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NUR2513 MATERNAL CHILD NURSING EXAM 3 BLUEPRINT
Meds to know:
Medications to know the class, action, and why we give it-
● Methergine
● Hemabate
● Pitocin
● Magnesium sulfate-
● Terbutaline-
● Cytotec-
● Betamethasone-
● Vitamin K-
● Folic Acid-
● Rhogam-
● Digoxin –
● Pancrelipase (cystic fibrosis) – how do you instruct pt to take this med?
o Taken with meals (just before) to increase absorption
● Albuterol –
● Valproic acid
GYN Issues
What is dysmenorrhea? What are pharmacologic and nonpharmacologic methods of management?
Pregnancy care
Be able to interpret a given history into a GTPAL statement.
Gravid- How many total pregnancies
Term- How many pregnancies delivered at term
Preterm- How many preterm deliveries
Abortions- how many miscarriages or abortions
Live births- How many living children were delivered
What is Naegel’s Rule?
Be able to calculate EDD from LMP or GA:
● If given an LMP- calculate EDD
● Gestational age – Ballard Score
, 2
Understand symptoms and changes associated with pregnancy:
● Which are normal changes that we should educate mom to expect?
● Which are abnormal findings or “red flags” that she should report to the MD or CNM
immediately?
Pregnancy Complications-
Know each of these: what is it, what are the symptoms, how is it managed (interventions, medications,
etc), as well as precautions…
● Preterm Labor
● Preeclampsia
● Placental Abruption
● Placenta Previa
● Prolapsed Cord
Labor complications:
What is uterine hyperstimulation? What action should the nurse take?
Drug use in pregnancy
, 3
● Understand implications of chronic drug use during pregnancy (what will it mean for the
newborn)
● Know how to assess for the presence of illicit drug use in mom? Baby?
NEWBORN
Know the normal ranges for newborn VS
● HR
● Respirations
● Temperature
● Blood sugar
● Closure of anterior and posterior fontanels
What are the components of the apgar score
● color
● respiratory effort
● heart rate
● tone
● reflex irritability
Know APGAR scoring and how to assign each score
Physiologic Parameter Score Score Score
0 1 2
Heart Rate Absent Below 100 Above 100
Respiratory Effort Absent Slow, irregular, weak Good Strong cry
cry
Muscle Tone Flaccid Some flexion of Well Flexed
extremities
Reflex Irritability No Response Grimace Vigorous cry
Color Blue, pale Pink Body, blue Completely Pink
extremities
What does respiratory distress syndrome look like?
Postpartum Complications
Medications for postpartum hemorrhage (or oxytoxics):
PREECLAMPSIA: they are still at risk postpartum!
NUR2513 MATERNAL CHILD NURSING EXAM 3 BLUEPRINT
Meds to know:
Medications to know the class, action, and why we give it-
● Methergine
● Hemabate
● Pitocin
● Magnesium sulfate-
● Terbutaline-
● Cytotec-
● Betamethasone-
● Vitamin K-
● Folic Acid-
● Rhogam-
● Digoxin –
● Pancrelipase (cystic fibrosis) – how do you instruct pt to take this med?
o Taken with meals (just before) to increase absorption
● Albuterol –
● Valproic acid
GYN Issues
What is dysmenorrhea? What are pharmacologic and nonpharmacologic methods of management?
Pregnancy care
Be able to interpret a given history into a GTPAL statement.
Gravid- How many total pregnancies
Term- How many pregnancies delivered at term
Preterm- How many preterm deliveries
Abortions- how many miscarriages or abortions
Live births- How many living children were delivered
What is Naegel’s Rule?
Be able to calculate EDD from LMP or GA:
● If given an LMP- calculate EDD
● Gestational age – Ballard Score
, 2
Understand symptoms and changes associated with pregnancy:
● Which are normal changes that we should educate mom to expect?
● Which are abnormal findings or “red flags” that she should report to the MD or CNM
immediately?
Pregnancy Complications-
Know each of these: what is it, what are the symptoms, how is it managed (interventions, medications,
etc), as well as precautions…
● Preterm Labor
● Preeclampsia
● Placental Abruption
● Placenta Previa
● Prolapsed Cord
Labor complications:
What is uterine hyperstimulation? What action should the nurse take?
Drug use in pregnancy
, 3
● Understand implications of chronic drug use during pregnancy (what will it mean for the
newborn)
● Know how to assess for the presence of illicit drug use in mom? Baby?
NEWBORN
Know the normal ranges for newborn VS
● HR
● Respirations
● Temperature
● Blood sugar
● Closure of anterior and posterior fontanels
What are the components of the apgar score
● color
● respiratory effort
● heart rate
● tone
● reflex irritability
Know APGAR scoring and how to assign each score
Physiologic Parameter Score Score Score
0 1 2
Heart Rate Absent Below 100 Above 100
Respiratory Effort Absent Slow, irregular, weak Good Strong cry
cry
Muscle Tone Flaccid Some flexion of Well Flexed
extremities
Reflex Irritability No Response Grimace Vigorous cry
Color Blue, pale Pink Body, blue Completely Pink
extremities
What does respiratory distress syndrome look like?
Postpartum Complications
Medications for postpartum hemorrhage (or oxytoxics):
PREECLAMPSIA: they are still at risk postpartum!
