Labor
Postpartum
Newborn Nursing
Math
Potpourri
100
What does the first stage of labor include?
Latent 0-5
Active 6-7
Transitional 8-10
100
You should caution your patient not to become pregnant within the next 28 days after administering what vaccine?
MMR (live virus)
100
Number of arteries and veins in an umbilical cord.
Extra 150 points: Which carries oxygenated blood and the return of unoxygenated blood?
AVA:
Artery
Vein
Artery
Extra points:
Umbilical veIN (oxygenated blood IN) bypass liver (DV) -> RA->FO to left ventricle ->Right ventricle (bypassing lungs through DA and enters the Aorta) -> Return of the Unoxygenated Blood is through the ARTERIES (reflects 👶)
100
Your postpartum patient is a G3P3L5. How many sets of twins does she have?
Two sets
100
What is IUGR?
Intrauterine Growth Restriction
200
What stage is the baby delivered?
Second Stage
200
Vaginal bleeding after delivery is called
Lochia
200
Swelling on an infant's head that Does Not cross the suture lines?
Cephlahematoma
Caput Succedaneum - Crosses Sutures
200
Your patient's birthday is 6/22/1994. How old is she?
29 years old
200
What is VBAC?
Vaginal Birth after Cesarean
300
The primary side effect of maternal narcotic analgesia in the newborn is?
Respiratory Depression
300
What does BUBBLEHE stand for?
Breasts, uterus, bladder, bowel, lochia, episiotomy (epidural), Homan's sign (DVT- discomfort behind the knee on forced dorsiflexion of the foot) Emotional support.
300
What are three risk factors for jaundice?
RH setup, ABO, bruising, Asian decent, sibling history, Coombs positive
300
Your C/S patient is in pain in the PACU. You decide to give her 25mcg of Fentanyl. The vial has a concentration of 50mcg/ml. How much do you draw up in the syringe?
0.5ml
300
HA, swelling, blurry vision, and feeling like something isn't right 4 weeks postpartum.
What is Postpartum Preeclampsia symptoms- needs evaluated.
400
The type of twins that are considered highest risk for cord accidents.
Mo/Mo (1 placenta, 1 sac) - cord entanglement
Let's Review:
Mono/Di (1 placenta, 2 sacs)- twin to twin transfusion
Di/Di (2 sacs, 2 placentas)
400
Name three uterotonics and when NOT to give them.
Oxytocin/Pitocin
Methergine (not if HTN)
Cytotec
HemAbate (not with h/o Asthma)
400
Name the three common medications given to infants shortly after delivery.
Erythromycin
Vitamin K
Hepatitis B
400
If the maximum dosage of Acetaminophen for an adult should not exceed 4g per day, how many times can you administer 2 tablets of Percocet (5/325) to your postpartum patient?
Six times ( two tables = 650 acetaminophen)
6x650= 3900mg=3.9g
400
Name three different positions for holding the infant during breastfeeding.
Pease demonstrate
Cross Cradle
Cradle
Football
500
What is the Baseline, Variability, are Accelerations/Decels present? What Category?
Sinusoidal- infant anemia
n/a variablity
n/a accelerations & decelerations
Cat III
CTX - normal
500
How soon should a new mom receive Rhogam after delivery if she is RH negative and her baby is RH positive?
within 72 hours
500
What is the best way to teach a parent about Vitamin K?
Vitamin K is used to treat vit K deficiency bleeding (VKDB) promoting liver function of various clotting factors (II, VII, IX, X).
Extra 50 points:
At birth, newborns do not have enough bacteria in their colon for synthesizing fat-soluble vitamin K.
500
You need to give Tylenol to an infant following a circumcision. The infant weighs 7# 8oz (3400g). The dosage is calculated at 15mg/kg. The Tylenol comes in syringes of 80mg per 2.5ml.
How many mls of Tylenol should this infant be given?
1.6ml
3.4 x15 = 51mg
51mg x2.5mls/80mg = 1.6
500
How well do you know Bethany?
Who is Bethany's favorite Nursing Theorist?
Jean Watson - Theory of Human Caring