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Mary's Tests - Spring 2016 > Maternal Test - Feb 2016 > Flashcards

Maternal Test - Feb 2016 Flashcards

1
Q

What is the most important vital organ that needs to be adequately functional in the neonate?

A

Lungs!

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2
Q

Pulse decreases to ___ for the first ___ days

A

50-70, 6-10 days

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3
Q

Pulse remains decreased for ___, when it returns to normal

A

8-10 weeks

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4
Q

Pulse >100 indicates what?

A

Hypovolemia and/or infection

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5
Q

Respiration decrease to within normal prebirth by ___

A

6-8 weeks

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6
Q

There should be a small transient rise of blood pressure within the ____?

A

Last 4 days of postpartum (watch for orthostatic hypotension first. 48 hours as a result of abdominal engorgement also could be late sign of pp hemorrhage)

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7
Q

Temperature: In 24 hours, temp may increase to ___ as a result of ___

A

38 degrees, dehydration

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8
Q

After ___, mother should be afebrile?

A

After 24 hours

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9
Q

Blood pressure decreases within ____ and returns to non-pregnant values by ___

A

1st 2 weeks; 6 months

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10
Q

What is total weight loss expected for mom?

A

19-25 lbs

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11
Q

Weight loss for perspiration and diuresis in 1st week pp (affected by amount of edema in mom)

A

5-8lbs

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12
Q

Weight loss from uterine involution/lochia over 6 weeks?

A

2-4 lbs

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13
Q

Weight loss from fetus, placenta, amniotic fluid, and blood loss at delivery?

A

12-13 lbs

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14
Q

If you see a chart and it says u/2, what does that mean?

A

Fundus is 2 fingerbreadth below the umbilicus

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15
Q

If you see a chart and it says 1/u, what does that mean?

A

Fundus is 1 figerbreadth ABOVE the umbilicus

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16
Q

When does Rubra occur?

A

2-3 days post delivery

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17
Q

When does Serosa occur? How long does it last?

A

3-4 days postpartum, lasts 10 days

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18
Q

How long does Alba last?

A

Last 2-6 weeks after birth

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19
Q

What amount of fluid is considered “light?”

A

Less than 10 cm

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20
Q

What amount of fluid is considered “scant?”

A

Less than 2.5 cm

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21
Q

What amount of fluid is considered “moderate?”

A

More than 10 cm

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22
Q

What amount of fluid is considered “heavy?”

A

1 pad an hour

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23
Q

H & H increases by ___?

A

7th day pp

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24
Q

Expected blood loss for vaginal delivery?

A

250-500 cc (700-1000cc for c-section)

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25
Q

When does onset of first menses occur?

A

7-12 weeks in nonlactating mothers

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26
Q

When does menstratiojn begin for bottlefeeding moms (only if exclusively breastfeeding)?

A

6-10 weeks, 90% resumed by 12 weeks

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27
Q

If you breast feed for longer than a month, how long will menstration be delayed?

A

MEnstration delayed 3 months?

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28
Q

AWHONN’s role in establishing standards of care by..

A

providing support and critical information to deliver the highest quality care for maternity and gynecological nursing

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29
Q

When caring for a muslim mother, do not feed them..

A

pork, caffeine or alcohol

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30
Q

When caring for an asian mother, they may refuse

A

iron and eggs

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31
Q

neonatal mortality rate

A

death of infants in less than 28 days of age. number of deaths of infants within 1,000 live births

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32
Q

risks for neonatal mortality rate

A

low birth weight, preterm birth, developmental disabilities

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33
Q

goals of healthy people 2020

A

increase the percentage of women who receive early prenatal care, increase the proportion of mothers who breastfeed, decrease the number of low birth rate babies, decrease preterm births, increase percentage of babies put on their backs, and increase in abstinence from substance abuse

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34
Q

ballard scale

A

assesses neuromuscular and physical maturity. Totals are added to give maturity rating. 35 points means 38 weeks gestation

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35
Q

gestational assessment is performed at…

A

2-12 hours after birth

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36
Q

low birth weight

A

2500g or less

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37
Q

a baby is considered preterm if it is how many weeks?

A

37 weeks or less

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38
Q

vital sign sequence for assessing a newborn

A

respiration, heart rate, BP then temp

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39
Q

BP range should be..

A

Systolic- 60-80
Diastolic- 40-50

KNOW 78-42

40
Q

Temp for a newborn should be..

A
  1. 5-37.2 C

97. 7- 98.9

41
Q

Jaundice may appear on what day after the newborn is born?

A

third day

42
Q

Lanugo is typically found where..

A

forehead, shoulders, pinnas, back

greatest at 28-30 weeks

43
Q

head circumference of a baby

A

33-35cm or 13-14in

44
Q

chest circumference of a baby

A

30-33cm or 12-13 in

45
Q

anterior fontanels should be what shape

A

diamond

46
Q

posterior fontanels should be what shape

A

triangular

47
Q

caput succedaneum

A

DOES cross the suture lines, localized swelling of soft tissues caused by pressure on the head during labor

48
Q

Cephalohematoma

A

DOESNT cross suture lines, it occurs when there is a collection of blood between the periosteum and skull bones which results form pressure or trauma during birth such as pressure against maternal pelvis.

49
Q

Hgb lab values for infant

A

14-24 g/dl

50
Q

Hct lab values for infant

A

44%-64%

51
Q

Bilirubin levels for infant..

A

0-6 mg/dl—1 day
8mg/dl or less–2 day
12mg/dl or less–3 day

52
Q

glucose level for an infant

A

40-60 mg/dl

53
Q

if infant has a temp of less than 36.5 or 97.7 they may be

A

hypothermic

54
Q

Hct levels for an adult

A

40-50 for adult

35-45 for women

55
Q

conduction

A

heat loss involved when there is direct skin contact with a cooler object

56
Q

convection

A

heat loss involved when there is cool air (air conditioning)

57
Q

Vitamin K administered. How much and why?.

A

0.5-1mg IM in vastus lateralis within 1 hour after birth

Babies do not produce vitamin K in the gut until about day 8. this helps any hemorrhaging that may occur

58
Q

Hep B shots

A

if born to a health mother, should be administered at birth, 1 month then 6 months. Should not be given in the same thigh as the vitamin k shot

59
Q

newborns should be warmed slowly within a

A

2 to 4 hour period

60
Q

Barlow maneuver

A

rules our possibility of developmental dysplastic hip. Examiner will adduct the infants thigh and apply gentle pressure downward

61
Q

brazelton neonatal behavioral assessment scale

A

assessment tool that identifies newborns behavioral responses to environment and documents neurologic capabilities.

62
Q

mottling

A

lace like pattern of discoloration of the skin

63
Q

Rubella vaccine should be administered prior to

A

discharge. They are instructed to avoid pregnancy for 3 months due to live immunity

64
Q

Maternal pulse postpartum

A

decreases to 50-70 bpm for the first 6-10 days but returns back to normal within 8-10 weeks

65
Q

Respirations postpartum

A

decrease to within normal limits by 6-8 weeks

66
Q

Blood pressure postpartum

A

small transient rise withing the first 4 days. watch for orthostatis hypotension for the first 48 hours

67
Q

H& H increases by

A

7th day postpartum

68
Q

WBC in postpartum mother

A

25000=35000 but if there is a 30% rise within 6 hours there may be pathological infection

69
Q

after two weeks postpartum the uterus should be located in the..

A

pelvis

70
Q

anesthesia prolongs involution– true or false

A

true

71
Q

What drug remains the first line drug for excessive bleeding related to uterine atrophy

A

pitocin

72
Q

Record the first two voids after post partum true or false

A

true

73
Q

if patient has not voided 6-8 hours after delivery then ..

A

use straight cath

74
Q

profuse diaeresis of post partum mother occurs..

A

at night within the first 2 to 3 days post partum

75
Q

Postpartum chill

A

this occurs when the mother has excess adrenaline, decrease in pressure on the pelvic nerve or response to fetal mother transfusion or reaction to epidural. This is not significant unless there is a fever.

76
Q

Assess the mother how often post partum

A

every 15 minutes for the first hour then every 30 minutes for the second hour then every 4 hours for 24 hours

77
Q

Rhogam

A

after mom has first Rh postitive baby they give Rhogam which prevents the mother from building the antibodies . Inhibits memory cell formation and prevents development of sensitization. Give within 72 hours of first delivery and deep repeating after every pregnancy. given at 26-28 week gestation also. Can be given IM average dose 300 micrograms

78
Q

Lab test indicated for hemolytic diesease

A

Direct Coombs- test the baby

Indirect Coombs- mother test

79
Q

Hydrops

A

most severe case of erythroblastosis. Causes severe hypoxia and cardiac failure occurs.

80
Q

erythroblastosis

A

occurs if Rh sensitization occurs and causes anemia, enlargement of spleen, generalized edema, jaundice. Rh incompatibility or ABO.

81
Q

Diabetic mothers L/S ratio should be

A

2.5-1

82
Q

after 35 weeks L/S ratio

A

2-1

83
Q

foramen ovale closes

A

1-2 hours after birth

84
Q

ductus arteriosus

A

closes within 18 hours after birth

85
Q

ductus venosus

A

closes within 2 months

86
Q

mumurs disappear by

A

6 months of age

87
Q

fetal hemoglobin has a decreased or increaed O2 affinity

A

INCREASED

88
Q
A

0.5mg

89
Q

prolonged exposure to the cold can result in

A

depleted glycogen stores and acidosis

90
Q

Burp the baby every…

A

0.5 to 1 ounce

91
Q

Green stools may be due to

A

excreted bilirubin

92
Q

babies temp should stabilize within

A

8 to 12 hours

93
Q

bowel sounds of a baby should be heard

A

within 1 hour

94
Q

nevus pilosus

A

hair tuft associated with spina bifida

95
Q

O2 monitor on which hand

A

Right hand

96
Q

Assess newborn vitals

A

every 6 to 8 hours

97
Q

when bottle feeding

A

babys head should be above their hips. DO NOT PROP BOTTLE

Mary's Tests - Spring 2016 (10 decks)

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