Download NURS 341 OB Exam 2 Latest 2024/2025 Accurate Summer Semester Graded A Xavier University and more Exams Nursing in PDF only on Docsity!
NURS 341 OB Exam 2 Latest 2024/
Accurate Summer Semester Graded A
Xavier University (200 Questions)
What is normal attitude?
- general flexion
- Head flexed, chin on chest
- Arms crossed over chest
- Legs flexed at knee, thighs on abdomen What is fetal lie? The relationship of the spine of the mother to the spine of the fetus What is the difference between longitudinal and transverse lie? Transverse- baby is horizontal, shoulders presenting Longitudinal- baby is vertical
- Cephalic if head presenting
- Breech if feet presenting
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
- cephalic= occiput (O)
- transverse= acromion (A)
- Breech= sacrum (S) anterior (A), posterior(P) of transverse (T) What does fetal station mean? where in the pelvis the baby is Ischial spines are zero station, called engagment 3 - 4 the baby is crowning
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?
- 140/90> twice
- Protein in urine (24 urine specimen)
- Generalized edema
- Vision changes
- Epigastric pain
- Sudden headaches
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?
- Inflammation of eyes
- Convulsions
- Microcephaly
- Hydrocephalus
- May die after birth What are the fetal risks associated with Rubella?
- Cataracts
- Sensorineural deafness
- Congential heart defects
- Mental retardation and cerebral palsy What are the fetal risks associated with cytomegalovirus? auditory deficits, intellectual disability, learning disability, Microcephaly, hydrocephaly, cerebral palsy, Anemia, hyperbilirubinemia, thrombocytopenia, hepatosplenomegaly What are the fetal risks assocaited with Herpes? spontaneous abortion, preterm labor, IUGR, infection What antivirals can be given at 36 weeks for herpes? Acyclovir, famciclovir, valacyclovir What are the fetal risks of Group B Streptococcus? RDS, pneumonia, apnea, sepsis, shock. Late onset-meningitis
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?
- Gynecoid: 50% of women, good
- Android: skinny model, male pelvis, hard to deliver vaginally
- Anthropoid
- Platypelloid: poor What is fetal attitude? posture of the fetus When does the third stage of labor begin and end? Begins with birth of baby Ends with expulsion of placenta
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
