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NURS 341 OB Exam 2 Latest 2024/2025 Accurate Summer Semester Graded A Xavier University (200 Questions)
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What is normal attitude?
What is fetal presentation? The part of the fetus that is presenting How is fetal position described? moms right(R) or left(L) presenting part
What is bloody show? Passage of blood tinged mucus What are some concerns regarding ruptured membranes? Prolapsed cord Infection What is nesting? a sudden burst of energy What is true labor? cervical dilation and effacement are progressive regular contractions, increasing in strength, duration pain not relieved by ambulation or warm bath
When does the first stage of labor begin and end? Begins with cervical dilation and effacement Ends with dilation to 10 cm and 100% effacement What does latent labor in the 1st stage look like? (1) 0-3cm dilated (2) Uterine contractions increase in frequency, duration, and intensity, still irregular (3) Mom is excited and talkative What does active labor in the 1st stage look like? (1) 4-7cm dilated (2) Contractions more frequent and intense (3) Mom has increasing anxiety What does transition labor in the 1st stage look like?
How long does a mom need to wait to get pregnant after GTD? at least 1 year What is hyperemesis gravidarum? Excessive vomiting How do you treat hyperemesis gravidarum? Hydration and Pyridoxine What are the symptoms of preeclampsia?
When does preeclampsia turn into eclampsia? When the mom has seizure activity What is given to women who have preeclampsia? Magnesium Sulfate keeps mom from having a seizure, does not do anything for BP What do you give if the mother's levels of magnesium sulfate get too high? Calcium Gluconate What is chronic hypertension with superimposed preeclampsia? A mom who has HTN before pregnancy that gets worse after week 20 with proteinuria What is gestational HTN? elevated BP during pregnancy with no other s/s of preeclampsia
When is it best to do surgery on a prego mom? 2nd semester 1st- spontaneous abortion 3rd- too big What is toxoplasmosis? parasitic disease that is transmitted through feces of cats What does toxoplasmosis do to an infant?
IV antibiotic therapy with carbenicillin, methenamine, cephalosporins May need a catheter if she doesn't pee How do you treat vulvovaginal candidisis? miconazole and clotimazole How do you treat bacterial vaginosis? Metronidazole Clindamycin How do you treat trichomoniasis? Metronidazole How do you treat chlamydia?
Azithromycin Amoxicillin How do you treat syphilis? Penicillin G How do you treat gonorrhea? Cephalosporin What is gestational diabetes? is any degree of glucose intolerance with onset or recognition during pregnancy When do you assess for Gestational diabetes? 24 - 28 weeks as soon as possible for high risk moms
When should a mother not breastfeed? Maternal Phenylketonuria and HIV positive How long after a transplant should a women wait to get pregnant? 1 year What is iron deficiency anemia? Hemoglobin < mostly due to increased blood volume How much folic acid should a mom take every day? 4mg Which drug to treat asthma can moms not have? Hemabate
Can the baby breastfeed from a mom who has inactive TB? Yes if mom is active, baby cannot be with mom Can women who are HIV postive breastfeed? No Which antibiotic do you not give pregnant women? Doxyclycline Which STI can be directly transmitted through the placenta? Syphilis and herpes if primary infection
Physiologic Forces Psychological Considerations What are the 4 types of pelvises?
When do you know the placenta has detached? Lengthening of cord Gush of fluid How long does the fourth stage of labor last? 1 - 4 hours How does the body change during labor? a) BP rises b) Intense sweating leads to dehydration c) Hyperventilation d) Oxygen demands increased e) Increased WBC f) Decreased maternal blood glucose What does green amniotic fluid mean? baby pooped