NURSING N/A - OB Final Exam Study Guide/NURSING N/A - OB Final Exam Study Guide.
1. Pregnant Weekly screen:
Smoking/alcohol
Health screening
CBC/nutritional education
Family history
2. Newborn normal vital sign:
OB FINAL
1.Pregnant Weekly screen:
Smoking/alcohol
Health screening
CBC/nutritional education
Family history
2.Newborn normal vital sign:
oTemperature: 97.7 to 99.5 (36.5 to 37.5 C)
oHeart rate: 120-160, if baby is crying increase up to 180
oRespiration: 30-60 at rest
oBlood pressure: 50-75 systolic & 30-45 diastolic
3.Ballard Scale: Gestational age base on neuromuscular and physical maturity
45 for 42 weeks
20 for 32 weeks
4.Taking In Phase: characterized by dependent behavior
Time immediately after birth when the mother sleep, and dependent on the nurse to make the decision
Typically last 1 to 2 days
They spent time recounting their experience
5.If a patient does not have immunity for rubella: Get consent from patient
Administer the rubella vacine
6.The patient is 5 days postpartum (puerperium) where would the Fundus be? :
o5 fingerbreadth below the umbilicus
oThe fundus decrease at a rate of 1 cm (1 fingerbreadth) per day 7.Key element of inform consent:
Serving as a witness to the signature process
The client understand what she is signing/and the wording is simple
Decision is voluntary without no coercion
The witness sign the consent
The decision maker is of legal age
8.IF your palpating the patient fundus and you found it either to the left or right: Have the patient use the bathroom
9.Mittleschmerz: Unilateral abdominal pain. Occur midway through cycle around the time of ovulation. Result of egg releasing from ovary. 10.S/S of placenta separation: Lengthen of the cord
Shape change of the uterus (it becomes globular)
The uterus rise upward
A sudden trickle of blood is release from the vagina
11.Acronyms to check for infection on patient :
Apply REEDA (redness, edema, ecchymosis, drainage, approximation)
12.What reflex goes away at 6month:
Rooting reflex: baby turns head and mouth toward a stimulus that strokes the cheek, chin, or corner of the mouth. As the months go, it becomes replaced by voluntary sucking. Disappear at 3month
Moro or startle reflex : back arches and the legs and arms are flung out and then brought back towards the chest, with the arm in a hugging motion; disappears 6-
7 months after birth.
13.Characteristic of newborn to heat lost:
Thin skin
Less brown fat No shivering mechanism
Blood vessel
14.Pregnant abuse patient is at risk for:
Miscarriage/ stillbirth
Preterm labor
Fluctuation of weigh Placenta abruption
Chorioamnionitis(infection amnion fluid)
Uterine rupture
Chronic anxiety/depression
15.Pulmonary embolism s/s:
Respiratory distress
Severe chest pain
SOB
16.Immediate priority post postpartum 1 to 2 hrs for patient is to : check fundus 4 bleeding
17.SAVE MODEL: Screening for abuse client
A.Screen all of your clients for violence by asking
B.Ask direct question in a nonjudgmental way
C.Validate the client by telling
D.Evaluate, educate and refer this client by asking
18.Mother Rh negative and baby Rh positive= give Rhogam redisposed to hyperbiluremia
19.Gonorrhea, if not treated will lead to what: preterm labor or gonornacoccal orthpthalmia
20.Macrocosmic baby you check for what:
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