Final Flashcards Preview

OB > Final > Flashcards

Flashcards in Final Deck (135):
1

Heparin rescue

Protamine sulfate

2

More after pains happen when?

With big babies

3

What should you give for after pains?

Motrin

4

What do you give for mastitis?

Antibiotics

5

Is it ok to breastfeed with mastitis?

yes

6

When is the best time to breastfeed baby?

When baby is awake

7

Rescue for Mag

Calcium gluconate

8

How far apart should contractions be before discontinuing pit?

90 seconds

9

What does the patient experience when bladder is distended?

Uterine atony

10

Where will the full bladder lie?

Off to the side

11

What should you have patients do after C-Section?

Turn, cough, deep breathe

12

Should you push before dilation is complete?

NO!

13

What is amniotomy?

Artificial Rupture of membranes (AROM)

14

What should you assess after AROM?

Fetal heart tones and mom's temp

*nothing in vagina

15

Why do you give a bolus before an epidural?

To avoid hypotension

16

What do early decels indicate?

Head compression

17

What do variable decels indicate?

Cord issues

*Prolapsed cord

18

What should you do if baby has late decels?

Put mom on left side with O2.

19

What is methergine used for?

Bleeding control

20

What medication is used for induction?

Pit

21

What is erythema toxicum?

Flea bite looking rash on newborn. Reaction to atmosphere.

22

What does it mean if AFP is low?

Down syndrome

23

What could it mean if AFP is high?

Neural tube defects

24

Is flaring and grunting normal or abnormal in newborn?

abnormal

25

What is an SGA (small for gestational age) baby at risk for?

Asphyxia, hypoglycemia, hypothermia, and hypocalcemia

26

What is macrosomia?

LGA (large for gestational age) baby

27

What is an LGA baby at risk for?

Polycythemia=bruising and jaundice

28

What is considered term?

38 weeks

29

What is premature?

20 weeks-37 weeks +6 days.

30

What can happen if baby is VERY jaundice?

brain cells could die.

31

What is gavage feeding?

breastmilk or formula goes directly to baby's stomach via NG tube.

32

What is asphyxia?

Hypoxia, hypercapnia and acidosis occurring in the uterus, during or after birth.

33

Common risk factors of asphyxia

Cord compression
Anesthesia
Abruption=no circulation

34

What is the treatment for asphyxia?

CPR

35

What is TTN?

Transient tachypnea of newborn

Delayed reabsorption of lung fluids

36

When does TTN happen?

When baby doesn't get a good squeeze!
Usually in C-Section babies

37

Treatment for TTN

O2 and possible ventilation

38

What is the prenatal Rh incompatibility test called?

Indirect coombs

39

Where do you get the sample for Direct coombs testing?

Cord blood

40

What is the normal temp range for newborns in Albuquerque?

97.7-99.5

41

What happens to baby's temp when septic?

It decreases

42

What type of babies get cold fast?

Premies

43

What type of defect can low set ears be?

Chromosomal defect

44

What is normal CBG for newborn?

Above 40

45

When does mom get checked for GBS?

36 weeks

46

What hormone does pregnancy test for?

HCG

47

What are signs of PIH?

Increased B/P=140/90
Edema
2+ protein
Rapid weight gain

48

If mom is HIV +, when would baby be tested?

at 6 months of age

49

If mom is HIV +, does that mean baby is also?

NO.

50

S/S of threatened abortion

Spotting and cramping

51

Is HCG low or high in molar pregnancies?

HIGH

52

Gestational diabetic moms have _____ babies

large

53

When will a mom with gestational diabetes go back to normal?

within 24 hours postpartum

54

How does a mom with gestational diabetes manage?

Diet and exercise

*Will need a snack

55

Increased CBGs are normal because of what?

placental lactogen

56

If baby has low CBG, what should you do?

Feed baby, wait 20 minutes.
If no change, call doctor!

57

Should mom that is experiencing bleeding be "checked"?

No!

58

What vital goes first when in shock?

Heart rate

59

What vital goes last when in shock?

B/P

60

When is a CVS done?

8-12 weeks

61

When is an amniocentesis done?

14 weeks

62

What is para?

Number of deliveries

63

An amniocentesis increases Rh baby's chance of having what?

Jaundice

64

What should you tell mom to do after amniocentesis?

Rest

65

When are xrays ok for mom?

After 36 weeks

66

Babies with low CBG

Overdue babies
Premies
Stressed babies

67

S/S of low CBG in baby

Jittery

68

What does cold stress effect?

Glucose

69

What happens with moro reflex?

Babies arms go out

70

What is caput?

Edema on baby's head

71

What type of formula do premies need to be on?

High calorie formula.
24 cal formula

72

What problems can shoulder dystocia lead to?

Clavical injury and brachial plexus problems

73

What assessment is done to rule out coarctation of aorta?

Blood pressure in all 4 limbs

74

Can coarctation of aorta be fixed?

Yes, with surgery

75

What is RDS?

Respiratory Distress Syndrome

76

Signs of RDS

Grunting and nasal flaring

77

What causes RDS?

low surfactant

78

How do we give surfactant?

Endotracheal

79

What is TEF?

Tracheoesophageal fistula

80

What are the interventions for TEF?

NG tube
No feeds
Surgery

81

What is Necrotizing Enterocolitis (NEC)?

when part of the bowel dies

*listen to bowel sounds

82

S/S of NEC

No stools for a while
When stools do pass, they will be bloody
Belly will get bigger

83

What are asymmetrical folds in legs a sign of?

Hip dysplagia or congenital hips

84

Treatment for hip dysplagia or congenital hips?

braces

85

What is an overdue baby at risk for?

meconium aspiration

86

If a baby is meconium stained, what should you do first?

Check before stimulating

87

What are sunset eyes a sign of?

Increased intracranial cranial pressure (ICP)

88

What medication is given to baby in withdrawal?

Phenobarbital or morphine

89

Baby narcan is for when mom's are given what med?

Demerol

90

What is meningomyelocele?
What should you do for it?

Bump on the back
Wrap in plastic

91

Erythroblastosis is caused by what?

Rh incompatability

92

What can happen to baby with erythroblastosis?

CHF

93

S/S fetal alcohol syndrome

-physical abnormalities
-facial anomalies
-heart defects
-skeletal defects
-low apgars
-easily overstimulated
-decreased tone

94

Are soft, mobile lumps usually cancerous?

NO. Hard, immovable lumps usually are.

95

On what side of body should you do B/P or blood draw on woman with mastectomy?

Opposite side of mastectomy! Never on the same side!

96

What is the only way to diagnose cancer?

Biopsy

97

What is breast, ovarian, and uterine related to?

Estrogen

98

Patient with breast cancer is at ______ risk of ovarian cancer

higher

99

S/S ectopic pregnancy

-Regular S/S of pregnancy, uterus does not enlarge

-Lower quadrant pain

-Vaginal bleeding (maybe)

-Pain in shoulder

-Hypovolemic shock

-Cullin's sign (blue inside belly button)

100

What is important with severe preeclampsia?

Seizure prevention. Low stimulation

101

What medication are ectopic pregnancies treated with?

Methotrexate

102

If baby has low heart rate in utero, what should you check?

Mom's heart rate to make sure it's not mom's instead.

103

If baby is tachy, what should you check?

Mom's temperature

104

Is sickle cell dangerous to mom or baby?

Both. Mom and baby!

105

When is a heart patient most at risk?

5 minutes after placental delivery

106

Signs of abruption

What should you check?

Pain
Board belly

Check fetal heart tones

107

Signs of previa

What should you check?

Light bleeding

Check fetal heart tones

108

How can mom get endometritis?

Prolonged ROM (rupture of membranes)

109

How do you know mom has endometritis?

Smells like dead chicken

110

What medications do you give mom with postpartum hemorrhage?

Pit
Methergine

111

When should you not give mom methergine?

If she had any type of B/P issues

112

When should you give mom mag?

For high B/P

To stop labor

(Mag slows labor)

113

What type of exercise should you do if you have osteoporosis?

Walking

114

Do lab tests diagnose cancer?

No, they screen for cancer.

Biopsies diagnose.

115

What are leiomyomas?

Fibroids of the uterus

116

S/S of HPV

warts

117

What can HPV lead to?

Cervical cancer

118

What does white curd indicate?

Yeast infection

119

What does "radical" mean when it comes to surgery for cancer?

Taking nodes

120

What is a PC for fetal demise?

DIC

121

Signs of DIC

Bleeding at IV site, urine, stool.

122

Who is at risk for bleeding?

Post op patients

123

What is the purpose of mammograms?

Screening for cancer

124

What is radiation used for?

Discrete tumors

125

What type of infection is Toxic Shock Syndrome (TSS)?

Staph infection

126

Weight loss should be within __%.

If more, what should you do?

10

Call doctor!

127

Asphyxia (Blessed Virgin Mary)

Bag
Vent
Mask

128

Mag sulfate toxicity signs

Slurred speech
Muscle weakness
Reflex decrease

129

What are possible reasons for fundal height to be increased by 2cm?

Multiple babies
Polyhydramnios

130

GTPAL

G-number of pregnancies

T-term births

P-premature births

A-abortions

L-living children

131

What is one of the most important characteristics of FHR that indicates well-being?

Variability

132

HELLP is worse than preeclampsia because it involves the _____ and _________.

liver; platelets

133

What is a sign of diaphoramic hernia?

Scaphoid abdomen-when the belly sinks in.

134

What can an ultrasound detect?

Neural tube defects

135

When does a pregnant mom get an ultrasound?

18-20 weeks.