OB TEST 1

estimated blood loss (EBL) for C-section?

1000 mL

estimated blood loss (EBL) with vaginal birth?

500mL

A nurse in a newborn nursery is performing an assessment of a newborn infant. The nurse is preparing to measure the head circumference of the infant. The nurse would most appropriately: A Wrap the tape measure around the infant's head and measure just above the eyebrows. B Place the tape measure under the infants head at the base of the skull and wrap around to the front just above the eyes C Place the tape measure under the infants head, wrap around the occiput, and measure just above the eyes D Place the tape measure at the back of the infant's head, wrap around across the ears, and measure across the infant's mouth

C. To measure the head circumference, the nurse should place the tape measure under the infant's head, wrap the tape around the occiput, and measure just above the eyebrows so that the largest area of the occiput is included.

A nurse in a delivery room is assisting with the delivery of a newborn infant. After the delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: A.Warming the crib pad B. Turning on the overhead radiant warmer C. Closing the doors to the room D. Drying the infant in a warm blanket..

D. Evaporation of moisture from a wet body dissipates heat along with the moisture. Keeping the newborn dry by drying the wet newborn infant will prevent hypothermia via evaporation.

What do you suggest to an expectant mother to relieve morning sickness?

eat dry crackers before rising in the morning.

A mother comes to the clinic 42 weeks gestation with acute oligohydramnios. What would you be concerned about?

Fetal distress

What test are included in quad testing?

HCG, AFP, Inhibin-A, estriol

fetal station

Location of the presenting part in relation to the midpelvis or ischial spines; expressed as cm above or below the spines; station 0 is engaged, station -2 is 2 cm above the ischial spines

Fundal height at 20 weeks

fundus at umbilicus

What are some hazards of inducing labor?

hyperstimulation causing decrease oxygen to the placenta resulting in FHR decelrations; abruption, rupture, cervical lacerations.

Nitrizine paper

turns blue with rupture of membranes

Period of ambivalence is in what trimester?

1st trimester

Spinal is administered between the ___, ___ or ____ lumbar space into the subarachnoid space.

3-4 and 5th

A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is red with a small amount of bloody drainage. Which of the following nursing actions would be most appropriate? A. Document the findings B.Contact the physician C. Circle the amount of bloody drainage on the dressing and reassess in 30 minutes D. Reinforce the dressing

A. A yellow exudate may be noted in 24 hours, and this is a part of normal healing. The nurse would expect that the area would be red with a small amount of bloody drainage. If the bleeding is excessive, the nurse would apply gentle pressure with sterile gauze. If bleeding is not controlled, then the blood vessel may need to be ligated, and the nurse would contact the physician. Because the findings identified in the question are normal, the nurse would document the assessment.

If baby is in ROA position, where would you place stethoscope to hear fetal tones?

Right lower quadrant

If the baby is breech:

The sounds are HIGH up in the FUNDUS near the UMBILICUS.

Ferning pattern is present under microscope when what is present?

amniotic fluid

Woman experiencing the ferguson reflex will want t do what?

bear down and push

epidural is given..

between 4th and 5th lumbar vertabrae

If the patient fails a non-stress test what would you expect next?

bio physical profile to be done next

A young woman comes into clinic and tells the nurse she has bumps on her vagina. The nurse suspects she has?

condyloma ( genital warts)

Treatment for genital warts?

cryotherapy

Analgesia given to mom prior to delivery, can cause what in the newborn?

decreased fetal respirations bradycardia

Stadol effect on baby?

decreased respirations (may need resuscitation) APGAR score less than 7

Tx for mom with mastitis who is bottle feeding.

ice to breasts

When lightening occurs: will urine output increase or decrease?

increase

amniocentesis rate helps determine?

lung maturity of baby

What would you do for a mom in pain and fetal heart tones of 147?

reposition mom and provide pain meds as needed

what would you look for with green amniotic fluid?

resp distress

Priority assessment with meconium aspiration?

respiratory distress

12-14cm fundus height?

slightly above the symphysis pubis

If a patient has positive fetal fibronectin what would nurse observe for?

uterine craming

What is a hazard of oxytocin use?

water intoxication

-1 fetal station

you are 1cm above ischial spine

+1 fetal station

you are 1cm below ischial spine