next 15 20 25 510 ante- partum low risk newborn post- partum ethical legal complication s of...
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5 10Ante-partum
Low risk
Newborn
Post-partum
Ethical
Legal
Complications of
pregnancy
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Antepartum
Question for 5 Points
What are the changes in the uterus during
pregnancy?
Show Answer
Antepartum
Answer for 5 Points
The uterus due to the influence of estrogen
enlarges in size from a capacity of 10 ml to 5L and in weight from 2 oz to 2.5
lbs. Back to Board
Antepartum
Question for 10 Points
What is Hegar’s sign?
Show Answer
Antepartum
Answer for 10 Points
The softening of the isthmus, the area
between cervix and uterine body
Back to Board
Antepartum
Question for 15 Points
What are the changes in the cardiac system
during pregnancy?
Show Answer
Antepartum
Answer for 15 PointsBlood volume increases by 40-
45%
Heart size increases
Cardiac output increases 30-50%
Apical heart rate increases Back to Board
Antepartum
Question for 20 Points
Describe the changes in blood pressure
during normal pregnancy?
Show Answer
Antepartum
Answer for 20 PointsIncreases in 1st trimester as volume
increases
Decreases in 2nd trimester as vasculature relaxes and enlarges
Returns to normal during 3rd trimester
Back to Board
Antepartum
Question for 25 Points
What is chloasma?
Show Answer
Antepartum
Answer for 25 PointsAlso called melasma. It is increased pigmentation occurring on face due to increased hormones. Also seen
in women taking birth control pills.
Back to Board
Low Risk Newborn
Question for 5 Points
Describe the 3 periods of the transition period
following birth
Show Answer
Low Risk Newborn
Answer for 5 Points1st period of reactivity:30 min after
birth
Sleep phase: lasting up to 4 hours
Second period of reactivity: lasts 4-6 hours
Back to Board
Low Risk Newborn
Question for 10 Points
What is lanugo?
Show Answer
Low Risk Newborn
Answer for 10 PointsFine, Downy hair covering body
Decreases as gestational age increases
Greatest from 28-30 weeks
Back to Board
Low Risk Newborn
Question for 15 Points
What are the manifestations of
respiratory distress?
Show Answer
Low Risk Newborn
Answer for 15 Points
Tachypnea, apnea, expiratory grunting, labored breathing, nasal flaring on inspiration,
pallor, cyanosis
Back to Board
Low Risk Newborn
Question for 20 Points
What is the treatment for hypoglycemia?
Show Answer
Low Risk Newborn
Answer for 20 Points
Early breastfeeding
Formula supplementation
IV 5-10% D5W
Back to Board
Low Risk Newborn
Question for 25 Points
Excessive mucus or drooling can be a sign
of ________?
Show Answer
Low Risk Newborn
Answer for 25 Points
Tracheoespohageal atresia:
esophagus ends blindly and does not connect to
stomachBack to Board
Post Partum Mom
Question for 5 Points
What are the signs of genital tract laceration?
Show Answer
Post Partum Mom
Answer for 5 Points
Persistent vaginal bleeding in a firmly contracted uterus.
Back to Board
Post Partum Mom
Question for 10 Points
What 4 drugs are used for uterine atony?
Show Answer
Post Partum Mom
Answer for 10 PointsMethergine (Methylergometrine maleate)
Pitocin (oxytocin)
Cytotec (misoprostol)
Hemabate (carboprost tromethamine)
Back to Board
Post Partum Mom
Question for 15 Points
What is the amount of urine output that indicates normal kidney function?
Show Answer
Post Partum Mom
Answer for 15 Points
30 ml/hr
Back to Board
Question for 20 Points
What are the signs of uterine infection?
Show Answer
Post Partum Mom
Answer for 20 Points
Elevated temperature
Foul odor
Leukorrhea
backacheBack to Board
Post Partum Mom
Question for 25 Points
What are signs of pulmonary emboli?
Show Answer
Post Partum Mom
Answer for 25 PointsVague chest pain
Anxiety
Increased respiratory rate
Pallor
Tachypnea
Rales/friction rub Back to Board
Ethical/Legal
Question for 5 Points
What are some of your nursing
responsibilities?
Show Answer
Ethical/Legal
Answer for 5 Points
Patient advocacy
Caring
CoordinatingBack to Board
Ethical/Legal
Question for 10 Points
What is the number one cause of death in
the US?
Show Answer
Ethical/Legal
Answer for 10 Points
Medical Errors
98,000 a year
Back to Board
Ethical/Legal
Question for 15 Points
Name 3 ethical issues perinatal nurses face.
Show Answer
Ethical/Legal
Answer for 15 Points
Errors
Court ordered medical care
Selective reduction
Infertility treatment
Substance abuse screening
Contraception choices
Policies
performance Back to Board
Ethical/Legal
Question for 20 Points
What is the standard of care when dealing with triaging an OB patient
over the phone?Show Answer
Ethical/Legal
Answer for 20 PointsThe patient needs to call the practitioner
directly
Or
The patient needs to come to the hospital to be assessed.
Over the phone triage needs to be avoided at all costs
Back to Board
Ethical/Legal
Question for 25 Points
When dealing with perinatal care what would be some of the things to more likely cause a malpractice
claim?
Show Answer
Ethical/Legal
Answer for 25 PointsNot providing what is
perceived to be the standard of care
Not providing research/science based medical care
Back to Board
Complications of Pregnancy
Question for 5 Points
Name 3 ways to manage cardiac
conditions in pregnancy
Show Answer
Complications of Pregnancy
Answer for 5 Points
Bed rest if necessary
Avoid excess weight gain and salt intake
Screen for stressors (anemia, thyroid disease, infections)
Endocarditis prophylaxis for high risk patients only
Early hospitalization for changes in functional capacity
Medications like Digoxin and diuretics are ok
Don’t use warfarin or angiotensin-converting enzyme inhibitors
Back to Board
Complications of Pregnancy
Question for 10 Points
What changes normally occur during pregnancy
in renal diagnostic tests?
Show AnswerIn
Complications of Pregnancy
Answer for 10 PointsCreatine, BUN and Uric Acid
decrease
Drop in BP
Mild proteinuria and glycosuria are common Back to Board
Complications of Pregnancy
Question for 15 Points
How is pyelonephritis managed during
pregnancy?Show Answer
Complications of Pregnancy
Answer for 15 PointsHospitalization with IV ABX
Choice of ABX should be based on culture and sensitivity
Possible obstruction, abscess, resistant organisms, infected calculus or cyst should
be considered when pain persists longer than 72 hours
Back to Board
Complications of Pregnancy
Question for 20 Points
How are chronic hypertension patients
managed during pregnancy?
Show Answer
Complications of Pregnancy
Answer for 20 PointsMild disease: Systolic 140-150mmHg,
diastolic <100 mmHg may be watched first semester for response to normal pregnancy
hormones
If on medicines, taper off with consideration of organ damageBack to Board
Complications of Pregnancy
Question for 25 Points
What is pruritis gravidarum?
Show Answer
Complications of Pregnancy
Answer for 25 PointsIntense generalized itching
Absence of preceding skin lesions
Elevated serum bile salts
Treated with emollients and anthistamines Back to Board
Show Question
“Big Points”
Question
What does low set ears indicate?
Show Answer
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Big Points
Answer for Big Points
Chromosomal abnormalities like
trisomy 21
Fetal alcohol syndromeBack to Board