Intro to MN
New parents should do this to ensure the older sibling is not jealous of the new baby.
What is leave the baby in the crib, give a gift to the sibling from the baby, and make sure the sibling is the center of attention.
These are expected changes we see in patients who are pregnant.
What are increased HR, SOA, an increase in urine output, urine frequency, and kidney stones?
These are assessments done at every visit.
What are blood pressure, urine dip for protein, weight, ketones, and Fetal Heart tones?
After an epidural is administered the RN should closely monitor this,
What is the patient's blood pressure?
Discharge teaching.
What is no intercourse until following, 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)?
This condition presents with sharp pain followed by no pain.
What is a uterine rupture?
This is one of the first signs of preeclampsia.
What are decreased urination and 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.
These STI can be cured with medications.
What are syphilis, gonorrhea, chlamydia, BV, and trichomonas?
Signs and symptoms of PMS/PMDD.
What are Swollen or Tender Breasts, Constipation or Diarrhea, Fluid Retention, Bloating, Cramping, Mood Swings, Social withdrawal, Confusion, Anxiety, Cravings, Nausea/ Vomiting, Headache, Fatigue, Backache, Sleep problems, and Depressed Mood.
VEAL CHOP MINE
variable-cord-maternal positioning
Earl-head- indicates labor progression
Late-placenta-execute interventions (reposition to the left side or place the patient in Knee chest, turn off the Pitocin, give a fluid bolus and put oxygen on at 10 L via a non-rebreather)
A nurse should do this if she does not know what to do in any given situation.
What is checking the hospital's policy and procedures?
Inplantations should happen here, while fertilization should happen here.
What is the upper third portion of the uterus, and the outer third portion of the fallopian tube?
Determine the due date for a patient whose LMP is January 20, 2023, using the Naegele method.
When is October 27, 2023?
Fetal positioning.
If you can see or feel the fetal spine the infant is anterior if you can see the infant's face the infant is posterior.
if the infant is looking toward your left its left, right it's right.
Mastitis teaching
Baby can have the milk, take all medications, apply a warm compress before feeding, and ensure the breast is empty?
If a newborn is born and any part of the inside of the body is on the outside the nurse should do this.
What is cover it with a sterile saline-soaked dressing?
What is a cervical exam?
Bonus: What conditions is this?
Placenta Previa!
Getting an infant's temp this way is contraindicated.
What is rectal in fear of perforation?
Signs of a congenital diaphragmatic hernia.
What are barrel chest, tachypnea, concave abdomen, bowel sounds heard in the chest, displaced heartbeat, and diminished bowel sounds?
This STI is not more of an imbalance in vaginal PH than an STI and is diagnosed by a fishy odor.
What is bacterial vaginosis?
These are the signs and symptoms of PCOS.
What are infertility, infrequent periods, weight gain, acne, and excess body hair?
Decelerations: A drop in the fetal heart rate.
Acceleration: An increase in the fetal heart.
Contraction Frequency: How often a patient has a contraction.
Contraction Durations: How long a contraction lasts.
Baseline: Average fetal heart rate during a 10-minute segment.
Varibility: The beat-to-beat change in FHR.
This is the race that is most at risk for OB health disparities.
What are black Americans?
Changes in vaginal and cervical coloration, abdominal enlargement, and a positive pregnancy test are these types of pregnancy signs.
What are probable signs?
A patient who receives a Rubella should not get pregnant for this number of weeks.
What is 4?
The priority of the nurse after ROM.
What is FHR?
A patient can get pregnant because ____ happens before ____.
What is: A patient can get pregnant because ovulation happens before menstruation?
Uterine tachysystole is common when doing an induction of labor. This is the most common medication used for inductions.
What is Pitocin?
Daily Double: What should the nurse do if the late decelerations or uterine tachysystole start to occur?
** Turn off the Pitocin.
These are the glucose values a patient cannot exceed in a three-hour GGT to NOT be diagnosed with gestational diabetes.
What are
Fasting: 95
1hr: 180
2hr: 155
3 hr: 140
Nursing care of a newborn with a respiratory issue includes these interventions?
this is how we treat polycythemia in a newborn.
What is partial Exchange tranfusion?
These methods of birth control can help with painful menstruation.
What are COCs?
This condition causes pain in menstruation that is not helped with NSAIDs.
What is Endometriosis?
These are the four Ts of Postpartum Hemorrhage.
What are tissue, tone, trauma, and thrombin?
This is the best way to teach new parents how to care for the baby.
What is the Teach-back method?
Monozygotic twins form from this.
What are one egg and one sperm?
This is the goal of preconception care.
What is to identify and modify the risk?
This is the "type of variability" we want to see to know that the baby is well oxygenated during labor.
What is moderate variability?
A patient should always do this when planning to bottle feed.
What is following the directions on the can and not altering the ratio of water and formula?
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 emergency.
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 99.5 and 97.7?
Daily Double: Can we check a rectal temperature on an infant?
** Yes, but only in an emergency, checking the temp rectally puts the baby at risk for perforation!
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 birth control patch can go anywhere except for this area.
What is the breast?
This term is used to describe painful menstruation.
What is dysmenorrhea?
If the uterus is firm and midline, but the patient is still bleeding, the nurse should do this.
What is call the doctor because it's not something we can fix.
Characteristics of family-centered care.
What is birth is a normal, healthy event, that affects the entire family, roles/relationships change, the family can make their own decisions, family members support each other, babies room in, and involve siblings?
We do not encourage epidurals, limit visitors, or prevent people from coming into the room.
Torch infections are most harmful to the fetus during these weeks.
What are weeks 3-8?
When trying to get pregnant patient should follow these rules.
What are intercourse every other day, a healthy diet, no drinking or smoking, lying down after intercourse, not showing after intercourse, and no douching?
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 NOT BREATH!
This device is often used when a baby struggles to latch onto the breast.
What is a nipple shield?
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 because the infant can use the energy needed to prevent these complications.
What are hypoglycemia, decreased surfactant production, and bilirubin conjugation?
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.
This STI can lie dormant in the body and come back years later and affect the heart, liver, and lungs.
What is syphilis?
Amenorrhea is a term used to describe this condition
What is the absence of menstruation?
What are dilation, effacement, and fetal station?