Final Ob

Question 1

What is the acronym for post partum assessment?

Answer 1

MABUBBLLEEHHHEAD

M - Mental assessment

Question 2

How long after birth do they keep you?

Answer 2

Vaginal delivery 2 - 3 days
C section 3 - 4 days

Question 3

How much blood loss is acceptable with birth? Vaginal and C-section

Answer 3

Vaginal 500 ml
C section 1000 ml

Question 4

What are the heights of fundus acceptable for day 2, 3, and 4?

Answer 4

Day 1 - umbellicus
Day 2 - 1 cm
Day 3 - 2 cm
Day 4 - 3 cm

Question 5

How long for the fundus to go back down into the pelvis?

Answer 5

9 - 10 days

Question 6

A normal uterus will always be what normally?

Answer 6

Midline at the umbilicus and firmly contracted

Question 7

If the fundus is deviated to left or right it is because what?

Answer 7

The bladder is distended

Question 8

Anytime uterus is soft or boggy you have to what?

Answer 8

Massage the fundus

Question 9

What happens if the bladder is distended?

Answer 9

It will displace the uterus and predispose to bleeding

Question 10

How long does lochia discharge last?

Answer 10

28 days

Question 11

What are the three different types of lochia discharges?

Answer 11

• Rubra 1 - 3 days
• Serosa 4 - 10 days
• Alba 10 - 28 days

Question 12

What is lochia?

Answer 12

The vaginal discharge after birth

Question 13

What are the management for laceration and episotomy for the first 24 hours, then to 48 hours?

Answer 13

• Ice first 24 hours
• Tucks pad and witch hazel

Question 14

What is the management of hemorrhoids?

Answer 14

Tucks pad and witch hazel

Question 15

What are the three stages of Rubin adaptation?

Answer 15

• Taking in
• Taking hold
• Letting go

Question 16

When do we do the APGAR score?

Answer 16

1 minute after birth

Question 17

What is a normal APGAR score?

Answer 17

8 - 10 but still monitor

Question 18

What score APGAR can baby go home with mother?

Answer 18

3 consecutive 8 - 10

Question 19

If baby has APGAR score 4 - 7 what do you do?

Answer 19

Give oxygen and stimulation and go to nursery

Question 20

If baby has APGAR score 0 - 3 what do you do?

Answer 20

CPR and intubation, baby goes to NICU

Question 21

What does APGAR stand for? Need to type all 5 words.

Answer 21

• Appearance
• Pulse
• Grimace
• Activity
• Respiration

Question 22

What is a normal RR for baby?

Answer 22

30 - 60

Question 23

What is acrocyanosis, is it normal?

Answer 23

It is normal, it is the blue hint of the hands and feet up to one week after birth

Question 24

What is puerperium? When does it occur?

Answer 24

The fourth trimester of labor, last 6 weeks after birth

Question 25

After birth how long after can you not have sex?

Answer 25

6 weeks

Question 26

Is it normal for the WBC to raise after birth?

Answer 26

Yes

Question 27

What are the postpartum moods?

Answer 27

* Blues * Depression * Psychosis

Question 28

When is the first period of reactivity after birth?

Answer 28

0 - 30 minutes

Question 29

When is the third phase of reactivity after birth?

Answer 29

2 to 8 hours

Question 30

What are the four methods that the baby will lose heat from?

Answer 30

* Evaporation * Conduction * Convection * Radiation

Question 31

What is a normal Blood glucose for a baby?

Answer 31

40 - 60

Question 32

How many wet diapers per day is normal for an infant?

Answer 32

6 - 8 wet diapers a day

Question 33

Postpartum mother needs for breast feeding?

Answer 33

500 calories 8 - 10 glasses of fluids per day

Question 34

How many months minimum should you breastfeed a child?

Answer 34

6 months minimum

Question 35

Never prop a bottle, true or false?

Answer 35

True

Question 36

List 5 postpartum complications.

Answer 36

* Hemorrhage * Infection * Thromboembolism * Lacerations * Emotional complications

Question 37

The child should be rear facing in car seat until he is blank.

Answer 37

2 years or 20 pounds

Question 38

Bleeding with trickle means what?

Answer 38

There is laceration

Question 39

What rate does the uterus descend per day after birth?

Answer 39

1 cm per day

Question 40

What is the difference between Caput vs cephalohematoma?

Answer 40

* Caput is swelling * Cephalohematoma is blood collection

Question 41

How much sleep should the newborn get?

Answer 41

15 to 20 hours a day

Question 42

What is normal temp in infant?

Answer 42

97.1 to 99.8 F

Question 43

What is a pulse in infant normal?

Answer 43

110 - 160

Question 44

What is normal RR in infant?

Answer 44

30 - 60

Question 45

What is average weight of baby?

Answer 45

6 - 9 pounds

Question 46

How much weight does infant lose in the first 3 to 4 days after birth?

Answer 46

5 to 10% of its birth weight

Question 47

After circumcision the baby has to what before discharge?

Answer 47

Use the bathroom, go pee

Question 48

What are the two types of jaundice?

Answer 48

* Pathological * Physiological

Question 49

What causes physiological jaundice? When does it appear?

Answer 49

Dehydration 3 - 4 days

Question 50

What causes pathological jaundice? When does it happen?

Answer 50

ABO incompatibility, it happens 0 - 24 hours

Question 51

What is the normal infant bilirubin levels?

Answer 51

0 - 12.9

Question 52

What are the two treatments of jaundice in infants?

Answer 52

* Phototherapy * Exchange transfusion

Question 53

What to remember when you do phototherapy?

Answer 53

Cover eyes and genitalia Feed Temp Bond with mother

Question 54

What do high levels of oxygen cause in baby?

Answer 54

Blindness

Question 55

When do lungs start to develop? When are they fully developed?

Answer 55

* Start at 24 weeks * Fully at 34 weeks

Question 56

What causes NEC ( necrotizing enterocolitis)

Answer 56

Unclean utensils Unclean feeding

Question 57

Apgar checks at what times?

Answer 57

1 min after birth 5 min after birth for 10 min

Question 58

Fibrobectin test determines

Answer 58

Preterm labor

Question 59

4 tacolytics

Answer 59

Indomethacin Nifedipine Magnesium sulfate Turbutaline

Question 60

Latent phase

Answer 60

0-3 cm

Question 61

Active phase

Answer 61

4-7 cm

Question 62

Transition phase

Answer 62

5-10 cm

Question 63

4 stages of labor

Answer 63

Stage 1. Dilation and effacement Stage 2. Delivery of baby Stage 3. Delivery of placenta Stage 4. Postpartum care

Question 64

Nursing care for bleeding

Answer 64

6-8 pads in 24 hrs Change pad every 4 hrs Large clots Pad saturated in less than 24 hrs

Question 65

Rubin adaption

Answer 65

Taking in Taking hold Letting go

Question 67

Pregnancy hormones

Answer 67

Estrogen Progesterone Hcg Hpl

Question 68

Labor hormones and what they do?

Answer 68

Prostaglandins- softens cervix Prolactin- milk Oxytocin- contractions

Question 70

For laceration or episiotomy?

Answer 70

24 hrs of ice pack Sits bath

Question 72

Nitrazie test

Answer 72

Test measures ruptured membranes

Question 73

For cervix dilation what are the order of the phases?

Answer 73

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