N4341 - Exam 3 (OB - Hoolapa/Welch)
Questions With Complete Solutions
What is best for drug testing infants; urine or
meconium?
Why?
meconium
shows 20 week window and easier to collect
What is the Finnegan scale?
What level requires treatment?
neonatal abstinence scale
≥8 = treat!
What position should drug withdrawal baby be
placed in?
sidelying, best for ↓ CNS excitability
Recommended timeline for breastfeeding
1st 6 months: exclusive breastfeeding
6-12 months: 1° source
What are the 3 types of milk?
colostrum
transition milk (~day 3, mixture of both)
mature milk (foremilk & hindmilk)
foremilk vs hindmilk
timing
volume
, fat content
quenches
foremilk: early AM, ↑volume, ↓fat, quenches thirst
hindmilk: PM, ↓volume, ↑fat, quenches hunger
Tips to increase milk supply (4)
empty during feedings
↑frequency of feedings
massage/compress during feedings
skin-to-skin
Define involution
What is it's opposite?
clamping/shrinking of uterus
opposite: subvolution (bad! at risk for PPH)
Discuss the progress expected during involution (4)
returns to 16w size immediately after delivery
descends 1-2 cm q 24 H
6d = halfway btw symphysis & umbilicus
9d = no longer palpable
During postpartum, when is the fundus no longer
palpable?
9-10 days after delivery
Define FF U-2
fundus firm and 2 fingers below umbilicus
Questions With Complete Solutions
What is best for drug testing infants; urine or
meconium?
Why?
meconium
shows 20 week window and easier to collect
What is the Finnegan scale?
What level requires treatment?
neonatal abstinence scale
≥8 = treat!
What position should drug withdrawal baby be
placed in?
sidelying, best for ↓ CNS excitability
Recommended timeline for breastfeeding
1st 6 months: exclusive breastfeeding
6-12 months: 1° source
What are the 3 types of milk?
colostrum
transition milk (~day 3, mixture of both)
mature milk (foremilk & hindmilk)
foremilk vs hindmilk
timing
volume
, fat content
quenches
foremilk: early AM, ↑volume, ↓fat, quenches thirst
hindmilk: PM, ↓volume, ↑fat, quenches hunger
Tips to increase milk supply (4)
empty during feedings
↑frequency of feedings
massage/compress during feedings
skin-to-skin
Define involution
What is it's opposite?
clamping/shrinking of uterus
opposite: subvolution (bad! at risk for PPH)
Discuss the progress expected during involution (4)
returns to 16w size immediately after delivery
descends 1-2 cm q 24 H
6d = halfway btw symphysis & umbilicus
9d = no longer palpable
During postpartum, when is the fundus no longer
palpable?
9-10 days after delivery
Define FF U-2
fundus firm and 2 fingers below umbilicus
