OB Test 6

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  1. T/F: You should never supplement your baby's feedings with water?
  2. What should be supplemented in formula fed babies?
    Iron & Fluoride

    (breast feeding moms should drink fluorated water)
  3. When should vitamins be supplemented into the baby's diet?
    6 months
  4. How long does the APA say you should breast feed for?
    atleast 12 months
  5. What stimulates milk production?

    When is it produced?

    -Produced when progesterone levels fall after placenta is delivered
  6. What is the first milk produced?
    Colostrum - thick, creamy, yellow fluid that is very nutritious to the newborn. Has a laxative effect on the baby to help the baby poo.
  7. What milk is constantly formed and low in fat?
    Fore milk
  8. What is the stimulation of baby at breast, sound of baby. hind milk ejected?
    Let-down reflex
  9. Which type of milk is higher in fat and calories that is formed after the let-down reflex?
    Hind milk
  10. Infant Advantages of breast feeding?
    • Less infection
    • Ideal compensation for human baby
    • Easy to digest
    • Reduces obesity & diabetes later in life
    • Decreased ear infections
    • cheap!
  11. Mother Advantages of breast feeding?
    • Breast cancer prevention
    • Release oxytocin
    • Empowerment effect
    • Bonding
    • Cheap
    • Destroys bad bacteria
  12. How do you know if your baby is getting enough milk?
    • Sleeps between feedings
    • Loses no more than 10% of body weight
    • Good skin turgor
    • 6-8 wet diapers & 2-3 poopy diapers a day
  13. How often should a mother breast feed in the first few weeks?
    every 2-3 hours
  14. How much should a baby be fed with formula per pound of body weight?
    75-90 ml of flud per pound
  15. How often should you assess the baby after circumcision?
    every 15 min for first hour, then every hour for the next 24 hrs
  16. When should you notify the physician after a circumcision?
    Redness, discharge, swelling, strong odor, tenderness, decrease in urination or excessive crying of infant
  17. A yellow mucus "crust" may forms over the glans after a circumcision - what should you do?
    Nothing!! - it is normal
  18. Basic Circumcision care?
    • note first void
    • apply diaper loosely
    • clean area and check diaper every 4 hours
  19. What is a normal jaundice and when does it occur?
    Physiologic jaundice

    It doesn't occur in first 24 hours of life
  20. What causes Pathologic Jaundice and when does it occur?
    Abnormal destruction of RBCs

    Occurs in first 24 hrs and persists after 1 week
  21. What increses the baby's chance of jaundice (hyperbilirubinemia)?
    Rh or ABO incompatibility!!!

    (others see ppt. slide)
  22. Treatment for Jaundice?
    • Early feedings
    • Phototherapy
    • Exchange transfusion
  23. What is the L:S ratio that indicates fetal maturity?
  24. If a mother has a TENDER ABDOMEN what should you suspect?
    Abruptio Placenta
  25. If a pregnant women has bleeding at 7 months and is PAINLESS what should you suspect?
    Placenta Previa
  26. When would you recieve chemo for Hydatiform Mole?
    If HCG levels are increased
  27. What is a pregnancy that ends before 20 weeks?
    Spontaneous Abortion
  28. Light spotting; cervix is closed and no tissue is passed - what should you suspect?
    Threatened Abortion
  29. Increased bleeding and cervix dialates - what should you suspect?
    Inevitable Abortion
  30. Bleeding dilation of cervix and passage of tissue - what should you suspect?
    Incomplete Abortion
  31. Passage of all products of conception, cervix closes and bleeding stops?
    Complete Abortion
  32. Fetus dies in utero but not expelled, uterine growth stops?

    What are you at risk for?
    Missed Abortion

    SEPSIS is possible!
  33. 2 or more consecutive spontaneous abortions?
    Recurrent Abortion
  34. If a pregnant woman is actively bleeding, what should you do?
    Keep the woman NPO because surgery may be needed
  35. Hyperemesis Gravidum is characterized by what?
    Excessive Nausea & Vomiting

    Dehydration symptoms
  36. Patient education for Hyperemesis Gravidarum?
    • Reduce fears that trigger nausea & vomiting
    • Keep I&O
    • Frequent, small meals
  37. S/S of Ectopic Pregnancy?
    • Lower abdominal pain
    • Light vaginal bleeding
  38. Ectopic Pregnancy S/S if tube ruptures?
    • Sudden severe low abdominal pain
    • Vaginal Bleeding
    • Signs of hypovolemic shock
    • Shoulder pain may possible
  39. Hydatiform Mole puts a mother at risk for what?
  40. When is a Hydatidiform Mole more likely to occur?
    Women at age extremes of reproductive life
  41. S/S of Hydatiform Mole?
    • Rapid Uterine Growth
    • Failure to detect fetal heart activity
    • Higher HCG
    • No evidence of developing fetus

    • Signs of hyperemesis gravidarum
    • unusual developement of uterine measures
  42. Bright bleeding occurs when cervix dilates, resulting in PAINLESS bleeding?
    Placenta Previa
  43. Dark bleeding with PAIN and enlarging uterus suggests that blood is accumulating in the cavity suggests what?
    Abruptio Placentae
  44. Placenta previa - abnormal or normal implantation of the placenta?
    Abnormal implantation of placenta
  45. Abruptio placentae - abnormal or normal implantation of the placenta?
    Normal implantation of the placenta
  46. When should you give Rhogam?
    If the mother is Rh - and the baby is rh +
  47. What is the reversal drug of Magnesium Sulfate?
    Calcium Gluconate
  48. When should RhoGAM be given?
    28 weeks and within 72 hrs of delivery to the mother
  49. What does HELLP stand for?
    Hemolysis, Elevated Liver labs, Low Platelet count
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OB Test 6
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