OB Exam 2

Question 1

achievement of a parenthood role around 4 months

Answer 1

stage 4 of parenthood

Question 2

second period of reactivity

Answer 2

2 to 8 hours

Question 3

what is the time frame for breast milk and formula to be used

Answer 3

within 2 hours

Question 4

what type of Coombs test for Rh incompatibility

Answer 4

Positive direct Coombs test

Question 5

1st line medication for PPH

Answer 5

oxytocin (Pitocin)

Question 6

this pH is a sign of pathologic acidemia

Answer 6

less than 7

Question 7

intake after first 2 days of life

Answer 7

100-150mL/kg (45-68 mL/lb)

Question 8

PP assessments for the first 2 hours

Answer 8

every 15 min

Question 9

color of lochia/discharge 1-4 days after birth

Answer 9

rubra (red)

Question 10

good newborn states to feed (hint: 3)

Answer 10

1. active (light) sleep
2. drowsy state
3. awake, alert state

Question 11

avoid this PPH med for those with asthma

Answer 11

carboprost

Question 12

when does menstraution reoccur for nonlactating women

Answer 12

7-9 weeks

Question 13

when is the window the PP “baby blues” to be considered PPD

Answer 13

after 10-14 days

Question 14

when will platelet levels return to normal

Answer 14

by the 6th PP week

Question 15

how many wet diapers after 4 days old

Answer 15

6 wet diapers day

Question 16

avoid this PPH med for hx of DVT (may be overlooked)

Answer 16

TXA-tranexamic acid

Question 17

when do plasma levels reach the pre-pregnancy state

Answer 17

4-6 weeks PP

Question 18

what nutrients are important during the PP period

Answer 18

high fiber and iron

Question 19

this occurs in first 24 hours after childbirth

Answer 19

postpartum hemorrhage

Question 20

average blood loss for a vaginal delivery

Answer 20

200 to 500mL

Question 21

typical weight of newborn

Answer 21

7.2-7.6 oz (3.2-3.3kg)

Question 22

leading cause of mortality in the US

Answer 22

postpartum hemorrhage

Question 23

a sequence of events that result in ischemic or toxic mucosal damage of the gut. no single known cause

Answer 23

necrotizing enterocolitis (NEC)

Question 24

this returns to normal within hours of delivery

Answer 24

cervix

Question 25

early sign of RDS

Answer 25

grunting

Question 26

average blood loss for C-section

Answer 26

700 to 1000 mL

Question 27

typical head measurement

Answer 27

13-14 inches (33-35cm)

Question 28

when do baby blues peak

Answer 28

at day 4-5

Question 29

color of lochia/discharge 7/10 days-6 weeks days after birth

Answer 29

alba (white)

Question 30

most common cause of PPH

Answer 30

uterine atony

Question 31

5 T's of PPH

Answer 31

Tone, tissue, trauma, thrombin, and traction

Question 32

-poor muscle tone -jitteriness -low temp -lethargy

Answer 32

symptoms of hypoglycemia

Question 33

crosses placenta, passive immunity

Answer 33

IgG

Question 34

Rubin's maternal psychologic adaptation

Answer 34

-taking in -taking hold -letting go

Question 35

three processes of involution of the uterus

Answer 35

1.contraction of muscle fibers 2.catabolism 3.regeneration

Question 36

commitment, attachment, preparation for an infant during pregnancy

Answer 36

stage one of parenthood

Question 37

this pH is a sign of asphyxia

Answer 37

7.2 or less

Question 38

commonly associated with the copper rash seen on newborns

Answer 38

syphilis

Question 39

normal BG after day 1

Answer 39

50-90

Question 40

color of lochia/discharge 4-7/10 days after birth

Answer 40

serosa (yellow-ish)

Question 41

daily calorie needs of the newborn

Answer 41

100-110 cal/kg

Question 42

expected weight loss after delivery

Answer 42

5-6kg

Question 43

what type of Coombs test for ABO incompatibility

Answer 43

positive indirect Coombs test

Question 44

PP assessments for the remaining 24 hours

Answer 44

Every 4 hours

Question 45

the 5 s' of a crying baby

Answer 45

1. swinging 2. side/stomach position 3. shushing 4. sucking 5. swaddling

Question 46

avoid this PPH med for cardiovascular disease

Answer 46

misoprotol

Question 47

avoid this PPH med for those with HTN

Answer 47

methylergonovine

Question 48

intake for the first 2 days of life

Answer 48

40-60mL/kg (18-27 mL/lb)

Question 49

infection of endometrium, decidua, and adjacent myometrium

Answer 49

metritis

Question 50

when does menstruation reoccur for lactating women

Answer 50

dependent on length of feeding

Question 51

where is the uterus after delivery day 1

Answer 51

the umbilicus

Question 52

expected weight loss over next 2 weeks

Answer 52

3-4kg

Question 53

postpartum hemorrhage blood loss following vaginal birth

Answer 53

>500 mL

Question 54

this lab reflects tissue perfusion

Answer 54

lactate

Question 55

moving toward a new normal routine in the first 4 months after birth

Answer 55

stage 3 of parenthood

Question 56

acquaintance with and attachment to the infant, learning how to care for the infant, physical restoration in first weeks after birth

Answer 56

stage two of parenthood

Question 57

when do total bilirubine levels peak

Answer 57

4-5 days after birth

Question 58

typical length of newborn

Answer 58

19-20 inches (48-50.8 cm)

Question 59

postpartum hemorrhage blood loss following a C-section

Answer 59

>1,000 mL

Question 60

how many wet diapers until 4 days old

Answer 60

one wet diaper per day old

Question 61

normal day 1 BG

Answer 61

40-60

Question 62

first period of reactivity

Answer 62

birth to 30 min to 2 hours after birth

Question 63

present in colostrum

Answer 63

IgA

Question 64

typical chest measurement

Answer 64

12-13 inches (30-33cm)

Question 65

where is the uterus 2 weeks after delivery

Answer 65

the pelvis

Question 66

what does LATCH stand for?

Answer 66

Latch Audible swallowing Type of nipple Comfort Hold

Question 67

what size blood clots do we worry about?

Answer 67

greater than a golf ball or quarter

Question 68

PP assessments during the 3rd hours

Answer 68

every 30 min

Question 69

period after delivery of placenta, lasting for 6 weeks

Answer 69

puerperium