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Final Exam Review
Terms in this set (81)
Tell me about a zygote, what is ?
What determines sperm chromosone ?
X and Y
6 weeks of conception, what is it called?
After implantation, uterus is vascular and it is now called?
What are the sequence of development?
zygote, morula, blastocyte, embryo, fetus
What is the period you see most defects?
Within the first 8 weeks, period of the embryo
What does the foramen ovale connect?
The left and right atrium
How many arteries and veins in cord?
2 arteries 1 vein
Which has oxygenation, vein or artery?
By 12 weeks, what is totally formed ?
Blood circulating through placenta to fetus by the way of.. ?
The umbilical vein
Right after delivery make sure baby is suctioned and then.. ?
Dry them off
What are we gonna be concerned about with a newborn and their color?
Jaundice of an infant that is 4 hours old
Talk to me about epidural, what are we concerned about ?
Blood pressure drops, and it can delay labor if given too early (prolong labor)
How are we going to measure hydration of infant ?
How many wet diapers
Which makes mommy more likely for postpartum hemorrhage?
a. Precipitus birth (mommy gave birth fast)
Mommy is 38 weeks, she has heavy red vaginal bleeding without contractions and has no distress but she can feel the baby moving, what do you think they are going to do?
They are going to do an ultrasound to find out where the placenta is located
Mommy is having preterm labor. You are going to do an amniocentesis, why are you doing that ?
To extract the amniotic fluid to check for the lung development. Preterm labor makes us concerned about that LS ratio
Mommy is in labor, in her first stage of labor. What does that mean? You notice she has prolapsed cord what would you expect to do?
She is in the active labor stage, and you would put her in the knee to chest in the trendelenburg position to avoid putting pressure on the cord
Mommy is postpartum and you assist her to stand, it is the first time she has been out of bed. She has a large amount of lochia, would you think she:
a. she has a urinary tract infection
b. she is retaining fragments of the uterus
c. the lochia pulled while she was in bed and when she stood up it came out
The lochia pulled while she was in the bed and when she stood up it came out
What is a reason that you would give mommy RhoGam?
If the mom is Rh Negative
Why would you give oxytocin to a mommy following a vaginal delivery?
To contract the uterus, specifically the fundus
Do you remember when quickening occurs ?
Between 16 and 20 weeks
Mommy is post-op and just had a major surgery. She wants something to eat, what do you want to make sure has occurred before giving her anything ?
Talk to me about nural tube defect, how do we prevent it?
During the first trimester would you expect mom to have urinary urgency or constipation?
Mommy is 35 weeks gestation, and what are you concerned about? and why?
c. blurred vision
Blurred vision, because it may be preeclampsia signs
Mommy has just had a c-section, what are we concerned about with baby? What are they prone to?
Respiratory distress due to build up of fluid
Mommy is in second stage of labor, what is going on?
Delivery of the baby
Second stage of labor, the uterine contractions lasting 2 minutes long, is that a concern?
Yes, because the babys heart rate is going to go down with each contractions
Talk to me about why a mother would get magnesium sulfate?And what do you want to monitor?
Because of pre-eclampsia, and you want to monitor their respiratory rate
Mommy has a large infant, just by me saying that, what would you expect to happen when born?
Your baby is 42 weeks gestation, are we expecting vernix caseosa or dry cracked skin?
Dry cracked skin
Why do we put a baby in a incubator?
Thermal regulation, they cannot regulate their own temp and we do not want them in cold stress
Respiratory rate of a newborn in the first hour?
30-60 breaths per minute
A baby SGA, are we concerned about retinopathy or circulating blood glucose?
Blood glucose, it drops easily
Mommy just delivered, where is her fundus supposed to be?
At the level of her umbilicus for 7-10 days
What is baby doing when it is turning, when it wants to nurse?
When does mommys real milk come in?
3 to 5 days
Mommy is 39 weeks gestation, she is having heavy vaginal bleeding. What do you think will happen next?
C-section, because she is 39 weeks
Mommy is 36 weeks gestation and is having continuous abdominal pain and vaginal bleeding. what is she experiencing?
Mommy is 18 weeks gestation, and she is feeling a light fluttering in her stomach, what is that?
Baby is getting vitamin k IM, where is it going ?
a. Ventral gluteal
b. vastus lateralis
Mommy has gestational diabetes, what are we concerned about with the newborn?
Macrosomia and hypoglycemia
Mommys blood pressure is 80/40, fetal heart rate is 140 and she has a epidural anesthesia, what do we want to do?
a. Elevate legs
b. increase IV rate
c. place in lateral position
Place in a lateral position, To relieve pain on the inferior vena cava
Baby is small for gestational age, what could be a cause for that? obesity or placental insufficiency
Mommy is in labor, what are you concerned about? FHR 100 bpm for a 10 minute period or contractions lasting 85 seconds
FHR because bradycardia, normal FHR is 120-160 bpm
What is Nagele's rule?
1st day of last menstrual cycle, minus 3 months, plus 7 days = estimated date of delivery
What are different kinds of pregnancy?
Your assisting with a client who is in labor, 3 cm, 30% and -1
3 cm dilated, 30% effacement, negative 1 station
Mommy is 36 weeks gestation and has painless bright red vaginal bleeding?
Mommy is 36 weeks gestation and needs to have an amniocentesis, she wonders why you are doing an ultrasound?
To look for placement of the placenta , and the baby
Baby was just born, what do we do immediately to reduce evaporation heat loss?
Dry them off
You are doing a newborns assesment and you want to check moro reflex? What is that the same as?
Startle reflex, drop baby back a little or clap in front of them
Mommy had vacuum extraction, the baby has swelling on head that crosses suture line, which one is it?
Why are you putting baby under a radiant warmer?
To prevent cold stress
Make sure to know APGAR score
Mother is postpartum 12 hours, what do you expect from the fundus?
It should be firm or hard, and it should be at the level of the umbilicus
Your mommy is postpartum and you feel her fundus and it is to the right. What are you going to do?
Assist her to the bathroom
Your mommy has saturated her peri pad, it is completely saturated in last 10 minutes?
You are going to massage the fundus to see if it is boggy
Mommy is 11 weeks gestation, she has slight occasional vaginal bleeding, they go in to do an ultrasound and they find the fetus has died but everything remains. What is this called?
A missed abortion
Mommy is 37 weeks gestation, we know she has a placenta privia, what is she at risk for? And why would we avoid performing a pelvic exam?
She is at risk for abruptio placenta, and profound bleeding
Your mother is experiencing sore nipples from breast feeding. What are you going to encourage her to do?
Make sure the whole areola is in her mouth and the baby is coming straight in
What symptom is most often seen with severe pre-eclampsia?
Mommy is at 7 cm, what does that mean?
She is 7 cm dilated and she wants to push but you are going to have her breathe and puff
Newborn has a pulse of 130, are we concerned?
No because 120-160 is normal
Mommy is 42 weeks gestation she said she thinks she is in labor. What would demonstrate:
a. Pain above navel
b. amniotic fluid in vaginal vault
c. cervical dilation
Mommy had a vaginal delivery and has soaked 2 peri pads in 30 minutes, what are you gonna do?
Check the fundus
Mommy is 3 hours postpartum and her fundus is displaced to the right of the midline, what are you going to do?
Assist her to the bathroom to try and empty the bladder
Your mommy is in preterm labor, she is 30 weeks gestation. You are going to give her betamethasone, what are you giving it for?
To develop surfactant
You are listening for FHT's, and she is 12 weeks old. What are you going to use?
What can mommy do to help prevent hyperbillirubium?
Nurse (feed), to help get that meconium out
What does mastitis look like?
a. Swelling in both breast
b. cracked nipples
c. red painful area on one breast
Red painful area in one breast
Mommy is getting magnesium sulfate, her respiratory rate is 8. Are you concerned? What would be the antidote for magnesium sulfate?
Yes, and it is calcium gluconate
You are concerned about possible retinopathy in a preterm that is getting oxygen therapy, What do you want to make sure you are doing to prevent retinopathy?
Excess oxygen, you would want to monitor their pulse ox
Your mother has a hyditiform mole, what are we going to be monitoring?
Prevent preterm labor by supressing uterine contractions
Mommy is 3 days postpartum and breastfeeding, 3 finger below umbilicus, lochia rubra moderate, breasts are hard and warm? What would you recommend?
Express milk from both breasts
You're teaching about breast engorgement to a mom who is postpartum, what demonstrates her understanding?
a. She should stop when on antibiotics
b.she should not wear a bra
c. she should feed baby every 2 hours
d. put on cold compress?
Feed every 2 hours
You have a newborn and they have some mucus bubbling out of their mouth. What do you do?
Use a bulb syringe and get that out of there
What is GTPAL?
Gravida, Term, Preterm, Abortion, Living
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