NSG 210 OB Questions With Complete Solutions
4 p's of birthing process Correct Answer Powers-
pushing/contractions
Passage- pelvis size/shape
Passenger
Psyche
abruptio placentae Correct Answer premature separation of
the placenta from the uterine wall
Adverse effects of epidural block/opioids Correct Answer -
Maternal hypotension
- Bladder distortion
- Migration of epidural catheter
- Fever
-Pruritus
Breast milk jaundice Correct Answer Rise after the first week
of life when mature breast milk comes in, may need to stop
breastfeeding temporarily
Breastfeeding jaundice prevention Correct Answer Frequent
feeding, avoid supplementation if possible, maternal lactation
counseling
Occurs during first few days of life due to inadequate intake
, caput succedaneum vs cephalohematoma Correct Answer
Caput Succedaneum- soft tissue swelling, that DOES cross
suture lines
Cephalohematoma- subperiosteal hemorrhag that does NOT
cross suture lines.
Circumcision care Correct Answer clean with warm water
each diaper change
petroleum ointment
don't remove crust
oral analgesics if needed
Colostrum Correct Answer a specialized form of milk that
delivers essential nutrients and antibodies in a form that the
newborn can digest
Lots of antibodies and fat!
Concealed hemorrhage Correct Answer Increased fundal
height, board like abdomen, pain, tachycardia, hypotension,
FHR concerns
Descent of fundus Correct Answer descends from the level of
the umbilicus at a rate of 1cm per day. End of day 14 fundus
can't be palpated.
Do striae gravidarum disappear? Correct Answer No- only
fade
Engagement Correct Answer Largest diameter of the
presenting part reaches through the pelvic inlet
4 p's of birthing process Correct Answer Powers-
pushing/contractions
Passage- pelvis size/shape
Passenger
Psyche
abruptio placentae Correct Answer premature separation of
the placenta from the uterine wall
Adverse effects of epidural block/opioids Correct Answer -
Maternal hypotension
- Bladder distortion
- Migration of epidural catheter
- Fever
-Pruritus
Breast milk jaundice Correct Answer Rise after the first week
of life when mature breast milk comes in, may need to stop
breastfeeding temporarily
Breastfeeding jaundice prevention Correct Answer Frequent
feeding, avoid supplementation if possible, maternal lactation
counseling
Occurs during first few days of life due to inadequate intake
, caput succedaneum vs cephalohematoma Correct Answer
Caput Succedaneum- soft tissue swelling, that DOES cross
suture lines
Cephalohematoma- subperiosteal hemorrhag that does NOT
cross suture lines.
Circumcision care Correct Answer clean with warm water
each diaper change
petroleum ointment
don't remove crust
oral analgesics if needed
Colostrum Correct Answer a specialized form of milk that
delivers essential nutrients and antibodies in a form that the
newborn can digest
Lots of antibodies and fat!
Concealed hemorrhage Correct Answer Increased fundal
height, board like abdomen, pain, tachycardia, hypotension,
FHR concerns
Descent of fundus Correct Answer descends from the level of
the umbilicus at a rate of 1cm per day. End of day 14 fundus
can't be palpated.
Do striae gravidarum disappear? Correct Answer No- only
fade
Engagement Correct Answer Largest diameter of the
presenting part reaches through the pelvic inlet