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5 10Ante-partum

Low risk

Newborn

Post-partum

Ethical

Legal

Complications of

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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