OB/PEDS FINAL

A. Provide around the clock pain meds

A child with a burn injury is scheduled for skin grafting. Which intervention would be most appropriate for the nurse to include in the child's plan of care? A. Provide around the clock pain medication. B. Administer analgesics when the child reports pain. C. Provide diversional activities for the client. D. Provide an egg crate mattress or gel mattress for the client to lie upon.

A. Ectopic pregnancy

A nurse in the emergency department is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client states "I missed one menstrual cycle and cannot be pregnant because I have an intrauterine device." The nurse should suspect which of the following? A Ectopic Pregnancy B. Missed abortion C. Severe Pre-eclampsia D. Hydatidiform Mole

A, B, D

A nurse is administering magnesium sulfate Iv for seizure prophylaxis to a client who has severe pre-eclampsia. Which of the following indicates magnesium sulfate toxicity? A. Respirations less than 12/min B. Urinary output less than 25 ml/hr C. Hyper-reflexic deep tendon reflexes D. Decreased level of consciousness E. Flushing and Sweating

A, C, E **ALL RISK EXPOSING FETUS TO MATERNAL BLOOD

A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should the nurse identify as contraindicated for this client? A. Vacuum Extractor B. Oxytocin Infusion C. Forceps D. C-section E. Internal fetal Monitoring

C. Hydatidiform mole.

A nurse is at an antepartum clinic caring for a client who is at 40 weeks gestation. The client reports continued nausea, vomiting, and scant prune colored discharge. The client has experienced no weight loss and has a fundal height larger than expected. Which of the following conditions should the nurse suspect? A. Hyperemesis Gravidarum B. Threatened Abortion C. Hydatidiform Mole D. Preterm Labor

B. urine ketones present - breakdown of proteins and fats

A nurse is caring for a client who has suspected hyperemesis gravidarum and is reviewing the client's laboratory reports. Which of the following findings is a manifestation of this condition? A. Hgb 12.2 g/dL - low B. Urine ketones present - breakdown of proteins and fats C. Alanine aminotransferase 20 IU/L - elevation expected, this is in normal range. D. Blood Glucose 114 mg/dL - decreased blood glucose is expected

A, B, D

A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum. The nurse should identify that which of the following are risk factors for the client? (Select all that apply) A. Diabetes B. Multifetal Pregnancy C. Maternal age greater than 40 D. Gestational Trophoblastic Disease E. Oligohydramnios

A. betamethasone

A nurse is caring for a client who is at 32 weeks of gestation and has placenta previa. The nurse notes that the client is actively bleeding. Which of the following should the nurse expect the provider will prescribe? A. Betamethasone B. Indomethacin C. Nifedipine D. Methylergonovine

D. Report of severe shoulder pain

A nurse is caring for a client who is experiencing ruptured ectopic pregnancy. Which of the following finding is expected with this condition? A. No alteration in menses B. Transvaginal Ultrasound indicating a fetus in the uterus C. Blood progesterone greater than the expected reference range D. Report of severe shoulder pain

D. Calcium gluconate

A nurse is caring for a client who is receiving magnesium sulfate IV. Which of the following should the nurse anticipate administering if magnesium sulfate toxicity is expected? A. Nifedipine B. Pyridoxine C. Ferrous Sulfate D. Calcium Gluconate

B, C, E

A nurse is providing care for a client who has a marginal abruptio placentae. Which of the following findings are risk factors for developing the condition (select all that apply): A. Fetal Position B. Blunt Abdominal Trauma C. Cocaine Use D. Maternal Age E. Cigarette Smoking

C. "I plan to drink more orange juice while taking this pill." **increases absorption

A nurse is reviewing a new prescription for ferrous sulfate with a client who is at 12 weeks of gestation. Which of the following statements by the client indicates an understanding of the teaching? A. "I will take this pill with my breakfast" B. "I will take this medication with a glass of milk" C. "I plan to drink more orange juice when taking this pill" D. "I plan to add more calcium rich foods to my diet while taking my medication.

A. Bathe w/ a product that is oatmeal-based

An adolescent experiencing contact dermatitis reports experiencing pruritis. What intervention will the nurse recommend to relieve the itching? A. Bathe with a product that is oatmeal-based. B. Apply calamine lotion if the lesion is weeping. C. Keep the area covered with clothing. D. Use a fragrance-free moisturizer.

A. Staph aureus

An infant has presented at the clinic with impetigo. Which organism usually causes impetigo in infants? A. Staphylococcus aureus B. Group A beta hemolytic strep C. Methicillin-resistant Staphylococcus aureus (MRSA) D. Escherichia coli

# weeks gestation = fundal height in cm (ex: 23 weeks will be 23 cm)

How is fundal height measured?

lordosis

Postural change during pregnancy?

transition phase

The client is in the first stage of labor. She says she feels pressure like she has to go to the bathroom and she cannot continue with the labor. What phase is this?

abruptio placentae

What is the leading cause of maternal death?

posterior pituitary

What part of the brain is responsible for secreting oxytocin?

placenta

What secretes HCG?

- fluid leakage, bleeding - decreased fetal movement (perform kick count)

what are danger signs in 2-3 trimester?

- Rh blood typing --> if Rh-, give Rhogam at 28 weeks - GBS vaginal swab at 35-36 weeks - glucose tolerance test between 24-28 weeks

what blood tests are done at prenatal visits?

head compression

what causes early deceleration?

placental insufficiency

what causes late deceleration?

cord compression

what causes variable deceleration?

BAD --> no reaction from baby ** a contraction stress test will be performed next

what does a nonreactive stress test indicate?

thinning of the cervix in preparation of labor **measured from 0-100%

what does effacement refer to?

may be green, or black and tarry

what does meconium look like?

Biophysical profile: use ultrasound to see characteristics of the fetus and how they respond to stimuli 5 variables included: - FHR monitor (reactive/nonreactive) - fetal breathing movements - gross body movements (at least 3) - fetal tone (at least 2 extensions) - amniotic fluid volume (measures at least 2 cm)

what is BPP and what is included?

variability in FHR

what is the strongest predictor of fetal well-being?

- multiple pregnancies - increased amniotic fluid - hydatidiform mole

what would be considered if fundal height is larger than gestational weeks?

help with clotting

why do we give vitamin K to newborns?

they are obligate nose breathers and need a patent airway **may be clogged w/ meconium

why do we suction a newborn's nose?