Prenatal
What is the most important vitamin that can be taken to prevent birth complications?
Folic Acid
What are the 5 Ps?
Passenge, Passenger, Position, Powers, Psyche
What do you do when: pt is bleeding and the nurse palpated the abdomen to find the uterus to be boggy?
MASSAGE THE FUNDUS
What are the 3 meds given to a newborn?
Hep B vaccine, erythromycin, vitamin K
T/F: Tonic neck reflex is where the baby turns their head in the direction when their cheek is stroked.
False. Rooting reflex
Estimate Due date from Nov. 23rd, 2023, using Naegal's Rule
August 30th, 2024
What are the stages of labor?
1 - onset of contractions to cervical dilation (Latent, Active, Transition)
2- 10 cm dilation to birth of baby
3- birth of baby/delivery of placenta
4- postpartum/recovery period
What do you need to do if the fundus is found to be on the R side of the abdomen?
Empty bladder
How many stools/wet diapers should you expect with a 3 day old?
3
What is the difference between Leopold and McRoberts maneuver?
Leopold - feeling the abdomen for the position of the baby
McRoberts - moving the leg back to aid in a shoulder dystocia delivery
T/F: A pregnant woman's body will have increased blood volume.
True
What positioning is ideal for delivering a baby?
cephalic position - L/ROA (left or right occiput anterior)
What assessment do you perform on a postpartum mother?
BUBBLEHE (Breast, Uterus, Bladder, Bowel, Laceration/Lochia, Episotomy/Edema, Hemorrhoids/Homan's Sign, Emotions)
IgG
T/F: It is common for newborn to lose weight within the first week of life.
True. Their weight is inflated due to the fluids that the mother was given during delivery.
Find the probable sign of pregnancy: breast tenderness, abdominal enlargement, urinary frequency, N/V
Pregnant patient comes into the ED after calling 911 for labor. She claims to be very excited after she saw her loss of mucus plug and clear fluid. She is experiencing regular contractions at regular intervals that increase with intensity. Is this true labor?
No. There's no evidence of dilation and bloody show. Plus, the contractions would need to be increasing from intensity, duration, and frequency.
Describe the Rubin's Theory
Taking In - pt are exhausted, narcissism, trauma being involved
Taking Hold - wanting to become involved with care, becoming a parent
Letting Go - letting other to help care for the child
What can you do to sustain a baby's temperature?
Dry thoroughly, swaddling, place on a warmer, wear a hat, encourage skin-skin bonding
What meds/fluids are usually given or ok to give during pregnancy and labor?
Oxytocin, Iron supplement, acetaminophen, folic acid, LR
What diagnostic testing is done to determine that the baby will likely have a metabolic conditions prior to delivery?
Amniocentsis
Find GTPAL: A 30 year old female is 25 weeks pregnant with twins. She has 5 living children. Four of the 5 children were born at 39 weeks gestation and one child was born at 27 weeks gestation. Two years ago she had a miscarriage at 10 weeks gestation.
G=7, T=4, P=1, A=1, L=5
What can be done for breast engorgement?
Apply heat and hand-expressing before feeding. Ice after feeding to relieve swelling and discomfort.
When is it the best time to feed the newborn?
Within 30-60 mins of life d/t to reactivity.
Distinguish the signs: Goodell, Chadwick, Hegar
Goodell - softened cervix
Chadwick - blue discoloration
Hegar - softened uterus