Summary ATI OB PEDS EXAM FULL STUDY GUIDE

CNAP N365: Study Guide for Final Exam (OB/PEDS) Capital University Department of Nursing CNAP N365: Families in Transition Final Exam Study Guide OB Content Family Planning 1. Oral Hormonal Contraceptives: action, risks, and patient education 2. Natural Family Planning: Interpreting ovulation and fertile period on a basal body temperature graph; Calculation of fertile period by calendar method. 3. Cervical Cap: action, risks and patient education 4. IUD: action, risks and patient education 5. Depo Provera (The Shot): action, risks, and patient education 6. Hormonal contraceptives (any method): action, risks, and patient education 7. STIs: Patient education Antepartum 1. Interpretation and notation of GTPAL from a patient history. 2. Signs and risks a pregnant woman should notify her doctor about. 3. Normal discomforts of antepartum period versus signs of complications and nursing guidance. 4. Integumentary changes during pregnancy: Chloasma, Linea Nigra, Vascular spiders, Striae and hormonal causation/ 5. Positive, presumitive, and possible signs of pregnancy. 6. Nausea and vomiting in pregnancy: causation and nursing guidance. 7. Lab values in pregnancy: Hemoglobin, Hematocrit, WBC, glucose, protein & clotting factors. 8. Expected weight gain/pattern in pregnancy. 9. Nutritional guidelines in pregnancy (calories, iron, folate/folic acid, protein, calcium). 10. Fetal movement norms. 11. True versus False labor signs. Risks, and patient education 12. Terms: Quickening, Lightening, Goodell’s Sign, Hegars Sign, Chadwick’s Sign, Braxton Hicks. 13. Fundal Height progression r/t fetal growth. 14. Embryonic Period of fetal development . 15. Quad/Triple Marker test: what does it screen for? Intrapartum & L&D at Risk 1. Amniotic fluid 2. SROM: First nursing action. 3. Signs of reassuring fetal status. 1 This study source was downloaded by from CourseH on :44:06 GMT -06:00 CNAP N365: Study Guide for Final Exam (OB/PEDS) 4. Interpretation of fetal monitoring strips: Baseline FHR, normal FHR characteristics. accelerations, early decelerations, late deceleration and variable decelerations, variability, and uterine contractions for frequency, duration and intensity. 5. Etiologies and nursing interventions for fetal heart fate decelerations (Big 4 Intrauterine Resuscitation Measures) 6. Epidural: major side effect and related physiology. 7. Nursing management of epidural anesthesia. 8. Narcotic Analgesics: Nubain - major risk and nursing management. 9. Stages and phases of labor: (Characteristics of dilation, uterine contractions). 10. Hormonal influence on labor: (Estrogen, Progesterone, Prostaglandins & Oxytocin) 11. Signs of labor progress: dilation, effacement, station. 12. Passenger: Lie, Presentation, Position and Attitude (Interpret from fetal image) 13. Labor Augmentation/Induction with Oxytocin (Pitocin): Action, major side effect and nursing management during administration of Oxytocin (Pitocin). 14. Fetal testing: Indication, interpretation and expected outcome. 15. Nursing considerations of the laboring patient 16. Maternal lab risks, and patient education Postpartum 1. Lochia characteristics/progression and Fundal/Uterine involution pattern. 2. Nursing interventions for boggy uterus. 3. Nursing interventions for post partum uterus rotated off midline. 4 Rh sensitization and nursing management with Rhogam. 5. Signs of postpartum depression. 6. Hemorrhoids: Nursing Management with Tucks. 7. Perineal laceration: Nursing Management. 8. Post partum hemorrhage: risk factors. 9. Cesarean birth: risk factors/complications after birth. 10. Methergine (Methylergonovine Maleate): mode of action, risks and nursi