Antepartum & Labor and Delivery
What level is measured by a pregnancy test?
human chorionic gonadotropin (HcG) levels
What is the first newborn stool called?
What should you never do with a prolapsed cord?
What do you call the first fetal movements felt by a pregnant woman?
Quickening
How would you expect a new mother to describe her lochia between days 4-10 postpartum?
Serosa (pinkish-brown)
The nurse is caring for a newborn baby who is jittery, lethargic, feeding poorly, has hypotonia, and temperature instability. What do these symptoms indicate?
hypoglycemia
Engagement corresponds with what station level?
0 station
What does BUBBLE-HE stand for?
Breast, Uterus, Bladder, Bowel, Lochia, Episiotomy, Homan's Sign, Emotion
Name two signs of magnesium toxicity.
decreased respirations, absent DTR, decreased urine output, altered LOC
What are three signs of preceding labor?
backache, lightening, urinary frequency, increase in discharge, small weight loss, surge of energy, bloody show
Name two newborn medications and what they are given for.
Erythromycin: eye prophylaxis (prevent neonatal conjunctivitis)
Vitamin K: prevents vitamin K deficiency bleeding of newborn
Hepatitis B: vaccine for Hep B
Name three manifestations of postpartum depression.
Irritability, crying, sleep issues, sad, anxious, overwhelmed, loss of appetite (persists and more severe)
Feelings of detachment toward newborn, Thoughts of harm, No interest in baby
What are three probable signs of pregnancy?
Goodell sign (softening of cervix), Chadwick sign (blue-violet color vaginal mucosa), Hegar sign (softening of lower uterus), pregnancy test, Braxton hicks contractions, ballottement
Based on the following findings, what is the APGAR score? A: acrocyanosis, P: 110, G: Cries and pulls away when stimulated, A: Slightly flexed arms and legs, R: Strong cry
8
A: 1, P: 2, G: 2, A: 1, R: 2
The nurse is watching a fetal heart rate monitor and sees gradual decelerations that follow the contractions. What type of deceleration is this? What does it indicate?
Late decelerations, placental insufficiency