OB/PEDS FINAL EXAM STUDY
GUIDE QUESTIONS WITH
ACCURATE ANSWERS
after implantation, what is the zygote called? correct answer embryo
-from implantation to the eighth week
how are due dates calculated during pregnancy? correct answer Nageles Rule:
first day of LNMP, count back 3 months, add seven days
how do you care for the circumcision? correct answer -keep are clean
-wash area with warm water (no alcohol)
-do not remove yellow crust from penis
-tons of vasoline over site with loosely worn diapers
How do you care the umbilical cord? correct answer -fasten the diaper below the
umbilicus
-clean cord area with alcohol swabs with each diaper change
-sponge bath only until cord falls off
how do you treat DVT postpartum? correct answer do flexing and extending leg
excercises postpartum to prevent DVT
-if pos homans sign, alert MD and charge nurse
-sub q or IV anticoagulant drugs, analgesics, local application of heat, elevation of
legs to promote venous return
,how is club foot treated? correct answer -Passive exercises
-Casting to move into normal position, changed frequently and requires petaling
to protect skin.
-Dennis-Browne splint in mild cases
-Reverse shoes
-Surgical correction
how is leukemia diagnosed and treated? correct answer -Based on history and
symptoms
-Results of extensive blood tests
-Demonstrate presence of leukemic blast cells in the blood, bone marrow, or their
tissues (BONE MARROW ASPIRATION)
-X-rays of the long bones show changes
-Spinal tap may be done to check for CNS involvement
-Kidney and liver function studies are done
-The adequacy of their function is essential to the outcomes of chemotherapy
how is the sex of a baby determined? correct answer determined by the male at
fertilization.
-sperm of male determines sex of baby
What are cyanotic heart defects? correct answer Tetralogy of Fallot:
-Stenosis or narrowing of the pulm artery that decreases blood flow to the lungs
-Hypertrophy of the right ventricle, ventricle enlarges because it has to work
harder to pump blood through the narrow pulm artery
, -Dextroposition of the aorta, aorta is displaced to the right and blood from both
ventricles enters it
-VSD ventricular septal defect, hole between right and left ventricle
What are pin worms, how are they transmitted? correct answer "Enterobiasis"
Looks like a white thread; lives in lower intestine but lays eggs outside anus. Eggs
become infective within hours of being deposited
-Route of entry into the body is through the mouth
what are sites of IM injection for an infant? correct answer Vastus lateralis of
thigh is the best spot (0.5ml max at a time)
what are some bonding observations that you need to make between the mother
and the infant? correct answer -mother is wanting to hold the baby and be near
the baby
-eye contact with baby
-interest in feeding and diapering of baby
what are some danger signs to report during pregnancy? correct answer -sudden
gush of fluid from vagina
-vaginal bleeding
-abdominal pain
-persistent vomiting
-epigastric pain
-edema of the face and hands
-severe, persistent headache
GUIDE QUESTIONS WITH
ACCURATE ANSWERS
after implantation, what is the zygote called? correct answer embryo
-from implantation to the eighth week
how are due dates calculated during pregnancy? correct answer Nageles Rule:
first day of LNMP, count back 3 months, add seven days
how do you care for the circumcision? correct answer -keep are clean
-wash area with warm water (no alcohol)
-do not remove yellow crust from penis
-tons of vasoline over site with loosely worn diapers
How do you care the umbilical cord? correct answer -fasten the diaper below the
umbilicus
-clean cord area with alcohol swabs with each diaper change
-sponge bath only until cord falls off
how do you treat DVT postpartum? correct answer do flexing and extending leg
excercises postpartum to prevent DVT
-if pos homans sign, alert MD and charge nurse
-sub q or IV anticoagulant drugs, analgesics, local application of heat, elevation of
legs to promote venous return
,how is club foot treated? correct answer -Passive exercises
-Casting to move into normal position, changed frequently and requires petaling
to protect skin.
-Dennis-Browne splint in mild cases
-Reverse shoes
-Surgical correction
how is leukemia diagnosed and treated? correct answer -Based on history and
symptoms
-Results of extensive blood tests
-Demonstrate presence of leukemic blast cells in the blood, bone marrow, or their
tissues (BONE MARROW ASPIRATION)
-X-rays of the long bones show changes
-Spinal tap may be done to check for CNS involvement
-Kidney and liver function studies are done
-The adequacy of their function is essential to the outcomes of chemotherapy
how is the sex of a baby determined? correct answer determined by the male at
fertilization.
-sperm of male determines sex of baby
What are cyanotic heart defects? correct answer Tetralogy of Fallot:
-Stenosis or narrowing of the pulm artery that decreases blood flow to the lungs
-Hypertrophy of the right ventricle, ventricle enlarges because it has to work
harder to pump blood through the narrow pulm artery
, -Dextroposition of the aorta, aorta is displaced to the right and blood from both
ventricles enters it
-VSD ventricular septal defect, hole between right and left ventricle
What are pin worms, how are they transmitted? correct answer "Enterobiasis"
Looks like a white thread; lives in lower intestine but lays eggs outside anus. Eggs
become infective within hours of being deposited
-Route of entry into the body is through the mouth
what are sites of IM injection for an infant? correct answer Vastus lateralis of
thigh is the best spot (0.5ml max at a time)
what are some bonding observations that you need to make between the mother
and the infant? correct answer -mother is wanting to hold the baby and be near
the baby
-eye contact with baby
-interest in feeding and diapering of baby
what are some danger signs to report during pregnancy? correct answer -sudden
gush of fluid from vagina
-vaginal bleeding
-abdominal pain
-persistent vomiting
-epigastric pain
-edema of the face and hands
-severe, persistent headache
