OB test 2
all are risk factors for gestational diabetes except
patient age 16
jaundice can be assessed by?
Tcb and serum bilirubin
Upon assessment of your laboring patient you note late decelerations, decreased variability, increased fundal height, and increased tocobaseline. You suspect?
abruption
When is a bath given to the infant and what criteria must be met before and after giving the bath?
after the first 24 hours, their temp must be stable prior to bath
newborn screening is collected when?
at 24hr via heelstick
insulin needs for type 1 and type 2 diabetes decrease during labor
false
Describe how the mother and child are cared for with couplet care
mother and child are taken care of my one nurse, mothers well being is interdependent with new born.
What is not normal adaptation of the cardiovascular and respiratory system of the newborn?
mouth breathing and Hr 80-100
all are complications of diabetes in pregnancy except?
neonatal hyperglycemia
if a Ballard score is low then the infant is?
premature
how long could it take for newborn to have first void?
up to 24 hours
you recognize your pregnant type 1 diabetic patient needs further education when they state?
"im glad my blood sugar can be a little higher when im pregnant"
What are some normal integumentary change that can occur?
-extra hair growth -chloasma -hyperpigmentation of Areopagus and Linda nigra
How much blood loss is normal for vaginal delivery/C-section?
500/1000
While the nurse massages the uterus she notices that the uterus is up and to the right. The pad is saturated with rubra without clots. What concern might the nurse have?
Atony and full bladder
What nursing intervention would be prioritized to encourage involution?
Fundal massage with expulsion
which statement is true regarding GDM care management?
GDM resolves quickly postpartum
Apgar score evaluates what criteria at 1 min and 5 min after birth?
HR, RR, muscle tone, reflex irritability and color
What is a normal variation in VS in the fourth stage of labor?
Increase HR first hour then normal
How is the bladder responding postpartum?
Increased output
Rhogam/Rhophylac is typically given to what combination of mother/baby blood type?
Rh- mom and Rh+ baby
What vaccinations are given after delivery if needed?
Rubella, Varicella and Tdap
Odorless, pinkish to brownish lochia discharge occurring up to 22-27 days after delivery is called?
Serosa
What concerns might you have after an epidural?
bladder and mobility
what is not a risk for thermoregulation?
blood vessels are deep from skin surface
Two vessel cords may indicate what possible anomaly?
cardiac anomaly and renal anomaly
Patient states they are experiencing shortness of breath and palpitations when they are doing chores around the house and going to the grocery. You suspect which class of cardiovascular disease?
class III
which is not true regarding hematopoietic adaptation?
clotting factors till they produce vitamin K
hemorrhagic conditions are?
considered medical emergencies
which statement is true regarding gestational diabetes screening?
consume 50g glucola
which pathology occurs in type 1, type 2 and gestation diabetes?
decreased metabolism
Methotrexate would be expected for which condition?
ectopic pregnancy
Which medication require more than the general consent?
erythromycin and vitamin K
what vitals are typically elevated with blood loss?
heart rate
diabetes mellitus has what implication to a pregnant patient?
hyperglycemia
jaundice is a result of?
increase breakdown of RBC
when education a type 1 or type 2 diabetic prior to pregnancy they need to understand that their insulin need will?
increase starting in the 2nd trimester of pregnancy
S/S not present in hypoglycemia of neonate?
increased hunger
Risk factors associated with Maternal Cardiac Complications include
increased incidence of intrauterine growth restriction
What are the subjective signs of cardiac decompensation and why do patients experience them?
increasing fatigue and/or dyspnea with usual activities, feeling of smothering, cough, palpitations
Your patient is being admitted in preparation for a cesarean section followed by hysterectomy. The likely cause is
increta
Active immunity is received from what?
infection and vaccination/environmental exposure
caput succedaneum is the?
localized, crossing suture line
common cause of jaundice include all but?
low blood sugar
what newborn assessment is abnormal?
low set ears
what does not occur to the breast postpartum?
milk production 24-48hrs with every patient
This reflex is positive when the toes curl over the finger when pressing on the fat pad under the toes?
plantar
Thermoregulation can be maintained by:
putting baby skin to skin and keeping temp between 36.5-37
select which is true regarding the hearing screen?
required by law
S/S of respiratory distress?
seesaw respirations, retractions, nasal flaring, grunting, and RR <30 or >60
A 16 week gestation patient presents with cramping, bright red bleeding, and passage of what appears to be fetal tissue. You suspect?
spontaneous abortion
insulin needs for type 1 and type 2 diabetes decrease postpartum
true
common education that parents may receive prior to discharge?
when to contact healthcare provider