Must Knows
True or false: water can be regularly substituted in between feeds as a filler for 0-12mo olds
False no water before 12mo of age.
At 22 weeks pregnant a patient is concerned about the following, what should be reported immediately?
-vaginal spotting
-fetal movement
-tenderness in breast
-excessive vaginal bleeding
-blurring of vision
vaginal spotting, excessive bleeding, vision
Place the actions in order for suspected cord prolapse 1 call for help 2 reposition knee chest or trendelenburg 3 lift presenting part of cord 4 prepare for emergency birth 5 apply sterile saline goes to expose cord.
1,3,2,5,4
Lose 100 if not correct
which manifestations indicate severe preeclampsia hyperreflexia, epigastric pain, visual disturbances, BP 110/70, oliguria
hyperreflexia hyperactive, deep tendon reflex, indicate central nervous system irritability, epigastric, pain, epigastric, or right upper quadrant pain suggest liver involvement in may indicate worsening disease diseases, visual disturbance, blurred vision, seeing spots, or flashing lights, oliguria urine output, less than 30 ML’s per hour suggest decreased kidney perfusion.
What is the cause of RDS?
Low surfactant levels think we have the S so we need surfactant.
A client is 32 weeks pregnant presents with BP of 160/100, facial edema and reports seeing spots. What is the most likely condition the client is experiencing?
Preeclampsia
A quiet receiving magnesium sulfate has respirations 10 per minute absent deep tendon reflux and you’re an output of 20 mL per hour. What medication should the nurse anticipate
a oxytocin
B calcium gluconate
c terbutaline
d betamethasone
B calcium gluconate is the antidote for magnesium toxicity magnesium toxicity can cause respiratory depression, absent refluxes, and low urine outlet.
Get double points if correct
why is betamethasone given?
To mature fetal lungs
Often used in pre term babies to increase lung maturity.
Glucocorticoid
A client ask when she should start to feel fetal movement how should the nurse respond
4-6 weeks
8-10 weeks
16-20 weeks
30-34 weeks
16-20 weeks
A client on oxytocin develops late deceleration which action is appropriate
a stop oxytocin
b reposition side laying
C increase IV fluids
D notify RN/provider
E replace client flat on back
F prepare for possible emergency birth.
A B C D F
A boggy uterus indicates what?
Uterine atony -this is also the most common cause of postpartum hemorrhage.
what is hyperbillium?
how do we treat it?
Hyper bilirubin is the excess of red blood cells that aren’t being broken down properly and cause yellowing.
phototherapy
What nutritional education should be done during the 1st and 2nd trimester?
1st folic acid, lentils, leafy greens, beans start to increase cal and fluids
2nd increase cal intake the baby is growing, no rare steaks simple protein are best increase liquid volumes as well you are doubling your blood
Which findings after prom should be reported
a. Maternal fever.
b. Foul smelling fluid.
c. Fetal tachycardia.
d. Clear fluid.
e. Uterine tenderness.
Premature rupture of membranes
ABCE
Lose points if not answered correctly
what is a classic sign of uterine rupture?
Sudden Abdominal pain often described as a tearing or ripping uterine rupture in OB emergency in which the urine walls often at the side of a previous scar. It can cause severe maternal hemorrhage and fatal compromise.
What are the two important questions that you should ask a RH negative expecting mother
1. What is the fathers RH
2. how many pregnancies have you had.
What statement require more education
breastfeeding help return my uterus back to normal size.
breast milk promotes bonding and gives antibodies
i should wait to my breast milk come in before breastfeeding
exclusively breastfeeding is recommended for the first 6mo of life.
3
A postpartum client has heavy lochia boggy uterus and a BP of 88/50. What is the nurse’s first action?.
Massage the fungus foggy uterus equals urine atony massage first.
What does RDS stand for and what causes it?
Respiratory Distress Syndrome-lack of O2
What are the 4 immunizations given prior to 12mo of age?
what immunization is given at 12-15 mo of age?
TDap
IPV
IB-flu B
Hep B
MMR
What are the 4 stages of Labor? And what are 3 possible complications of V Labor for mom and baby?
Cervical dilation and effacement
birth of baby
birth of placenta
recovery
discuss
A 34 week pregnant client reports headache, blurred vision and right upper quadrant pain BP is 168/110 which provider prescription should the nurse question.
a. Magnesium sulfate infusion.
b. Seizure precautions.
c. Ambulate in hallway every hour.
d. Continuous fetal monitoring.
c-seizures risk means fall risk
Double points or nothing
A G2 P1 client at 36 weeks gestation is admitted with severe preeclampsia. assessment findings include BP 178/116 severe headache, headache blurred vision 4+ proteinuria, hyperlexia with clongus, magnesium sulfate infusing at 2 g/h, oxytocin infusion at 12 mL units per minute. What nursing action should the nurse perform immediately
a. Stop oxytocin infusion.
b. Stop magnesium sulfate infusion.
c. Administer calcium gluconate as prescribed.
d. Place the client in a sideline position.
e. Encourage the client to push with contractions.
f. Notify provider/RN immediately.
A, B,D, I