Question 13

when you’re full term pregnant, how big is your uterus??

Answer 13

12x than normal, fundus basically in diaphragm; uterus will shrink to umbilicus after delivery and then slowly goes below umbilicus every day after delivery

Question 14

should the bladder be empty after delivery?

Answer 14

yes, needs to void frequently after delivery

Question 15

what is lochia? how do you assess it

Answer 15

the bleeding and discharge after delivery, as each day progresses gets lighter;

• assess color (rubra normal, gets lighter with each day)
• assess flow (heavy bleeding: saturate a pad within and hour)
• assess odor (musky fleshy odor is normal, foul is abnormal)

so. …
- need to change pads, do pericare with peribottle, proper handwashing during pericare

Question 16

what are the degrees of episiotomy/laceration

Answer 16

1st and 2nd: more superficial

3rd and 4th degree: cut through anal muscle

Question 17

after delivery what’s an important intervention for GI? what’s a painful complication?

Answer 17

get them up an moving to stimulate motility, gas pains can be very painful!

Question 18

what is gestational hypertension?

Answer 18

was also known as PIH (pregnancy induced hypertension)

• high BP without protein in the urine
• over 140/90 at least 2 times 6 hours apart from each other
• up to the 20th week postpartum

S/S

• sudden weight gain
• edema
• high BP
• headache
• visual changes
• epi RUQ pain (burning in chest)
• N/V

Question 19

if the baby is sick or in the NICU and not with the mother, what do you need to do within the first hour?

Answer 19

use a breast pump on the mother

Question 20

what’s the biggest risk postpartum? what are the S/S? how do you assess for it?

Answer 20

hemorrhage (ESPECIALLY within 1st hour, happens very quickly)

• lightheadedness
• tachycardia
• low BP
• perineal swelling and pain
• lowering hematocrit
• can quickly progress to cool clammy skin, anxiety, tachypnea, decreased urinary output

assess: need to feel and massage the fundus to make sure it is contracted (very painful for patient)

Question 21

what’s the major safety issue for healthcare workers during delivery and postpartum?

Answer 21

bloodborne pathogens (NEVER lean down during birth b/c fluids can shoot out)

Question 22

what does G5 P4 - 1 - 1 - 3 mean?

Answer 22

gravita: how many times got pregnant
P: para, how many full-term pregnancies/live-births she’s had

G5 P4-1-1-3 means: 5 pregnancies, 4 live births, 1 premature, 1 miscarriage/abortion, 3 children still living

Question 23

what four main things do we do immediately after delivery?

Answer 23

1) stimulation: to transition baby to start using respiratory muscles and breathe; we suck out liquids from nose and mouth (includes drying baby)
2) apgar score at 1 minut and 5 minutes (sometimes 10 minutes)
3) put ID bands on baby and mother (and usually another person)
4) “Eyes and Thighs”

Question 24

What are Eyes and Thighs

Answer 24

Eyes: prophylactic antibiotic (erythromycin on eyes) to prevent conjunctivitis

Thighs: giving baby vitamin K injection at birth, sometimes hepi vaccine (given injections in thighs)

Question 25

What is an APGAR score?

Answer 25

Activity
Pulse
Grimace (reflex irritability) -Appearance (skin color)
Respiration

• assesses the physical condition of the newly delivered baby

Question 26

What would a baby with a 2 point score for Grimace display? how do you test this?

Answer 26

active motion: sneeze, couh pull away

score of 0 would be flaccid and 1 point would be flexion of extremities

• usually observed when sucking with ball syringe out of baby’s nose and mouth

Question 27

What could a code Pink mean?

Answer 27

that a baby has been taken off the unit without permission, due to the leg monitor going off

Question 28

what are phototherapy lights used for in newborns?

Answer 28

if bilirubin goes up, will reduces bilirubin level (so looking for jaundice)

Question 29

what are a Mogen/Gomco/Pastibellused for?

Answer 29

male circumcision