OB nursing exam 1 questions with complete solutions 2023

OB nursing exam 1 questions with complete solutions 2023Level 1 perinatal care § lowest LVL of care, basic community hospital taking care of healthy moms and babies -can provide neonatal resuscitation at every delivery; evaluate and provide postnatal care to healthy newborn infants; stabilize and provide care for infants born at 35-37 weeks GA who remain physiologically stable; and stabilize newborns who are ill or less than 35 weeks until transfer to another facility Level 2 perinatal care § Can take care of moms at level 1 , but able to manage small complication of baby. Doesn't need intubation but can do minor respiratory support AKA special care nurseries and REQ'd to hae pediatric hospitalists, neonatologists and prenatal NP's in addition to level 1 HCP's stabalize infants born before 32 weeks and weighiing less than 1500g until transfer to a NICU Level 3 perinatal care (NICU) § Can take care of level 1 and 2 but can provide more intense supportive care. NICU are able to -provide sustained life support -provide comprehensive care for infants born at all GA's and birth weights w/ critical illness -offer prompt access to full range of pediatric specialists -perform advanced imaging and interpretation on an urgent basis including CT, MRI and ECG Level 4 perinatal care § THighest level of NIC provided -they could handle rare cardiac defects and need a specialized surgery such as surgical repair of complex congenital or acquired conditions -full range of pediatric medical subspecialists -provide ECMO (extracorporeal membrane Oxygenation) Gravida/Para # of pregnancies, # of live births Nulliparous female who has borne no offspring multiparous a woman who has given birth two or more times multigravida woman who has been pregnant more than once grand multiparous >6 deliveries Preterm 20-37 weeks gestation -latepreterm is 34-36 6/7 Term pregnancy 38-42 weeks -37-39 (early term) -39-41 (full term) -41-42 *(late term) Puerperal pertaining to (immediately after) childbirth puerperium period from delivery until the reproductive organs return to normal BUBBELE Breasts Uterus Bladder Bowels, Lochia Episiotomy (incision at the perineum) Lower extremities Emotional Status cultural competence -providing services, support and assistance -responsive to beliefs, interpersonal styles, attitudes, language and behaviors of individuals with greatest likelihood of ensuring maximum acceptance and participation Cultural Assessment techniques -use conversational approach -open ended questions -integrate cultural and childbearing assessments -listen with interest -nonjudgemental Goal of maternity staff -meaningful experience for childbearing family -ensure health of mother & child -birth is significant life event -honor birth wishes of couple -family centered care respets autonomy to family members, approaches childbirth decisions in nonjudgemental manner -focus: teach new mother self/infant care Ethical issues in maternity nursing (3) -informed consent -right to privacy -confidentiality ex: maternal/fetal conflict, abortion, fetal research, assisted reproductive technology, embryonic stem cell research, human genome project Intepreters -communicate verbally (female and not a family member) -can work w/ written communication -maintain strict confidentiality -do not paraphrase -use translator phone Normal Newborn § In a state of adjustment from intrauterine life to external uterine life § Adaption and changes are profound. § Body systems are changing. § Way they receive and process O2 changes circulatory system. Neonatal period first 28 days of life transitional period after birth lasts?? lasting 6-8 hours after birth (unstable time) Apgar scale a standard measurement system that looks for a variety of indications of good health in newborns -§ Done at 1 and 5 minutes, if not acceptable it is repeated at 10 Mn intervals if first 2 scores are not good. -color, HR, respiration, reflex response, muscle tone APGAR components Appearance (skin color, want pink baby) Pulse (want > 100) Grimace (want cry or pull away) Activity (want flexing arms and legs resisting extension) Respiration (want strong cry) 0-3 APGAR severe distress, needs resuscitation