Download NU 333 - OB Exam 3 Questions With Complete Solutions 2025 Graded A+ Pass. and more Exams Nursing in PDF only on Docsity!
NU 333 - OB Exam 3 Questions With Complete Solutions 2025
Graded A+ Pass.
Posture - ANSWERS-0- 0 is a flaccid baby 4 reflexes are great Square Window - ANSWERS--1 - 4 Angle between the wrist and forearm Arm Recoil - ANSWERS-0- Hold arms by the babies side, then quickly release it. If they do not quickly recoil up they have a lower score Popliteal Angle - ANSWERS--1 - 5 Behind the knee, lower angle the score will be higher Scarf Sign - ANSWERS--1 - 4 Take the arm and wrap it around the chest Based on the elbow in relation to their midline Higher score it wont reach the midline Heel to Ear - ANSWERS--1 - 4 Touch their toes to their ear, higher scores cannot do this well. Skin - ANSWERS--1) Sticky, Friable, Transparent
- Gelantinous Red, Translucent
- Smooth, Pink, Visible Veins
- Superficial peeling, maybe a rash, some veins
- Crackling and pale areas, rare to see veins
- Parchment color, crackling, no veins
- Leatherly, crackled, wrinkled Lanugo - ANSWERS--1) None
- Sparse
- Abundant
- Thinning
- Bald Areas
- Mostly bald Plantar Surface - ANSWERS--1) Heel Toe 40-50mm or <40mm
50mm No creases
- Faint red marks
- Anterior transverse creases only
- Creases are 2/3 over the plantar surface
- Creases creases everywhere! Breast - ANSWERS--1) No present
- Mostly not present
- Flat areola but no buds
- Stippled areola
- Raised Areola
- Active flexion in arms and legs Pulse - ANSWERS-0) Absent
- Below 100bpm
- Above 100bpm Grimace - ANSWERS-0) Floppy baby
- Minimal response to stimulation
- Active full response to stimulation Appearance - ANSWERS-0) Blue all over
- Acrocyanosis
- Pink Respirations - ANSWERS-0) Absent
- Slow and irregular, faint cry
- Vigorous cry Dysfunctional labor/Dystocia - ANSWERS-Long or difficult labor When is dystocia suspected - ANSWERS-When there is alteration in the characteristics of contractions Lack of progress in the rate of cervical dilation Lack of progress in fetal descent and expulsion Most common reason for a c-section? - ANSWERS-Dystocia Risk factors for Dystocia? - ANSWERS-Old, Overweight, Cephalopelvic Disproportion Oxytocin Administration
Hypertonic Contractions - ANSWERS-Squeeze is too strong or too fast for the cervix to become dilated or effaced Contractions occur in the midsection of the fundus preventing downard pressure Nursing interventions for hypertonic contractions - ANSWERS-Assess FHR after analgesics are given Provide quiet environment/Massage mother Give Fluids Hypotonic Contractions - ANSWERS-Women's contractions are weak or not efficient to cause effacement Nursing interventions for hypotonic contractions - ANSWERS-Administer PIP and monitor after Perform amniotomy Administer oxytocin change positions Last ditch effort is C-section Precipitous Labor - ANSWERS-Labor that lasts less than 3 hours from onset of contractions until the baby pops out Preterm labor - ANSWERS-Anytime after 20 weeks but before 37 weeks Risk factors for Precipitous labor - ANSWERS-Hypertonic contractions Placental Abruption Cocaine us Maternal complications of precipitous labor - ANSWERS-Uterine rupture PP hemorrhage
Concern for vaginal delivery of a breech - ANSWERS-Can have vaginal birth but it depends on the cut of the previous c-section. Best cut for c-section to allow for future vaginal deliveries? - ANSWERS-Low Transverse How do you move the baby if they are presenting wrong? - ANSWERS-External eversion Fetal Fibronectin Test - ANSWERS-Tests the glycoprotein on the cervix Negative predictor If the glycoprotein is present in the Fetal Fibronectin Test - ANSWERS-Preterm labor is unlikely What is the steroid given to help develop infant surfactant - ANSWERS-Beta Methozone What hormones decrease PP? - ANSWERS-Estrogen and Progesterone What hormones increase after PP? - ANSWERS-Prolactin Fundus location immediately after deliver - ANSWERS-Fundus is at the umbilicus Where is the fundus 24 hours PP - ANSWERS-Measures 20 weeks How frequently does the fundus descend? - ANSWERS-1-2 cm every 24 hours Subinvolution of the Uterus - ANSWERS-Uterus is delayed in returning to normal size and function Appearance of subinvolution of the uterus? - ANSWERS-Boggy soft uterus Prolonged lochia Irregular/excessive bleeding Larger uterus than normal Risks for Subinvolution of the uterus? - ANSWERS-Pelvic infections
Retained placental fragments leading to hemorrhaging Interventions for subinvolution of the uterus - ANSWERS-Methergine Atony - ANSWERS-Absence of muscle tone Risk factor for atony - ANSWERS-Hemorrhage What do you send home with a patient who has atony but has not hemorrhaged - ANSWERS-Methergine What is a contradiction of methergine - ANSWERS-Patients with highblood pressure Methergine - ANSWERS-Contracts the muscle Lochia stages - ANSWERS-Rubra Serosa Alba Characteristic of Rubra - ANSWERS-Dark red, filled with debris lasts 1-3 days Characteristics of Serosa - ANSWERS-Semi Sanguinous fluid Light pinkish brown Lasts 4-10 days Has old blood,serum,debris WBC Alba - ANSWERS-Yellow whitish 11-14 days but can last up to 4 weeks Serum,bacterial, epithelial cells Does a c-section have more or less lochia? - ANSWERS-Less Does a woman have more or less lochia if they were given pitocin? - ANSWERS- Less
Normal FHR - ANSWERS-110-160bpm after birth Can drop below 100 if they are sleeping Normal respiratory rate for infants - ANSWERS-40 bpm 60bpm or higher if they are crying Platelet range for infants - ANSWERS-150,000 - 300, Ductus Venosis - ANSWERS-Shunted blood from umbilicus vein to the inferior vena cava Bypasses the liver Ductus Arteriosus - ANSWERS-Connected artery to the descending aorta Bypasses the lungs How long does it take for the shunts to close? - ANSWERS-7 days to 1 month so a mumur can be heard during this period but it is NORMAL Vernix Caseosa - ANSWERS-Gooey,white coating when they are born Milia - ANSWERS-Little pimples from clogged sweat duct Desquamation - ANSWERS-Peeling of the skin, depends on gestational age Mongolian Spots - ANSWERS-Birthmark that is blue,black,grey Nevi - ANSWERS-Salmon patches, stork bites, angels kisses Nevus Flammeus - ANSWERS-Port-Wine Stain Nevus Vascularis - ANSWERS-Strawberry hemangioma What type of birthmark do you need to watch? - ANSWERS-Those with tufts of hair Erythema Toxicum - ANSWERS-Skin response like a rash with a white head on it Benign
Why are vitamin K shots given - ANSWERS-Infants guts are sterile and cannot create vitamin K which is needed for clotting Meconium - ANSWERS-Babies first stool Greenish,black, viscious, tarry When does Meconium typically occur - ANSWERS-12-24 hours but can be delayed up to 7 days depending on the weight Transitional Stools - ANSWERS-Usually appears the third day after initiating feeding Greenish brown to yellowish brown Acrocyanosis - ANSWERS-Extremities are blue but the baby appears fine and the middle is pink What is the dangers of heat loss to a baby - ANSWERS-They cannot thermoregulate thus very susceptible to heat loss Heat loss in infants leads to.... - ANSWERS-Increases metabolic needs which causes acidosis and hypoglycemia Ways that babies loose heat loss - ANSWERS-Conduction, Evaporation, Radiation, Convection Thermogenesis - ANSWERS-Cold stress Subagaleal Hemorrhage - ANSWERS-Result of traction or application of shearing forces to the baby caused by extraction Cephalohematoma - ANSWERS-Swelling in the periastinum area DOES NOT cross the suture line Caput Succedaneum - ANSWERS-Swelling that occurs over the skull CROSSES the suture line
Conjugated bilirubin - ANSWERS-Normaly can be excreted Icterus - ANSWERS-Jaundice Kernicterus - ANSWERS-Bilirubin Encephalopathy
