NUR2633 (Mom Baby) Final Exam
Previous Material
1. GTPAL
G= gravida, T= term deliveries (each delivery counts as 1), P= preterm delivery 20-37
weeks, A= abortion (spontaneous, elective—terminated before 20 weeks), L= # of living
children
2. Naegle’s rule
• Naegele’s Rule--- subtract 3 months +7 days from the first day of the last menstrual
cycle then add a year
3. RhoGam—who qualifies
RhoGam—why is it given and when is it given? What is the primary action?
Who is the only person who is going to receive rogam
mom is RH-. Give again if baby is Rh+
· Type O blood has no antigens (A, B, AB all have antigens) Rh- people do not
have antigens, Rh+ have antigens. **If a Rh- mom is carrying a Rh+ baby, if
there is fetal blood that gets into the material circulation and mom will create
antigens against Rh+** (1st fetus is normally not the problem, it is the second
baby with Rh+ because mom will attack baby) RhoGam can be given Rh- mom to
stop antigen formation, must be given to mom for every pregnancy. After birth of
baby, babies blood type will be tested, if Rh+ then mom will get another shot of
RhoGam 72 hours after birth.
4. Highest priority for nurse caring for laboring client
Put on fetal monitor, check fetal status.
5. PDA—identification, what closes it, what keeps it open
• Patent Ductus Arteriosis -present like RHF
• What is unique with PDA and the murmur?
• Machine like murmur.
There are some time that we want to actually keep PDA open (depending on what the
defect is, there is no oxygenation if PDA is closed), to provide some oxygenation.
, Premature babies most at risk
• Endomethacin to close, Prostaglandins to keep open
• Needs to stay open in utero. Fetus is exposed to prostaglandins in utero. these defects
present with symptoms of RT sided heart failure.
6. What medications are given to a newborn right after birth and what are they for
• Eye ointment-erythromycin (open eye and put on eye) DO NOT WIPE OR WASH
OUT, it is to prevent ophthalmia neonatorum. Administer 1 hour after birth. Start in
inner and move to outer. Required
• Vitamin K: inject in the thigh, acts as a catalyst to synthesize prothrombin, needed for
blood clotting, in the liver. Prevents neonatal injury caused by hemorrhage, a sing dose
(0.5-1.0 mg) of vitamin k1. Helps with clotting required vastus lateralis
• Hep B- IM in thigh to prevent hep B not required vistas lateralis
7. Infants of moms with diabetes—nursing considerations
• check glucose (watch for hypoglycemia)-WE DO NOT CARE ABOUT
HYPERGLYCEMIA
• The newborn is still wanting all the high glucose from diabetic mom.
• Large bodied babies sWeights more than 8.8 lbs.
• At risk for birth injuries.
• Glucose screening is recommended for infants in the following categories who are at
increased risk for pathological hypoglycemia.
• Low APGAR scores
8. Erikson’s (similar to like on the last exam)
• trust vs mistrust (0-18 months) infancy.
• Children develop a sense of trust when caregivers provide reliability, care, and
affection.
• a lack of this will lead to mistrust
Resolved: trust in self and others
Unresolved: mistrust
• Autonomy vs shame/doubt (18 mnths-3 yrs) Early childhood
• children need to develop a sense of control over physical skills and a sense of
independence.
• Success leads to feelings of autonomy, failure results in feelings of shame/doubt.
• motor and verbal skills. Independent and confident
Resolved: independent/confident
Previous Material
1. GTPAL
G= gravida, T= term deliveries (each delivery counts as 1), P= preterm delivery 20-37
weeks, A= abortion (spontaneous, elective—terminated before 20 weeks), L= # of living
children
2. Naegle’s rule
• Naegele’s Rule--- subtract 3 months +7 days from the first day of the last menstrual
cycle then add a year
3. RhoGam—who qualifies
RhoGam—why is it given and when is it given? What is the primary action?
Who is the only person who is going to receive rogam
mom is RH-. Give again if baby is Rh+
· Type O blood has no antigens (A, B, AB all have antigens) Rh- people do not
have antigens, Rh+ have antigens. **If a Rh- mom is carrying a Rh+ baby, if
there is fetal blood that gets into the material circulation and mom will create
antigens against Rh+** (1st fetus is normally not the problem, it is the second
baby with Rh+ because mom will attack baby) RhoGam can be given Rh- mom to
stop antigen formation, must be given to mom for every pregnancy. After birth of
baby, babies blood type will be tested, if Rh+ then mom will get another shot of
RhoGam 72 hours after birth.
4. Highest priority for nurse caring for laboring client
Put on fetal monitor, check fetal status.
5. PDA—identification, what closes it, what keeps it open
• Patent Ductus Arteriosis -present like RHF
• What is unique with PDA and the murmur?
• Machine like murmur.
There are some time that we want to actually keep PDA open (depending on what the
defect is, there is no oxygenation if PDA is closed), to provide some oxygenation.
, Premature babies most at risk
• Endomethacin to close, Prostaglandins to keep open
• Needs to stay open in utero. Fetus is exposed to prostaglandins in utero. these defects
present with symptoms of RT sided heart failure.
6. What medications are given to a newborn right after birth and what are they for
• Eye ointment-erythromycin (open eye and put on eye) DO NOT WIPE OR WASH
OUT, it is to prevent ophthalmia neonatorum. Administer 1 hour after birth. Start in
inner and move to outer. Required
• Vitamin K: inject in the thigh, acts as a catalyst to synthesize prothrombin, needed for
blood clotting, in the liver. Prevents neonatal injury caused by hemorrhage, a sing dose
(0.5-1.0 mg) of vitamin k1. Helps with clotting required vastus lateralis
• Hep B- IM in thigh to prevent hep B not required vistas lateralis
7. Infants of moms with diabetes—nursing considerations
• check glucose (watch for hypoglycemia)-WE DO NOT CARE ABOUT
HYPERGLYCEMIA
• The newborn is still wanting all the high glucose from diabetic mom.
• Large bodied babies sWeights more than 8.8 lbs.
• At risk for birth injuries.
• Glucose screening is recommended for infants in the following categories who are at
increased risk for pathological hypoglycemia.
• Low APGAR scores
8. Erikson’s (similar to like on the last exam)
• trust vs mistrust (0-18 months) infancy.
• Children develop a sense of trust when caregivers provide reliability, care, and
affection.
• a lack of this will lead to mistrust
Resolved: trust in self and others
Unresolved: mistrust
• Autonomy vs shame/doubt (18 mnths-3 yrs) Early childhood
• children need to develop a sense of control over physical skills and a sense of
independence.
• Success leads to feelings of autonomy, failure results in feelings of shame/doubt.
• motor and verbal skills. Independent and confident
Resolved: independent/confident
