Ivy Tech OB/Peds Final Questions With All Correct Answers.

Normal VS for a neonate - Answer-Temp: 97.7-99.5 HR: 110-160 RR: 30-60 Mongolian spots - Answer-Flat gray-blue spots common in darker ethnicities 3-5 weeks gestation - Answer-Congenital heart anomalies typically occur during what weeks of development in utero Threatened - Answer-a spontaneous abortion - present with bleeding and cramping but the cervix is closed Misoprostol (Cytotec), Oxytocin (Pitocin), Methylergonovine (Methergine), Hemabate, Prostaglandin E - Answer-Medications to manage a post-partum hemorrhage Multiples - Answer-Clomiphene (clomid) increases the chance of having... Abruptio placenta (OB emergency) - Answer-Vaginal bleeding, tense and rigid abdomen, and pain Wharton's jelly - Answer-mucoid connective tissue that surrounds the vessels within the umbilical cord 3 in total (2 arteries, 1 vein) - Answer-How many total vessels in the umbilical cord Disseminated intravascular coagulation (DIC) - Answer-abnormal blood clotting that can cause hemorrhaging and thrombosis; alters the coagulation cascade Surfactant - Answer-Hyperinsulinemia inhibits the production of this. increasing the risk for respiratory distress syndromeHeart attack, stroke, DVT - Answer-Smokers taking contraceptives may experience adverse arterial events such as... 3 months - Answer-The amount of time that a patient should abstain from pregnancy after receiving the MMR vaccine Pain - Answer-The first symptom that a patient with a perineal or vaginal hematoma will report Magnesium sulfate - Answer-A smooth muscle relaxer that can cause respiratory depression and diminished/absent DTR's Preeclampsia and slowing/stopping contractions - Answer-Uses for magnesium sulfate Calcium gluconate - Answer-Antidote for magnesium sulfate Hypertension, proteinuria, edema (others: headache, upper epigastric pain, hyperactive clonus and blurred vision) - Answer-Manifestations of preeclampsia Radiation, Convection, Conduction, Evaporation - Answer-Methods of heat loss in newborns From last known period: add 1 year, subtract 3 months, add 1 week - Answer-Naegle's Rule Naloxone (Narcan) - Answer-Antidote for opioids Intrauterine Growth Restriction (IUGR) - Answer-A condition from poor placental perfusion from smoking, poor nutrition, and/or HTN causing slowed growth Mastitis - Answer-S/S: flu like symptoms, breast tenderness, red streaks on breastsAntibiotics or pump and dump - Answer-Treatment for mastitis Necrotizing enterocolitis - Answer-Neonate with increased abdominal distention, lethargy, bloody stools, and increasing gastric residuals before feeding Empty the bladder - Answer-Uterus is boggy and deviated to the right. First action... Infection - Answer-Rupture of membranes greater than 24 hours puts a woman at risk for... Brachial Plexus Injury - Answer-Injury that can occur when the baby's neck is stretched to the side during a difficult delivery Placenta previa - Answer-S/S: Painless, bright red blood Patent ductus arteriosus - Answer-Opening that diverts blood from the baby's lungs while they develop and the baby receives oxygen from the mother's circulation Ductus arteriosus and foramen ovale - Answer-2 holes in the heart that close around 24 hours after birth Tocolytics - Answer-Medications to stop contractions Magnesium sulfate, terbutaline, procardia - Answer-Examples of tocolytics Gestational diabetes - Answer-Hypoglycemia is frequently seen in babies born to mothers with this dx: Kegel exercises - Answer-Exercises that help strengthen the perineal muscles and promote healing Leopold's maneuver - Answer-Allows providers to determine the position of a fetusS/S of Hyperthyroidism - Answer-S/S: emotional lability, physical restlessness, worsening school performance, weight loss, fatigue, tachycardia, protruding eyes, heat intolerance