A
Dr. Emms patient arrives to the floor in labor at 2100. Dr. Kossler is on call for the group. Who is the admitting provider and who is the attending provider?
Attending: Emm
Admitting: Kossler
Why are the following medications given to infants?
1. Hep B Vaccine
2. Vitamin K
3. Erythromycin ointment
1. To prevent Hepatitis B infection and start the vaccine series early to prevent multiple shots at the first peds appointment.
2. Help blood clot due to infant not having sufficient clotting factors as a newborn (helps prevent brain bleeds from delivery)
3. Protect eyes from infections that may have been obtained during delivery. (needs to be given within 1 hour of delivery)
How many instruments are on a vaginal delivery table?
15
You have a baby whose blood type is O- with a positive coombs, when do you take the first tcb reading?
12 hours
Baby Johnson was born via vaginal delivery. When can you do his hearing screen.
12 Hours
Which hand and foot do you place the pulse ox during a CCHD screen?
Right hand and either foot.
What does the dark line on the IVPO calculation sheet mean?
The baby is taking enough orally that it no longer needs an IV.
Where do you find the rapid infuser for blood administration?
- ED
-OR
-Supervisor
Baby Green needs a TCB performed in room 270.
Great Job!
You are caring for an infant in the nursery. The monitor is alarming that the infants O2 sat is at 72%. What actions will you take next?
- assess infant color, respirations, and work of breathing
- ensure monitors are attached correctly
-check the pleth
Place cardiac leads on the adult patient and newborn patient.
Awesome Job!
What is a contraindication of nitrous oxide use in labor?
- Significant Vitamin B12 deficiency
- any condition that creates a space for the gas to collect
- increased intracranial pressure, pulmonary hypertension, impaired oxygenation, hemodynamic instability, increased intraocular pressure, and methionine synthetase deficiency
Mrs. Miller delivered a 2500g baby at 36.2 weeks. Her prenatal labs are Hep B neg, HIV positive, GBS neg, Rubella immune. When will this baby get bathed.
immediately
A patient just arrived to the floor complaining of "a gush of fluid" an hour ago. Using Nitrazine, test her for ROM.
You just got the TORB of nitrous oxide for your patient. What orders are placed in epic and how do you chart administration of nitrous oxide?
Orders: verify informed consent and nitrous oxide patient self administration
Smartphrase: .nitrousoxide
Miss. Jackson just got to the unit for her scheduled induction. You need to get her in the computer and admitted.
Yippee!
Your patient is hemorrhaging and needs blood now! Chart emergency blood!
awesome!
Super!
Quick you just got an admission, go get the paper chart together!
Way to go!
24 hours post delivery! Fill out a PKU!
Awesome!
Set up a vaginal delivery table.
Great Job
Your patients Hgb is 7.1. You need to give blood!
Super
You are working in the nursery. You baby is on IV fluids and also eating. Fill out the IV/ PO calculation.
Look at you go!
Baby Girl Smith was born 8 hours ago and the parents are requesting a bath. What temperature does the baby have to be for a bath? And Demonstrate.
98.2 F. Great Job
You patient is asking for nitrous oxide. Set it up for them.
Super Job!