Complicated L&D
A patient in labor is found to have fetal heart tones above the umbilicus. What is the most likely presentation of the fetus
Breach
A preterm newborn would be in an incubator rather than an open crib due to risk for __________.
What is hypothermia (due to adequate ability to control their temperature)
Combined Oral Contraceptives, Vaginal Ring, and Patch are contraindicated in during the first weeks postpartum in the lactating woman due to containing this hormone that decreases milk supply
Estrogen
A woman is deciding between an IUD, COC's, Condom, Vaginal Ring, and Diaphragm for contraception. Which is the most reliable in preventing pregnancy?
IUD - failure rate less than 1%
COCs - failure rate of 7ish%
Vaginal Ring - failure rate 7%
Condoms - failure rate 13%
Diaphragm - Failure rate 17%
What is a common consequence of phenylketonuria (PKU) if left untreated in newborns?
Developmental Delay, Intellectual Disability
What is the primary complication indicated by the turtle sign of the fetal head?
Shoulder dystocia
The nurse's priority following delivery of the neonate is to assess this system
Respiratory System
Name at least one method of contraception that contains progestin only
Depo - shot
IUD - Levonorgestrel intrauterine system (LNG IUD)
Progestin-only pill - mini pill
Implant - (Implanon and Nexplanon)
A LGA newborn with assessment findings of poor feeding, jitteriness, hypothermia, weak cry, lethargy, seizures, irregular respirations, apnea may be suffering from__________
hypoglycemia blood glucose <45mg/dL
A nurse is about to use a bulb syringe to suction a newborn who has copious secretions in the nose and mouth. Which area should the nurse suction first, the nose or mouth?
Mouth
An effective *maneuver* to alleviate shoulder dystocia by flexing the mother's legs to her abdomen to free the baby's shoulder
McRoberts Maneuver
A G3P2 maternal antibody screen with a positive indirect Coombs test places the newborn at risk of this
Pathologic Jaundice
Infertility is the inability to conceive after _____months of trying in a person 35 and over
6
A newborn with assessment findings of a high pitched shrill cry, constant crying, tremors, increased moro reflex, increased muscle tone, mottling, disturbed sleep pattern, convulsions, tachypnea, frequent yawning, poor feeding, diarrhea, increased temperature, retractions may have __________
Neonatal Abstinence Syndrome
A patient is in labor and does not have pitocin running. You note late decelerations on the FHR. What is the first thing the nurse should do?
Turn the patient onto their left side to promote blood flow to the fetus
The name of the complication that occurs due to a disproportion between the maternal pelvis and fetal size
Cephalopelvic disproportion
The FNASS (or NASS) and Modified Finnegan Scoring tool are tools used to screen for
Neonatal Abstinence Syndrome
True or False:
Anticonvulsants can decrease the effectiveness of oral contraceptives
Anticonvulsants when taken simultaneously with COCs can decrease their effectiveness. The anticonvulsants included are: phenytoin, phenobarbital, carbamazepine, oxcarbazepine, topiramate, and primidone.
Late decelerations are a sign of ______ ______
Uteroplacental Insufficiency
While performing a vaginal exam, the nurse note the station of the presenting part of the fetus at the level of the ischial spines. This is documented as _____ station.
0 (zero) station
The nurse is caring for a patient in preterm labor who has an L:S ratio of 1:1, the nurse expects a corticosteroid, ___________ 12 mg, to be prescribed to prevent respiratory distress in the newborn
Betamethasone
An L/S ratio of ___:____ is an indication of fetal lung maturity in a non-diabetic patient
2:1
Levonorgestrel works as an emergency contraception by
Inhibiting ovulation through inhibition of an LH surge
Potentially altering tubal transport (according to ATI)
May prevent implantation (National Institutes of Medicine)
This is the nurse's priority when a patient experiences rupture of membranes during labor
Assess the fetal heart rate
The nurse notes a patient in active labor is lying supine in bed and has a blood pressure of 80/40. The nurse should first ________
Turn the patient to relieve pressure on the vena cava