lecture 11 labor/delivery continued

Question 1

normal fetal HR is

Answer 1

120-160 (metro/sizzle)

Question 2

what do if fetal HR is low (under 110 bpm)

Answer 2

P LION

pitocin stop
lie on left side
IV
oxygen
notify HCP

Question 3

what to do if fetal HR is high (over 160)

Answer 3

document acceleration
take mother temp

Question 4

is a high fetal HR a bad thing

Answer 4

no baby is WNL

Question 5

what to do if there is low baseline variability

Answer 5

P LION

pitocin stop

Lie on left side
IV
oxygen
notify HCP

Question 6

what acronym to call for bad fetal monitor tracing

Answer 6

P LION

Question 7

what to do if there is high baseline varibility

Answer 7

document finding

Question 8

is high baseline variability good

Answer 8

yes

Question 9

are accelerations good or bad

Answer 9

good

Question 10

what causes variable decelerations (VEAL CHOP)

Answer 10

cord compression/prolapse

Question 11

what causes early delerations (VEAL CHOP)

Answer 11

head compression

Question 12

accelerations are? (VEAL CHOP)

Answer 12

okay

Question 13

what causes late decelerations (VEAL CHOP)

Answer 13

placental insufficiency

Question 14

if baby has variable decelerations

Answer 14

push baby head of cord and put preg pt in knee chest (finger pt in back shot postion)

Question 15

what to do if baby has early deceleration

Answer 15

nothing just document

Question 16

if the fetal HR tracing starts with L it is

Answer 16

bad and u should do lion

Question 17

if the fetal HR has variable deceleration it is

Answer 17

very bad

Question 18

variable deceleration equals

Answer 18

very bad

Question 19

when should the mother stop pushing

Answer 19

when the head is out (the baby has a brain of its own so stop pushing)

Question 20

should u suction the mouth or nose first

Answer 20

mouth (ABC)

Question 21

what should u make sure the baby has before it leaves the delivery area

Answer 21

ID band

Question 22

what should u see in cord

Answer 22

2 arteries and 1 vein

Question 23

what should assess/do every 15 mins when mother is recovering

Answer 23

-vital signs
-fundus
-peri pads
-roll pt to check for bleeding underneath her

Question 24

when should u assess post partum pt

Answer 24

every 4-8 hrs

Question 25

what should u assess for in post partum pt (BUBBLE HEAD)

Answer 25

-breasts -uterine fundus -bladder -bowel -lochia -episiotomy -hemoglobin/hematocrit -extremities -affect -discomforts

Question 26

where should the fundus be after delivery

Answer 26

umbillicus

Question 27

how much does the fundus shrink per day after delivery

Answer 27

2 cm

Question 28

where should the fundus be after delivery

Answer 28

midline

Question 29

what to do if fundus is boggy and not midline

Answer 29

catheterize pt

Question 30

what is a moderate amount of lochia

Answer 30

4-6 inches on pad in an hr

Question 31

what is an excessive amount of lochia

Answer 31

saturated pad in an 15 mins

Question 32

how to tell if pt has thrombophlebitis

Answer 32

measure calves

Question 33

is milia on newborn normal

Answer 33

yes

Question 34

when will milia dissapear

Answer 34

after a few weeks of bathing

Question 35

are epstein pearls normal

Answer 35

yes

Question 36

is a mongolian spot (blue discoloration on top of butt) normal

Answer 36

yes

Question 37

who is more likely to have a mongolian spot

Answer 37

african americans

Question 38

are erythema toxicum neoratorum normal and when do they appear and disappear

Answer 38

yes, 24-48 hrs and dissapear in a few days

Question 39

is hemangioma normal

Answer 39

yes

Question 40

when does physiological jaundice in newborns

Answer 40

24 hrs after birth

Question 41

when does physiological jaundice disappear in newborns

Answer 41

1 week

Question 42

when does pathologic jaundice appear

Answer 42

1st 24 hrs

Question 43

which type of newborn jaundice appears in the 1st day of birth

Answer 43

pathologic

Question 44

which type of newborn jaundice appears the next day

Answer 44

physiological

Question 45

is jaundice normal in a new born

Answer 45

yes

Question 46

is acrocyanosis normal in newborns

Answer 46

yes

Question 47

what is acrocyanosis

Answer 47

blue discoloration of hands and feet of newborn within 1st few days

Question 48

is blue discoloration of hands and feet of a newborn normal

Answer 48

yes

Question 49

why would u give terbutaline

Answer 49

to stop premature labor

Question 50

what is a side effect of terbutaline

Answer 50

tachycardia

Question 51

who would u not give terbutaline to

Answer 51

pts with heart problems

Question 52

why would u give preg pt magnesium sulfate

Answer 52

to stop labor and contractions

Question 53

magnesium sulfate side effect

Answer 53

hypermagnesemia

Question 54

what happens to everything in hypermagnesemia

Answer 54

everything goes down

Question 55

what should u do if pt who got mag sulfate has a low RR

Answer 55

decrease dose

Question 56

what do if pt has decreased reflexes with mag sulfate

Answer 56

decrease dose

Question 57

what to do if reflexes are increased w mag sulfate

Answer 57

increase dose

Question 58

mag sulfase does goes the same as what

Answer 58

reflexes (if reflexes are low then decrease etc)

Question 59

magnesium sulfate pt has 4+ reflexes what should u do w dose

Answer 59

increase it

Question 60

magnesium sulfate pt has 2+ reflexes what should u do w dose

Answer 60

nothing its normal

Question 61

mag sulfate pt has 1+ reflexes what should u do

Answer 61

decrease it

Question 62

what does pitocin do

Answer 62

stimulates and strengthens labor

Question 63

pitocin is the same as

Answer 63

oxytocin (love hormone)

Question 64

methergine is the same as

Answer 64

oxytocin (love hormone)

Question 65

what is a side effect of methergine

Answer 65

HTN

Question 66

when can u give betamethasone

Answer 66

before birth

Question 67

what is a side effect of betamethasone

Answer 67

increased glucose

Question 68

why would u give betamethasone

Answer 68

for baby's lungs

Question 69

when is surfactant given

Answer 69

after birth

Question 70

what is surfactant for

Answer 70

the baby's lungs