ER
A patient arrives via EMS and has delivered in the ambulance. Upon arrival you find the infant unwrapped, crying between the mothers' legs. What is top the nursing priority at this time?
What quickly assess the infant, while placing the infant skin to skin on the mother's chest. Place warm blankets over infant for transport to L&D.
Mother and baby to be transported straight to L&D if in stable condition.
True labor is characterized by?
What is effacement and/or dilation of the cervix.
If a newborn appears yellow (jaundice) what labs needs to be collected by the PP RN and sent to the lab?
What is a serum Bilirubin?
Your postpartum patient calls you to the room with c/o cramping during breastfeeding?
What is your response?
Cramping is normal during breastfeeding. Offer the mother ibuprofen if necessary and appropriate.
A test done on newborns screening for serious health conditions including cystic fibrosis & thalassemia?
What is the newborn metabolic screen?
Who is responsible for checking the radiant warmer that is found in the ER?
What is NCL and/or any ER staff members that works in the ER?
Know how to use your equipment.
What is cytotec used for?
What is Induction of labor and to control bleeding during PPH?
When does a mother need a "Rhogam work up?"
What is if she is RH - and delivers a Rh + baby.
Vaginal discharge that follows childbirth, that contains blood and leftover uterine tissue from pregnancy lasting up to six weeks post partum?
What is lochia?
When assessing a newborns 02 saturation. Where do you place the pulse ox?
What is the right wrist?
A 25-year-old patient present to the ER with c/o headache & blurry vision. The patient has no signification medical history but reports she "had a baby 4 days ago". Upon assessment you note her BP is 150/101. What serious medical condition are you concerned about?
What is Pre-Eclampsia?
What is the Jada device used for?
What is control PPH?
What type of blood is given to a patient that is experiencing a PPH, if we do not have a type and screen?
What is O negative?
If a child has been abducted, what do you call overhead?
What is code pink?
You are caring for a newborn that is large for gestational age, therefore you are checking _______ before each feeding?
What is blood sugar?
A young woman presents to the ER and has experienced a miscarriage at home. While reviewing her labs you note that she is RH -.
What is your nursing priority at this time?
What is notify the provider to discuss your finding that the patient is RH -.
Discuss with the ER provider that she is eligible for rhophalayc?
If ER provider is dismissive request to consult with the OBGYN on call.
Who can perform a vaginal exam to assess for dilatation?
What is a trained L&D RN's or OB providers?
PP mother is RH -
Baby is RH +
What does this PP mother need to receive prior to discharge?
Rhophalac
You are assessing your patient's fundus and you note that the fundus deviated to the left. The patient has mild lochia and no clots noted at this time. What do you instructed your patient to do at this time?
1. Empty her bladder
2. Monitor for bleeding
3. Reassess fundus
You are caring a newborn that was born 5 hours ago. When you are in the room doing your morning assessment you hear the infant making a rhythmic "snoring or singing sound". What is nursing priority at this time?
What is assess the newborns 02 saturation, immediately?
Place a pulse oz pre-ductal on the right hand.
Grunting sounds in newborns are usually related to respiratory issues and require immediate assessment.Where is the peri-mortem c/s kit found?
What is the trauma room?
What is the physiological cause of variable decels?
What is cord compression?
VEAL CHOP
Varible= Cord compression
Early= Head Compression
Accels= Oxygenation (fetal wellbeing)
Late= Placental Insufficiency
What contagious disease is RPR testing for?
What is syphilis?
You are called to help with a PPH on the 3rd floor. You are asked to get the PPH Kit. Where do you find the kit?
The 3rd floor medication room.
A newborns mother was treated for group beta strep during her labor. How often are you required to do vital signs on the newborn?
What is every 4 hours?