Ob Ati Review Study Guide 2024

When is RhoGAM administered? - 28 wks and following delivery Test used to assess for lung maturity, detect congenital abnormalities and diagnose fetal hemolytic dx; RhoGAM is advised after this procedure due to the potential of fetal RBCs entering the maternal blood circulation; possible complication includes pre-term labor and miscarriage therefore report if pt is having any abdominal tightness following procedure; ultrasound should be done prior to procedure to locate a pocket of fluid - Amniocentesis What are late decelerations indicative of? - Uteroplacental insufficiency Five components of the APGAR score - HR, RR, color, reflexes, and muscle tone If a mother is abusing this illicit drug, the nurse can suspect vasoconstriction rt/t abruptio placentae - Cocaine Pt with this should eat to taste to avoid nausea, eat a healthy snack at bedtime, alternate liquids and solids q2h, and eat protein following a sweet snack to prevent excessive nausea and vomiting - Hyperemesis gravidarum At this time during pregnancy, a GBS culture is taken - 35-37 wk At this time during pregnancy, a glucose test is performed - 28 wk At this time during pregnancy, a rubella titer is taken - 6 wk This contraceptive in contraindicated for pts who have a family or personal hx of osteoporosis since it causes a decrease in bone mineral density - Medroxyprogesterone acetate (Depo provera) This contraceptive in contraindicated for pts who have cardiovascular dx, breast cancer, estrogen-dependent tumors, and poor liver fxn - Combined estrogen-progestin oral contraceptives (COC) This contraceptive in contraindicated for pts who have multiple sexual partners, have never been pregnant, or who have pelvic inflammatory dx - Intrauterine device (IUD) This transdermal contraceptive in contraindicated for pts who have HTN or thromboembolitic disorders - Norelgestromin (Ortho Evra) Bath water for a baby should be set no higher than ____ - 120 F A postpartum mother who is breastfeeding should increase her caloric intake by ___ - 330/day A perineal pad should be changed around ____ - 4x/day Nagele's rule - -3 mo, +1 yr and 7 days A ____ oxytocin-stimulated contraction test is an adverse result and should be reported to the provider - Positive A ____ nonstress test ensures a healthy well-being of the baby - Reactive This barrier contraceptive should be replaced q2y, be left in 6 hours after intercourse, use a water-based lubricant (oil can weaken the rubber), and the bladder should be emptied prior to insertion - Diaphragm A pt using jet hydrotherapy during labor is contraindicated for this type of fetal heart monitoring - Internal electrode The posterior fontanel should be _____ than the anterior fontanel - Smaller If a baby is circumcised using the clamp method, ____ should be placed around the glans of the penis during diaper changes, sterile gauze should be gently applied if bleeding occurs, and exudate should not be wiped off - Petroleum jelly This is indicative of hepatic involvement and a sign of severe preeclampsia; if left untreated it could be fatal to mother and baby - Epigastric pain A test that assess five variables; fetal breathing, fetal movement, fetal tone, amniotic fluid volume, and fetal reaction - Biophysical profile This refers to a systemic infection from bacteria in the bloodstream that occurs during the first month after birth; s/sx include nasal flaring, temperature instability, tachypnea, hypotonia, lethargy and irritability - Neonatal sepsis Abnormally small amount of amniotic fluid, 500 mL at term; associated with congenital abnormalities such as renal agenesis and intrauterine growth restriction - Oligohydramnios This is a common bacterial STD where 80% of all cases are asymptomatic. It can be spread to a baby during birth and can lead to and premature ROM - Gonnorhea A serious condition of pregnancy in which the blood pressure rises to 140/90 mm Hg or higher accompanied by proteinuria; s/sx includes pitting edema of the ankles, blurred vision, 3+ DTR, photophobia, oliguria and epigastric pain - Preeclampsia