IM/SQ
Pain Management
Infection Precautions
Chest Assessment
Postpartum
Newborn 1
Newborn 2
Newborn 3
Family planning
PP Complications
Fetal HR
L&D1
L&D2
Antepartum 1
Antepartum 2
100

What is the MAIN DISADVATNAGE to injected medications?

what is Infection

100

What does the acronym PQRST stand for?

Provokes, quality, radiates, severity, time

100

The study of distribution and determinants of health conditions.

Epidemiology.

100

The lower respiratory System consists of what

Lungs, Bronchi, Bronchioles, Alveolar ducts, Alveoli

100

The puerperium refers to:

Postpartum(6 weeks)

100

A baby is born at 44 weeks what is the baby considered

Post due date

100

A neonate who was born WNL head measures 13 inches what is this considered?

Normal (12.5-13)

100

Bilirubin is a biproduct of the breakdown of____?

RBC

100

STIs, Drugs, Alcohal are all example of ____?

Causes of sterility/infertility

100

Post Partum mother presents with severe headache, visual changes, epigastric pain.

Bonus if you can tell the range of time those can happen

At HRP Pre- Eclampsia

after 40 weeks pregnant- 6 weeks PP

100

Changes in FHR during Contractions is considered _____?

Periodic

Reading and interp. FHR slide 4

100

Uterine distention, oxytocin stimulation, and prostaglandin release are all theories of_______?

Labor Onset

L&D slide 3

100

Th effect boost of energy some woman feel that pushes them to make sure life is in order. It is a sign of Labor.

Nesting

Durrham pg 245

100

What is Nagele's rule?


Bonus if you can tell me what it is.

Expected date of delivery

First day of Last Menstrual period- 3 months+ 7 days

Antepartum Slide 7

100

Probable signs of pregnancy are_____?

Observed by examiner, but may be attributed to other causes.

Antepartum slide 9

200

A single dose, pre-scored around the neck bottle, which needs a filtered needle to administer safely is

Bonus* what don't you do with these

what is ampule

Do not inject air

200

The psychological dependence/craving/uncontrollable compulsive use of narcotic, which can lead to self destructive behavior is called what?

Addiction

200

name the 6 factors that increase the rate of emerging/remerging infections.

population density, inadequate sanitation, antibiotic misuse, bioterrorism, low vaccination rate, international travel

200

Pack year history formula:

#packs a day X # of years Smoked

200

Term for a women who is pregnant for the first time

Prima Gravata

200

a baby is born at 4 lbs 8 oz what are they classified as

small for gestational age

200

You are presented with a baby who was born 6 days ago, they have lost 9% of their body weight what  do you tell the mother?

Over a newborns first 7 days of life it is normal for a 5-10% weight loss to occur

200

A baby is born, immediately after birth it bilirubin levels 6 mg/dl what is that considered.

High

200

A holistic approach to family planning considers:

religion and culture, psycho-social, economic, effectiveness, RF

200

28 hours after birth a mother suffers a hemorrhage, what is this considered, what could be the reason, and how would you treat it?

Late stage hemorrhage

, Hemaotome, subinvolution, retained placental tissue,

 Bi-manual compression, Uterine tamponade and/or a Perrett

200

Tachycardia, Bradycardia, and irregular rhythm are all examples of

 Non reassuring FHR

Reading and interp. FHR slide 4

200

What phases are included in stage 1 of Labor? Bonus tell me what they are.

laten phase(cervix thins and opens), active phase(moderate regular freq of contractions), transition phase(time to push/urge to push)

L&D slide 42

200

What should a newly pregnant woman be health taught in regards to medications?

All Oral, IM, & IV meds affect the fetus.

L&D slide 58

200

Amenorrhea, Nausea/Vommitting, and Fatigue are all _______ signs?

Presumptive

Antepartum slide 10

200

What hormone is a at home pregnancy test, testing for?

Bonus tell me what the mom should be Health taught. and if you can tell me what kind of sign it is.

Human Chorionic Gonadotropin (HCG)

First Am urine to get most accurate results. And that they can be inaccurate due to Improper collection, Medications, Hormone-producing tumors.

Probable sign

Antepartum slide 19

300

When drawing medications from a vial what are the first 2 steps not including the 3rd check?

Wipe the top with alcohol pad and inject air equivalent of amount to be drawn

300

Narcotics prescribed for moderate to sever pain that act on CNS to cause analgesia.

Opioids

300

If a pt presents with Measles which precautions should be taken

Airborne precautions

300

what does IPPA stand for get the order right

Inspection, palpation, percussion, Auscultation

300

Methragen is a common used med for pregnancy what is it for

Easier contractions, less bleeding

300

To prevent cold stress what should be maintained

NTE ( Neutral thermal enviroment)

300

A baby intakes 650mL of fluid per day. What do you health teach the mom?

Normal newborn fluid intake is between 600-700mL of fluid per day.

300

What are the 4 priorities of a nurse within the first 30-40 mins a newborn's life?

Watch resp, keep warm and dry, feed, bonding with parents

300

Abstinence, coitus interruptus, Billing's ovulation method are examples of

Natural family planning

300

A new mother presents with pale and clammy skin, hypotension with tachycardia, bradypnea what is the pt most likely suffering from and what is your intervention?

Uterine atony(hemorrhage/boggy uterus)

encourage void, Possible 02, BW, assess VS, IV to replace BL with crystalloid  solution or medication

300

A FHR of 181 for 12 minutes is considered what?

Fetal Tachycardia.

Reading FHR slide 6/ Durrham pg. 310

300

A soon to be mother's cervix is softening, shortening, and thinning. What is this called?

Effacement

L&D slide 10

300

A baby is born with 2200mL of amniotic fluid what is this called what could this lead to?

Polyhydramnios

Fetal GI obstruction/atresia

L&D Slide 78

300

Sign of pregnancy report by the pt are______?

Presumptive signs

Antepartum slide 9

300

At a mother's last antepartum appointment she was noted with a BP of 148/98 and Proteinuria. What is she at HRF, and what should she be health taught?

HRF Pre-eclampsia

HT monitoring of CNS changes, possible meds, activity restrictions

Antepartum pt 2 slide 36-38

400

When giving a SQ injection you are given a needle >1/2", what angle should to injection  be given?

45 degree angle

400

Opiods, like morphine are examples of

Bonus if u tell me what it does

Agonists, 

chemical binds to receptor in brain trigger response in the brain

400

MRSA, and VRE are example of

MDRO's or Multi drug resistant organisms

400

Which Lung has 3 lobes

Right lung

400

A soft and spongy uterus which increase the risk for hemorrhage would be called: How is this treated

Boggy, massage the abdomen where the uterus is

400

A baby has jitteriness, a weak cry, and tremors these could all be symptoms of

Low BS , CNS stress rt low BS

400

You are speaking with a new mom about regulating a newborns temperature, she says "if a baby is cold, wont it shiver and that's how ill know to help?" Health teach the pt.

Babies cannot shiver. They produce heat through their brown fat which they're born with. It is important to make sure the babies always kept in a neutral thermal environment.

400

A neonate has been alive for 2 hours what period of reactivity is it most likely in? what is the nurses main priority

First period of sleep/inactivity.

Maintaining NTE

400

If a pt used condoms for their BC methods it is considered what? How effective are they?

Barrier method, 98% effective

400

What does the acronym HELLP stand for

Bonus if u can tell me hemolysis range and Platelet count range

Hemolysis, Elevated Liver enzymes, Low Platelet count

hemolysis range <6

Platelet count range <100,000

400

What are the causes of fetal tachycardia?

Maternal: Fever, Infection, Chorioamnionitis, Dehydration, Anxiety, Anemia, Meds, Illicit drugs, Activity, anemia, Cardiac abnormalities, fetal tachyarrythmias.

Durrham pg 310

400

What are the 5 P's of labor?

Passenger(fetus), Passageway(mother's physical ability to deliver), Powers(2 types involuntary/voluntary), Position (fetus descend), Psychological(Mother's psyc influence mother). 

L&D slide 5

400

In the transition phase when a mother gets to 10cm of dealation what reflex is inhibited?

Ferguson

400

A mom is 17 week pregnant when she starts to feel her uterus contract in a tight, intermittent, painless way that has no pattern. What should she be health taught?

These are Braxton-Hick Contractions and are normal in pregnant women past 16 weeks.

Antepartum slide 15

400

A baby is born with anomalies and less than 300 mL of amniotic fluid what is this called?

Oligohydramnios.

Antepartum slide 35

500

When giving and IM injection in the VENTROGLUTEAL site, we are looking to place our index finger on what POI.

what is anterosuperior iliac spine

500

What is a common Mu agonist? and list some side effect.

Hydromorphone (dilaidid), Fentanyl, Oxycodone, Codeine, Methadone

Drowsiness, N/V, constipation, orthostatic hypotension, Depress resp rate

500

Erythema, Fever, Induration, Elevated WBC, Purulent drainage from wounds are all examples of s/s of ____.

bonus if u can tell me what it needs to be dx

MRSA  

+ culture

500

Medical term for Pigeon chest

Pectus Carinatum

500

BUBBLEHE is an acronym for assessment in regards to post partum what does it stand for

Breasts, Uterus, Bladder, Bowel, Lochia, Episiotomy, Homan's sign/hemorrhoids, Emotional status

500

The baby is vomitting, jaundice, and has a high pitched cry what could the baby be suffering from? And what is the main form of treatment

Kernicterus, phototherapy(light therapy)

500

A newborn is brought to you with a respiratory rate of 66 resp per min, and a notable Loss of consciousness. What  is the infant most likely suffering from and how do we help treat it?

Cold stress, warm the newborn slowly(double wrap and cap or kangaroo), monitor temp every 30 min, check glucose

500

A baby wakes up after its very first nap, it is crying, alert to its surroundings, and hungry from what you can tell. What is happening and what are your priorities as a nurse?

The second period of Reactivity

Bond with parents, feed, maintain baby airway, maintain NTE

500

Long-acting, reversible, highly effective(99%) form of female birth control in which you need a HCP to prescribe that may cause irregular menses'____?

IUD

500

Loss of 1200 mL of blood during C-section would be considered________ _________.

Post partum hemorrhage. 

500 for vaginal 1000 for C-section 

post partum complications slide 3

500

List causes of prolonged deceleration in FHR.

Mechanism of profound change in fetal 02, interruption in uteroplacental perfusion, Interruption of umbilical blood flow, Vagal stimulation.

Durrham pg 318

500

A woman has entered labor and their cervix is fully dialted, when health teaching a mom about her Voluntary Expulsive efforts which option is the best to tell her?

A. Push until you cant anymore then breath!

B. Push for 6-8 seconds, then exhale. 4 times per contraction.

C. Push as long as you can and hold your breath to keep you diaphragm out of the way, then breath and repeat per contraction.

B. Push for 6-8 seconds, then exhale. 4 times per contraction

Durrham pg 246, 247

500

A mom who was given an epidural, had a BP of 138/86, after reassessing it is now 94/54. What is your action?

Notify Anesthesiologist/ Nurse
L&D slide 71

500

The result from increased venous pressure.

Bonus how would you treat it?

Varicosities

support hose, avoid prolonged sitting/standing, avoid crossing legs.

Atepatrum pt 2 slide 15

500

How many extra calories should pregnant woman be eating to support a baby inutero?

300/day on average or 80,000 total or 300/day 2nd trimester 450/day 3rd trimester

Antepartum pt 2 slide 24

600

As the number for the gauge of a syringe increase the inside dimension or bore does wha

Shrinks or gets smaller.

600

Suboxone which is used to treat opioid addiction for an easier withdrawal is an example of a

Partial Agonist

600

what precautions are taken for a pt + with C-Diff

Contact Precautions.

600

Difficulty Breathing when lying down

Orthopnea

600

a commonly used hormone that helps to contract the uterus

Pitocin/ oxytocin

600

A mom presents in the ER in labor and she mentions she is HIV positive. What is the result of her giving that history?

a scheduled C-section

600

What 2(ish) things should a baby be given at birth to ensure smooth transition to the outside environment?

Vitamin K(for clotting), eie ointment(protect from blindness), Hep B is optional

600

APGAR what does it stand for and what is it

Appearance, Pulse, Grimace, Attitude/activity, Respiration

Rapid assessment of the need for resuscitation

600

Weight gain, irregular bleeding, and skin irritation are just some of the side effect women may face from this for of Birth Control.

Hormonal methods

600

Early stage hemorrhage in a post partum mom is from ________ to __. And late stage hemorrhage is After____ or up to _-__ _____.

Delivery to 24 hours

After 24 hrs or up to 6-12 weeks.

Postpartum complications slide 4

600

A FHR is 102 for 10 mins what is this considered? If its not normal what may be the causes?

Fetal Bradycardia.

Maternal: Supine, Dehydration, hypotension, and acute cardiopulmonary compromise (cardiac arrest, seizures), Rupture of uterus or vasa pervia, placental abruption, Medications, fetal response to hypoxia, umbilical cord occlusion, hypothermia, hypokalemia, fetal head compression, fetal brady arrythmias.

FHR slide 6/Durrham pg 311

600

During your admission assesment the fetal HR is 148 on average over a 10 minute period. What is this considered and what is you nursing intervention if there are any?

Normal, none.

Tachy=>160

Brady=>110

FHR slide 6

600

A mother is arrives in labor her RR=21 BP=135/86 O2=98 and she is A&Ox3. She is given Fentanyl during the delivery for Pain. Her vitals after med administration read RR=16 BP=98/62 O2=93 and she is A&Ox3. Is anything wrong and what is intervention if there are any?

Administer O2, Place in Lateral position, Increase Iv fluids.

L&D slide 71

600

A brand new mom has just received a positive sign that she is pregnant. What should she be health taught?

Exercise: Continue as previous. Do not begin strenuous exercise. 30min/day. Avoid overheating
Employment: General practice-cannot forbid. Continue as able, avoid exposure to environmental hazards.
Travel (safe in low-risk pregnancy)
Walk, support hose, stop frequently to decrease
risk of thrombophlebitis.
Smoking IUGR (smoking and 2nd hand smoke)
Preterm labor, PROM, abruptio placenta, placenta
previa, fetal death

Antepartum slide 46

600

Cravings, Pica, Pagophia are all examples of_____

Bonus describe them

Nutritional problems for pregnant woman.

Pica- non food item cravings

Pagophia- compulsive consumption of ice or iced products

Antepartum pt slide 29

700

What is the maximum amount you would inject at one time Subcutaneously

1 ML

700

Naloxone is an example of

bonus tell me what it does

Antagonist

Reverse the effect, blocks the action of the agonist

700

A pt is dx with "flesh eating disease" what is the medical term for this

Necrotizing Fasciitis

700

The most inferior point of the sternum is called

Xiphoid Process

700

a women who has never had a viable birth over 20 weeks

Nully para

700

An infant is receiving phototherapy for jaundice resulting from Hypoglycemia, what is the major concern while giving this treatment.

Dehydration

700

3 days after a baby was born their RBC was 7.2 million/mm is this normal? What is the normal range?

No it is High

at birth: 4-6.6 million /mm

2-5 days after changes to 4 million/mm

700

Heel sticking the baby at birth and 4 hrs after birth is important for what reason? How does this effect the baby?

Bonus if you tell me why these needs might increase?

Glucose levels fall rapidly following birth d/t drop in maternal blood supply. Vital organs depend on glucose for cell function. 

LOC, RR, Hypothalamus function

Hypothermia increase glucose need

700

Acronym for side effect of hormonal contraceptives.

ACHES

Abdominal pain, chest pain, headache, eye problem, severe leg pain/clots

700

MAP stands for what? How do we Calculate it? What is it useful for?

Mean Arterial Pressure

Systolic+ (2 x diastolic)/ 3

screening for Hypertension(HRF eclampsia)

Postpartum complications slide 27

700

A fetus has late deceleration what is happening and what is your nursing intervention if there are any?

Uteroplacental insufficiency

Changer maternal position to lateral, elevate legs, increase IV fluids, D/C Oxytocin, O2

L&D slide 89

700

A  mother presents with a Prolapsed cord and vaginal bleeding what is this considered?

Emergency Situation

L&D slide 91

700

Umbilical cord compression, Nuchal/short/prolapsed knot between the pelvis and fetus are examples of_____? What are you interventions if there are any?

Variable Decelerations.

Change maternal position to Lateral, D/C oxytocin, O2, Vaginal exam

L&D slide 90

700

What 3 supplements are important for pregnant woman to be on, and for what?

Folic acid for RBC synthesis

Iron for maternal blood supply increase

Sodium major electrolyte

Antepartum pt slides 25-27 

700

A Mom has been determined to have an Ectopic Pregnancy what treatments are used for these?

Laparotomy, Laproscopy, Methotrexate

Antepartum pt 2 slide 44

800

When giving an oil-based medication what gauge needle would typically be used.

18-25

normal= 20-25

800

A 3 on the Sedation Scale would be

pt is frequently drowsy, able to be aroused, drifts off to sleep during conversation.

800

What is the current treatment for Ebola

There is no direct treatment just make the pt comfortable

800

Spine irregularity that causes bending over which compresses the lungs and decreases the ability to expand

Kyphosis

800

An incision on the perinium that helps assist with delivery of an infant

Episiotomy

800

when a baby is born we feed it small amounts, typically 5-10ml what reflex are we trying to avoid?

Hering-Breuer reflex

800

12 hours after a baby is born their glucose reads 42 mg/dl, is this normal, what is your first action and why?

No the baby is hypoglycemic

Giving the baby a fast acting source of glucose

BS needs to stay up for neurological functioning

800

A pO2 of 30 at birth is considered?

Normal

20-30= normal range at birth

800

A 28 year old female pt presented today in the ED with a ingrown toenail that the HCP deemed infected, she has been prescribed Carbamazepine, what should she be Health taught.

This will make hormonal Birth control ineffective while you take it.

800

What med is used as an anti-convulsive for pt with Eclampsia?

Magnesium Sulfate.

Postpartum complications slide 38

800

A baby is determined to have an Early Deceleration. What is happening and what is your nursing intervention if there are any?

Head compression, None.

L&D slide 89

800

A fetus has late deceleration what is happening and what is your nursing intervention if there are any?

Uteroplacental insufficiency

Changer maternal position to lateral, elevate legs, increase IV fluids, D/C Oxytocin, O2

L&D slide 89

800

A pregnant lady presents she is having strong contractions that are 210 seconds apart, her cervix is dialated 6 cm which stage of labor is she in?

Active Phase of stage 1

L&D slide 42

800

Nursing care of plecenta previa, and abruptio placenta includes

obtain Hx, Last vaginal exam/US results, VS, Lab tests as ordered, Monitoring fetal HR, Assess uterine tone/contractions.

Antepartum pt 2 slide 54

800

A pregnant mom is dx with Hyperemesis gravidum what symptoms is she most likely suffering from?"

A. Low BP, hypovolemia

B. High BP, Proteinuria

C. BH contractions, Low BP

A. Low BP, Hypovolemia

s/s include: continued vomiting (hypovolemia), hemoconcentration, wt loss, tachycardia, low BP, poor skin turgor, dry mucous membranes (dehydration), malnutrition, severe cases –
diminished kidney function, ketosis

Antepartum pt 2 slide 39

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