Antepartum
Intrapartum
Postpartum
Newborn
Misc
100

Of the following statements, the primary focus of the pregnant woman during the first trimester is... 

A. “How is the baby’s heart today?” 

B. “Is the baby growing at the right rate?” 

C. “Since I am not eating much because of the morning sickness, is the baby malnourished?” 

D. “Why are my breasts so tender?”

“Why are my breasts so tender?” 

During the first trimester, the primary focus of the woman is on herself, not the fetus.

100

What is the most injurious result that could occur from preeclampsia? What drug prevents complications?


Seizure

Magnesium sulfate


100

With abnormal uterine bleeding after delivery what is the priority nursing intervention?

Assess the fundus

100

What does the APGAR score assess?

What is the most common score?

Appearance (skin color)

Pulse 

Grimace (reflex irritability)

Activity (muscle tone)

Respiration 

8-9

100

GTPAL

Pt is here for her first prenatal visit. She delivered a previous infant at 35 weeks, 41 weeks, and had 1 miscarriage. She also had an ectopic pregnancy when she was 19. 

G5T1P1A2L2

200

What medication you can anticipate administering to a mother who is Rh-, and at what point(s) in her pregnancy? 

RhoGAM

28 weeks and within 72 hours after birth

200

What is the reversal agent for mag tox?

Calcium gluconate

200

What are the 3 steps in the attachment process?

Taking in

Taking hold

Letting go

200

Name the 4 ways that newborns lose heat.

Convection: flow of heat form the body surface to cooler surrounding air.

Conduction: transfer of body heat to cooler solid object in contact with the baby.

Radiation: transfer of heat to a cooler object not in contact with the baby.

Evaporation: loss of heart through conversion of liquid to vapor.

200

Name priority nursing interventions with spontaneous rupture of membranes

Assess FHR 

Observe for cord prolapse  

Note quality/quantity of amniotic fluid (color, odor) and time of occurrence

300

What would cause RhoGAM to be administered outside of 28 weeks and after birth?

Amniocentesis 

Anytime fetal blood may mix with maternal blood

300

A patient comes in with a total placenta previa, as the nurse what do you prepare the patient for?

C-section

NO VAG EXAM

300

Describe lochia at:

1-3 days

3-10 days

10-14 days

1-3 days: rubra (red)

3-10 days: serosa (pink, brown-tinged)

10-14 days: alba (yellowish-white). Can last for 3-6 weeks

300

List the 3 safety teachings during postpartum stay.

Back to sleep

Carseat 

Vaccinations

sbs

300
Nurses can obtain consent. 

True or false?

False.

Nurses can witness consent but not obtain.

400

An ultrasound is done immediately prior to an amniocentesis to:

A. Determine fetal age.

B. Locate fetal and placental position. 

C. Determine maternal blood pressure.

D. Determine amount of fetal movement.

What is B. Locate fetal and placental position.  

Determining fetal and placental position is important prior to amniocentesis to prevent damage by the needle.

400

You’re observing a student nurse preparing to start pitocin on a laboring mother, the student attaches the IV bag of pitocin directly to the IV line, what do you do?

Stop the student and make sure the pitocin is hung piggy back.

400

Immediately after birth, the nurse can anticipate the fundus to be located: 

A. At the umbilicus. 

B. 2 cm above the umbilicus. 

C. 1 cm below the umbilicus. 

D. Midway between the symphysis pubis and umbilicus.

D. Midway between the symphysis pubis and umbilicus.

400

What is the localized swelling of the soft tissues of the scalp caused by pressure on head during labor that may cross over suture lines? 

Caput Succedaneum 

Cephalohematomas do not cross suture lines.

400

Name disadvantages of epidural analgesia?

Nursing interventions?

Maternal hypotension

Limited mobility

Can slow fetal descent

Urinary retention

Blood coagulation


Interventions: bolus of IV fluids prior to epidural, monitor VS

500

A pregnant woman comes in and has a blood pressure of 145/95, she is complaining of epigastric pain, and has been having nausea and vomiting for the past few hours. You also reports a nose bleed. You are most concerned about?

HELLP (hemolysis, elevated liver enzymes, and low platelet)

500

Name risks when mother has an induction of labor.

increased chance of:

Infection 

Hypertonic uterine activity 

Uterine rupture 

Increased risk for c-section

pph

500

At 2-4 hours pp, the nurse can anticipate the fundus to be located: 

At umbilicus or 1 fingerbreadth above

500

Name the different forms of jaundice.

Common treatment for jaundice.

Physiologic jaundice: normal hemolysis of RBCs

Breastfeeding "jaundice": dehydration/not enough breastfeeding

Breastmilk jaundice: Reduced production of diphosphoglucuronic acid (UDPGA) glucuronyl transferase inhibits conjugation of bilirubin 

Pathologic jaundice: due to Rh incompatibility (mother - and fetus +), unconjugated bilirubin in newborn


Phototherapy

500

What are the two drugs given to a newborn in the immediate PP period? 

Erthromycin: clamydia and gonnherra which cause neonatal blindness

Time period: after 1 hour so baby can see during time of alertness. Before 2 hours.

Vitamin K: to help with neonatal blood clotting. Because the liver is immature, not producing vitamin k. Circs cannot be given without vitamin K