OB 1
Mastitis teaching
Baby can have the milk, take all medications(antibiotics), apply a warm compress before feeding, and ensure the breast is empty?
After an epidural is administered the RN should closely monitor this.
What is the patient's blood pressure?
*Also FHR --> What decel?
This labor complication presents with sharp pain and rigid abdomen.
What is a uterine rupture?
These are the signs of preeclampsia.
What are h/a, blurry vision, elevated BPs, sudden weight gain?
These are medications given to a newborn following delivery and what they do.
What are erythromycin (to prevent eye infections) and vitamin K (to promote clotting)?
These are the s/s associated with NAS.
What are Prolonged high-pitched cry, Difficult to console, Tremors, Jittering, Yawning or Sneezing, Poor Suck Swallow, Vomiting, Diarrhea, Tachypnea, Tachycardia, Diaphoresis, Trouble Sleeping, Exaggerated Moro, Stuffy Nose, Hypertonia, Excoriation, Mottling, and Seizures.
Determine the due date for a patient whose LMP is January 20, 2023, using the Naegele method.
When is October 27, 2023?
(-3 months, +7 days, + 1 year)
Postpartum Discharge teaching.
What is no intercourse until follow up in 4-6 weeks, limits stairs and lifting for three weeks, and proper peri-care (do not wipe front to back use the peri bottle and pat dry)?
What is HELLP?
THis intervention can never be done on a patient who has bright red vaginal bleeding.
What is a cervical exam?
*Bonus: What conditions is this?
These are the four Ts of Postpartum Hemorrhage.
What are tissue, tone, trauma, and thrombin?
*Priority interventions?
These are the signs and symptoms of PCOS.
What are infertility, infrequent periods, weight gain, acne, and excess body hair?
Changes in vaginal and cervical coloration, abdominal enlargement, and a positive pregnancy test are these types of pregnancy signs.
What are probable signs?
The priority of the nurse after ROM.
What is FHR? For what complication?
These are the most common medication used for inductions/augmentation.
What is Cytotec, Cervidil and Pitocin?
*What score do we use to decide the medication to use?
Daily Double: What should the nurse do if the late decelerations or uterine tachysystole start to occur?
The gestational age for glucose values to be assessed for a diagnosis of gestational diabetes.
What is 24- 28 weeks?
Nursing care of a newborn with a respiratory issue includes these interventions.
What are maintaining oxygenation, decreasing stimulation, cluster care, thermoregulation, and glucose monitoring?
These three things are examined during a cervical exam.
What are dilation, effacement, and fetal station?
*Stages of Labor
This is the goal of preconception care.
What is to identify and modify potential risk factors?
This is the "type of variability" we want to see to know that the baby is well oxygenated during labor.
What is moderate variability?
*What category?
This is the priority nursing action for a patient who experiences a prolapsed cord.
What is to elevate the fetal head off the cord?
Bonus: In what ways is this done?
** by doing a cervical exam and pushing up on the head or placing the patient in a knee-chest position.
This is the position we place pregnant women in to increase blood flow to the fetus during an FHR deceleration.
What is a left lateral tilt?
If a newborn has a temperature above this number, they are at risk for a brain bleed, and below this number, they are at risk for cold stress and hypoglycemia.
What are 37.5 and 36.5?
To ensure a newborn does not have respiratory issues or a heart murmur, the nurse would listen to the heart and lungs for this amount of time.
What is the apical pulse for 1 min, and lung sounds in all areas for 1 minute?
*A period of apnea is normal for the newborn (up to how many seconds?)
Torch infections are most harmful to the fetus during these weeks.
What are weeks 3-8?
Before giving a patient a narcotic for pain, the nurse should first do this.
What is a cervical exam to ensure that delivery is not likely to happen soon after the medications are given? These medications cross the placenta, and the baby will be born with the narcotic in the system and risk for respiratory depression.
This condition involves fetal tissue or amniotic fluid entering maternal circulation.
What is anaphylactoid syndrome of pregnancy?
This is the location used for obtaining a newborn blood sample for glucose testing or metabolic screening.
What the outer heel?
Drying the infant at delivery is important to prevent these complications.
What are hypoglycemia and hypothermia?
This is the type of light used to treat high levels of bilirubin in a newborn.
What is the bililight or biliblanket? This treatment is called phototherapy.