OB

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Author:
angeldust2117
ID:
55772
Filename:
OB
Updated:
2010-12-13 23:09:23
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Nursing OB Questions
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Description:
Nursing OB Questions
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  1. APGAR
    • Activity (absent, arms/legs flexed, active mvmt)
    • Pulse (absent, < 100, >100)
    • Grimace (no respone, grimace, sneeze/cough/pull away)
    • Appearance (blue/gray, acrocyanosis, normal)
    • Respiratory (absent, slow/irreg, good/crying)
  2. Fundus location PP?
    1 cm/day
  3. PP hemorrhaging for NSVD & C/S
    • NSVD = > 500ml
    • C/S = > 1000ml
  4. Does NOT cross suture line & NOT present @ birth
    Cephalohematoma
  5. DOES cross suture line & PRESENT @ birth
    Caput succedaneum
  6. Newborn HR
    110-160 bpm
  7. Newborn RR
    30-60 breaths/min
  8. Newborn BP
    60-95/30-60
  9. Newborn daily calorie requirement
    100-110 kcal/kg/day
  10. Newborn daily fluid intake requirement
    40-60 ml/kg/day
  11. Average wt of newborn
    • 2500g - 4000 g
    • (5 lbs, 8oz - 8 lbs, 13oz)
  12. Nrsg Intervention for "early decels"
    Vag exam
  13. Nrsg intervention for "late decels" - 5 things
    • 1. Reposition mom
    • 2. O2 on mom
    • 3. Increase fluids
    • 4. D/C Pitocin
    • 5. Call MD
  14. Nrsg intervention for "variable decels" & what's the cause of it
    • Cause by "cord compression"
    • Fixed by "reposition of mom"
  15. Premonitory signs of labor (7)
    • 1. Lightening = 2-3wks before; can breath but now you need to pee
    • 2. Braxton-Hicks
    • 3. Wt. loss = 1-3 lbs may occur 2-3 days before
    • 4. Cervical change
    • 5. Bloody show = loss of mucus plug
    • 6. SROM
    • 7. Nesting instinct = burst of energy
  16. Presumptive Signs of Pregnancy (7)
    • 1. Amenorrhea
    • 2. N/V
    • 3. Fatigue
    • 4. Urinary frequency
    • 5. Breast changes
    • 6. Skin changes
    • 7. Fetal mvmt
  17. Probable Signs of Pregnancy (9)
    • 1. Abd enlargement
    • 2. Goodell's sign: cervical softening
    • 3. Chadwick's sign: bluish-purple color of vag
    • 4. Hegar's sign: uterine consistency
    • 5. Ballotement
    • 6. Braxton-Hicks
    • 7. Fetal outline
    • 8. Uterine souffle
    • 9. Postive preg test
  18. Positive signs of pregnancy (3)
    • 1. US
    • 2. FHB (fetal heart beat)
    • 3. Fetal mvmt felt by trained examiner
  19. Wt gain for NORMAL preggers, OVERWT preggers, & UNDERWT preggers
    • Normal = 25 - 35 lbs
    • Over wt = 15 - 25 lbs
    • Under wt = (ideal wt) + (28 - 40 lbs)
  20. Amniotic fluid @ 10 wks & @ term
    • 10 wks = 1 oz
    • Term = 700 - 800 ml
  21. Natural birth
    Dick-Read
  22. Birth w/o violence & have birthing room quiet w/ dim lights, etc
    LeBoyer
  23. Breathing techniques for birthing process; focal point; relaxation
    Lamaze
  24. Dad part of the birthing process
    Bradley
  25. Types of pelvic shapes (4)
    • 1. Gynecoid = round
    • 2. Anthropoid = elongated
    • 3. Android = heart shape
    • 4. Platypelloid = flat
  26. Ideal pelvic shape
    Gynecoid
  27. Pelvic shape most likely to have CPD (cephalo-pelvic disproportion)
    Android
  28. Length of embryonic prd
    14 days - 8 wks
  29. Length of pre-embryonic prd
    1st 2 wks of conception
  30. Length of fetal prd
    9 wks - birth
  31. GPTAL = What does each mean
    • G = Gravida (# pregnancy)
    • P = Preterm (20 - 36 wks)
    • T = Term (37+ wks)
    • A = Abortions (< 20 wks)
    • L = Living
  32. 04/10/2010
    Expected due date?
    01/17/2011 = Nagule's Rule (+3, -7)

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