OB > Unit 3 exam > Flashcards

Unit 3 exam Flashcards

(110 cards)

Study These Flashcards
1
Q

infants of diabetic mothers r/o

A
  • congenital anomalies
  • cardiac anomalies
  • IUGR
  • respiratory distress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

neonate hypoglycemia onset

A 
•BS < 40 in term
•BS < 25 in preterm
•jittery
•RDS
•lethargy
•poor suck
•seizures
*w/in 1-3 hrs after birth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

polycythemia

A
  • Hct > 65%
  • inc. blood viscosity -> poor O2
  • inc. RBC hemolysis -> jaundice
  • inc. r/o cephalhematoma/bruising
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

early onset neonate bacterial infection

A
  • congenital
  • rapid progression (1-2 days)
  • hypothermia common s/sx
  • GBS most common
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

late onset neonate bacterial infection

A
  • acquired

* late progression (1-2 wk)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

drug/etoh neonate effects

A
  • pre-term
  • placental abruption
  • LBW
  • small head
  • high pitched cry
  • IUGR/UPI
  • exaggerated reflexes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

pathologic jaundice

A 
•appears w/in first 24 hrs
•r/t excessive RBC destruction
-blood incompatibility
•bill high and stay high
*get stat bill if suspected
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

physiologic jaundice

A
  • appears after first 24 hrs
  • benign
  • resolves by day 4
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

omphalocele

A

•intestines stick out of umbilicus are COVERED by thin layer of tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

gastroschisis

A

•intestines stick out of umbilicus UNCOVERED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

when is suck-swallow-breath reflex mature

A

•34 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

readiness to PO feed

A
  • rooting
  • sucking
    • gag
  • RR < 60
  • tolerate being held
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

preterm expected UOP

A

•1-3 mL/kg/hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

assessing preterm renal fxn

A
  • UOP
  • Na, hct, BUN, SG
  • weight
  • turgor/edema
  • anterior fontanelle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

preterm hematologic issues

A
  • inc. cap friability
  • inc. clotting time
  • dec. erythropoiesis
  • dec. RBC life
  • dec. blood vol.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

bronchopulmonary dysplasia

A

•O2 still required 28 hrs after birth or 36 wks post conceptual age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

necrotizing enterocolitis (NEC)

A

•accumulation of gas in submucosal layers of bowel wall
•causes necrosis, perforation, and sepsis
•abd. distension, bloody stool, feed retention
*2 wks after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

post-mature characteristics

A
  • old placenta -> dec. O2/nutrients
  • meconium aspiration
  • polycythemia
  • hairy
  • long nails
  • dry, peeling skin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

small for gestational age (SGA)

A

•< 5.5 lbs in term

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

asymmetric growth restriction

A

•head and length unaffected
•weight disproportional
•recover w/ nourishment
*r/t MID PG complications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

symmetric growth restriction

A

•weight, length, head all affected
•may have long-term growth issues
*r/t EARLY PG complications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

NIPS

A

•neonatal infant pain scale

  • facial expression
  • crying
  • arm movement
  • leg movement
  • state of arousal
  • hormone levels
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

CRIES

A 
•neonatal pain scale
Crying
Requires oxygen 
Increased VS
Expression
Sleepless
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

diagnostic testing

A

•evaluates for and tells of there IS a genetic/congenital issue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
screening
•evaluates RISK FOR an issue
26
antepartum testing
* evaluates fetus AFTER problem is detected | * Ex: NST, kicks, U/S
27
1st trimester U/S
``` •TV or TA •dates (CRL) •# fetus •heart activity *1-12 ```
28
2nd trimester U/S
``` •TA •fetal anatomy/viability •sex @ 18 wk •PTL assessment *13-27 ```
29
3rd trimester U/S
``` •fetal well being •BPP •AFI •placental location/grading •growth (IUGR) •presentation •PTL assessment *28-birth ```
30
nuchal translucency
* 1st tri screening done 10.5-13.5 wks * assessing for downs * contra: pt refuse; past dates
31
quad screen
1. MSAFP 2. hCG 3. Estriol 4. Inhibin A
32
maternal serum feroprotein screening (MSAFP)
``` •2nd tri screening done 16-20 wks •high = ONTD •low = downs *requires followup (don't repeat) *false + if multiple gest, dates off ```
33
amniocentesis in 2nd tri
* after 14 wk | * detects karyotype
34
amniocentesis in late 3rd tri
* detects fetal lung maturity (2:1) | * detects Rh incompatibilities
35
amniocentesis risks
* SAB * stillbirth * ROM * PTL * abruption * fetal injury
36
chronic villus sampling
* 1st tri alternative to amniocentesis * test fetal portion of placenta * genetic testing @ 10-12 wks * r/o SAB/limb loss
37
percutaneous umbilical blood sampling (PUBS)
•18 wks = genetics •3rd tri= blood tranfusion for hemolytic dz •r/o cord lac/hematoma/ROM/PTL/infection *often in OR b/c may have to get baby out ASAP
38
reactive NST
•< 32 wk = 10x10 •> 32 wk= 15x15 •mod. variation and NO decals *indicates CNS fxn
39
non reactive NST
``` •minimal variation •no accels •+ decels •requires CST or BPP *may have to induce ```
40
CST
* induction of ctx to assess FHR in response to stress * more invasive (IV) than NST and BPP * contra in preterm and anything that would lead to PTL
41
negative CST
•no decels •3 ctx in 10 min •reassurance that fetus will survive labor *normal
42
postive CST
•late decels in > 50% ctx •indicates UPI •requires induction or C/S ASAP *abnormal
43
biophysical profile (BPP)
•U/S and EFM to assess 1. FHT 2. breathing 3. amnio vol. 4. movement
44
normal BPP scorring
•8/8 = normal (didn't do NST) •8/10 = normal and non-reactive NST •10/10 = normal and reactive NST *no evidence of UPI
45
equivocal BPP
* 6 | * repeat in 24 hr
46
abnormal BPP
* < 6 | * induce/C-section ASAP
47
polyhydramnios
``` •AFI > 25 •d/t -NTD -GI obstruction -twins -hydrops -DM -congenital anomalies ```
48
risks r/t polyhydramnios
* cord prolapse * PROM * unsuccessful labor
49
oligohyramnios
``` •AFI < 5 •d/t -renal issue -PROM -post-dates -UPI ```
50
risks r/t oligohyramnios
* cord accident * fetal malformation * hypoplastic lungs
51
fetal kick count instructions
* eat/relax * should feel 10 movements in 2 hrs * if no move in 12 hrs -> further testing
52
PTL clinical characteristics
* b/t 27-37 wks GA * > 6 ctx/hr * cervical change * vag bleeding/discharge
53
PTL interventions
* prevention/early detection key * tocolytic * steroids * bed/pelvic rest
54
tocolytic drugs
``` •MgSO4 •terbutaline •nifedipine •indomethacin *promote uterine relaxation ```
55
low birth weight (LBW)
* ANY baby born < 2500 g, regardless of GA | * usually caused by IUGR
56
PROM
•premature rupture of membrane 1+ hr before onset of labor
57
PPROM
•premature rupture of membrane 1+ hr before onset of labor AND GA < 37 wks
58
risks r/t PPROM and PROM
* infection * cord prolapse * fetal abnormalities (skeletal; lung)
59
s/sx cord prolapse
•severe variable decels •fetal bradycardia •see cord *ALWAYS vag exam if suspected
60
hypotonic labor vs. hypertonic labor
•hypo is no fetal distress •hypo may require augmentation •hyper may require uterine resuscitation *both involve NO cervical change
61
causes of passageway (tissue) obstruction
•full bladder (#1) •cervical edema •HPV *avoided by emptying bladder and not pushing until 10 cm
62
shoulder dystocia interventions
* McRoberts- knees to chest * Gaskin- all 4s * Zavanelli- push head in & C/S
63
uterine rupture vs. uterine dehiscence
* dehiscence is incomplete rupture w/ no pain or fetal distress * rupture is complete and requires resuscitation & C/S
64
uterine resuscitation
* pt on side * stop pit * open main fld. line * O2 @ 10L * vag exam (r/o prolapse) * Brethine (uterine rlx)
65
tachysystole
•hyper stimulation of uterus •ctx > 90 sec •> 5 ctx in 10 min *causes late decel; loss of variability
66
when uterine resuscitation may be necessary
* tachysystole * uterine rupture * hypertonic ctx
67
pitocin admin
* ALWAYS IVPB on pump * attach close to insertion site * start low and slow
68
Bishop score
``` •estimates how successfully labor can be induced •based on: -dilation -effacement -station -consistency -position ```
69
readiness for induction
•Bishop of 9+ for nulls •Bishop of 5+ for multip *if not ready (low score) may have to cervical ripen
70
amniotomy
•AROM •fetal station MUST be low *WONT shorten labor
71
excessive fld following amniotomy indicates...
* polyhydramnios | * high fetal station (DONT ambulate)
72
important after episiotomy
•NEVER give enema/suppository | *do give PO stool softeners
73
fibrocystic changes
* benign breast d/o * bilateral pain/tenderness * occurs prior to menopause * tx: diuretics; NSAIDs; no caffeine; reduce Na+
74
tamoxifen
* selective estrogen receptor modulator (SERM) * breast cancer hormone adjuvant * blocks estrogen * ONLY works on estrogen-receptive tumors * SE similar to menopause
75
candidiasis
* vaginal yeast infection * white, thick, curdy d/c * no odor * itching
76
bacterial vaginosis
* thin, gray/white or yellow/green d/c * malodorous * profuse
77
gonorrhea
•green d/c •dyspareunia; dysuria *r/o PROM
78
chlamydia
* yellow d/c * asymptomatic in women * no abx tx -> PID
79
trichomoniasis
``` •thin green/yellow d/c •malodorous •itching, redness, edema •looks like sperm *both partners need abx and refrain from sex ```
80
syphilis
* painless chancre (male ID) * primary, secondary, tertiary * PCN ONLY tx
81
herpes
* blisters * severe vulvular pain; dyspareunia * no cure
82
toxic shock syndrome
* caused by staph * leads to hypovolemia, hypotension, shock * s/sx: flu-like, hypotension, rash
83
best indicator of endometrial cancer
•bleeding after menopause •hypertensive *most common malignancy of reproductive system
84
primary amenorrhea
* menarche after 16 * menarche 1 yr later than mom * menarche same age as sister
85
secondary amenorrhea
* absence of 3 menstruation cycles after regular established | * most common cause is PG
86
primary vs. secondary dysmenorrhea
* primary has unkind cause * secondary d/t dz (fibroids, endometriosis, PID) * tx: OCPs; NSAIDs
87
endometriosis
•endometrial cells grow outside of uterus •often leads to infertility b/c of tube/ovary occlusion •laparoscopic dx •no tx necessary if no pain or PG desire •surgery if s/sx severe *hyoestrogenism bone loss r/t med tx reversible after stop med
88
basal body temp and ovulation
* decreases right before * increases during * stays high if PG
89
physical changes of menopause
``` •cessation of estrogen/progesterone -dry -hot flashes -insomnia •bladder, vag, urethra atrophy ```
90
diaphragm
•6 hrs before sex •leave in 6-8 hrs •refit q2-3yr or if 10 lb change *r/o toxic shock
91
cervical cap
•30 min before sex •leave in 6-8 after *r/o toxic shock
92
spermicide
* 15-30 min before sex | * reapply q1h or each encounter
93
female condom
•8 hrs before sex
94
PAINS
``` •IUD warning signs Period late/abnormal Abd pain Infection Not feeling well String length change ```
95
combined oral contraceptive (COC) fxn
* suppress ovulation * thicken cervical mucous * effect endometrial lining
96
ACHES
``` •COC AE (call MD) Abd pain Chest pain; cough HA; dizzy Eye problems Severe leg pain *don't stop pill abruptly ```
97
progestin-only pill (mini pill)
* changes endometrium and cervical mucous * best if lactating or > 40 y/o * MUST take @ same time
98
most likely spot to have atypical cervical (cancer) cells
* transformation zone | * where changes from cervical cells to endocervical cells
99
Peau de' orange
•abnormal breast tissue texture that indicates inflammatory breast cancer
100
when is COC contraindicated
* > 35 AND smoke, HTN, migraine | * hx of thrombolytic complication
101
induction via oxytocin contraindicated if...
* late decelerations | * positive CST b/c ctx put fetus in distress
102
health risks associated w/ menopause
* osteoporosis * obesity * heart dz
103
when are PMS s/sx present
* week before menstruation | * resolve w/in couple day of menses onset
104
what test helps dx IUGR
•doppler blood flow
105
possible neonate condition d/t steroid admin in utero...
•hypoglycemia
106
MgSO4 classification
•CNS depressant | *neonate r/o resp. suppression
107
normal respiration findings of preterm
•5-10 sec of respiratory pauses followed by 10-15 sec of rapid compensatory respirations
108
RN intervention shoulder dystocia
•suprapubic pressure
109
RN interventions for FHR decels and hypertonic ctx
* turn pt on side FIRST | * discontinue oxytocin
110
first intervention if pt reports no fetal movement
•auscultate for FHR
OB
flashcards
Decks in class (17)
# Cards
Brainscape helps you reach your goals faster, through stronger study habits.
© 2026 Bold Learning Solutions. Terms and Conditions