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