Antepartum & High Risk Antepartum
OB & Newborn high risk
High Risk OB
Random
Newborn & Random
100

What is her G/TPAL (G/P):

Pt is 7 wks pregnant. 2 previous AB (10wk & 6wk),stillborn birth @ 39weeks.

G 4/P 1020

100

What are some of the risk factors associated with a 32 week newborn admitted to the NICU

SGA, maternal infection, fetal asphyxia

100

Labor Pt. suddenly says, "I can't breathe" has dyspnea with restlessness

Amniotic Fluid Embolism

100

First stage of Maternal adaptation

"Accepting the Pregnancy"

100

Tachypnea, grunting, retractions & nasal flaring

RDS in Newborn

200

Measures FHR (NST), muscle tone, movement, breathing, and the amount of AFL via ultrasound. 2 pt. each for a total score of 10.  Score of 8-10 = reassuring.  Score of 4 or less = might need to deliver the baby early or immediately.

(BPP) Biophysical Profile

200

Internal monitor, measures beat to beat variability.

FSE (Fetal Scalp Electrode)

200

Uterine Ctx, cramping, lower back pain, pelvic pressure, nausea, vomiting, diarrhea 

Signs of Pre Term Labor

200

Fever, Lochia odor, Strong afterpains, Elevated WBC. Related to the suspected diagnosis of:

Endometritis

200

Jaundice in a newborn who is less than 18 hours old

Pathologic Jaundice

300

Cravings of non-food substance causing iron deficiency anemia

PICA

300

The classic differentiating symptoms between placenta previa and placenta abruptio is A. Vaginal bleeding B. Abdominal pain C. Uterine contractions D. Uterine tone

B.Abdominal pain

300

Shoulder Dystocia

McRobert's maneuver

300

Deceleration pattern associated with a cord prolapse that may appear at random and may be unrelated to the mother's contractions

Variable decelerations 

300

Apical pulse 108, R 28, Pink body-blue extremities, crying after stimulation, well flexed extremities.

Apgar score:_____

8

400

G1P0 Pt presents to ED with bleeding and cramping. LMP 7 wks ago.  On speculum exam cervix is closed.

Threatened Spontaneous Abortion

400

Which intervention is NOT appropriate in a patient who presents @ 34 weeks with vaginal bleeding? A. Sterile vaginal exam B. Sterile speculum exam C. Real-time U/S 

A. Sterile vaginal exam

400

Pt on Magnesium Sulfate infusion has following VS on assessment: RR 9 breaths per min, absent deep tendon reflexes, urine output of 21cc/hr

side effects of Magnesium Sulfate 

400

Maternal PP adjustment - Review & recall details of L&D with nurses caring for her.

Taking-in Phase (dependent)
400

Small for gestational age, small eyes, thin upper lip, microcephalic

 Fetal Alcohol Syndrome

500

Amenorrhea, Nausea, Breast enlargement

Presumptive Signs of Pregnancy "subjective'

500

Antidote for Magnesium Sulfate

Calcium Gloconate

500

G1P1 Pt. 1hr Postpartum with heavy flow and boggy uterus.  Meds to reduce amount of bld loss are:

Pitocin, Cytotec, Methergine, Hemabate

500

NB Meds given @ birth 

Vitamin K - clotting

Hep B - vaccine given at birth

Erythromycin Ointment - prophylactically to prevent gonorrhea/chlamydia

500

2cm/0/60%

1st stage of labor - latent phase

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