OB FINAL OB/PEDS Questions and Verified
Answers
Erikson's Development Stages Correct Answer: ~ TODDLERS 1 TO 3 YEARS
* autonomy vs shame & doubt*
-Toddler shows sense of autonomy or will develop shame if criticized.
~ PRESCHOOL 3-6 YEARS
* initiative vs guilt*
-Child initiates new activities and new ideas
~SCHOOL AGE 6 TO 12 YEARS
*industry vs. inferiority*
Child gains a sense of self worth from involvement in activities
~ADOLESCENTS 12-18
*identity vs role confusion*
Search for self identity leads to independence from parents and reliance on peers.
Clubfoot Parent Education and post op concerns and interventions Correct Answer: Congenital anomaly:
Foot is twisted - involves *muscles, bones, and tendons*
*Cannot be corrected by exercise*
Serial casting if done early
Surgical correction (3 to 12 months of age)
*Postsurgical care*
,-*Neuro checks q2hrs x 24 hrs*
*Observe for swelling, drainage or bleeding*
*Apply ice bags to foot*
*Elevate ankle and foot on pillow x 24 hours*
Around the clock pain medication x 24-48 hours
*Home care teaching*
Demonstrate use of sponge bath- protect cast from water breakdown
Discuss clothing that may accommodate a cast
Pavlik Harness Correct Answer: Pavlik harness (younger than 3 months of age)- dynamic splint that
allows movement. Ensures hip flexion and abduction. Kept on 23 hours a day
Skin traction (older than 3 months of age)
Spica cast, surgery (older than 18 months of age)
casting - how can you minimize edema? Correct Answer: *Keep cast elevated above heart to minimize
edema*
-check neurovascular status
-Assess extremities for color, temp, cap refill, peripheral pulses, edema, sensation, motor ability, and pain
-Pain control
-Promote mobility
*Limit activities for 8 weeks*
jaundice Correct Answer: excess RBC that can't be broken down due to immature liver
hyperbilirubinemia
,*hydration status*
encouraging feeding and stooling
pathologic reason happens within first 24 hours - w blood incompatibility
physiologic - after 24 *typically seen*
risk for jaundice Correct Answer: traumatic birth
Rh factor
ABO incompatibility
cephalahematoma - pooling of blood
Preterm labor meds Correct Answer: *Terbutaline*- stops contractions
*Celestone* for maturation of lungs
*Methergine* - prevents hemorrhage
vaccination contraindications Correct Answer: can give vaccines with low grade fever
egg allergies - influenza
neomycin
gelatin
previous vaccine reactions? febrile, topical , anaphylactic?
varicella is contagious for what amount of time? when can they go back to school? Correct Answer:
Contagious until lesions are completely crusted over
Estimated: 7-14 days
Preterm infants at risk for Correct Answer: *Respiratory issues*
, Brain bleeds
*Retinopathy of Prematurity - which is caused by HYPER-OXYGENATION*
- monitor 02 stats and lowest 02 levels possible
Newborn assessment at 26 weeks Correct Answer: thin skin
vernix and lanugo
ballard scale - *LOOK AT THESE CHARACTERISTICS*
Ballard Scale Correct Answer: External physical characteristics
-Resting posture
-Skin
-Lanugo
-Sole (planar) creases
-Breast tissue
-Ear form and cartilage distribution
-Evaluation of genitals
Neurologic characteristics
-Posture
-Square window sign - pushing fingers back to wrist - a full term infant can be bent back to a 0 degree
angle
-Popliteal angle
-Arm recoil
Answers
Erikson's Development Stages Correct Answer: ~ TODDLERS 1 TO 3 YEARS
* autonomy vs shame & doubt*
-Toddler shows sense of autonomy or will develop shame if criticized.
~ PRESCHOOL 3-6 YEARS
* initiative vs guilt*
-Child initiates new activities and new ideas
~SCHOOL AGE 6 TO 12 YEARS
*industry vs. inferiority*
Child gains a sense of self worth from involvement in activities
~ADOLESCENTS 12-18
*identity vs role confusion*
Search for self identity leads to independence from parents and reliance on peers.
Clubfoot Parent Education and post op concerns and interventions Correct Answer: Congenital anomaly:
Foot is twisted - involves *muscles, bones, and tendons*
*Cannot be corrected by exercise*
Serial casting if done early
Surgical correction (3 to 12 months of age)
*Postsurgical care*
,-*Neuro checks q2hrs x 24 hrs*
*Observe for swelling, drainage or bleeding*
*Apply ice bags to foot*
*Elevate ankle and foot on pillow x 24 hours*
Around the clock pain medication x 24-48 hours
*Home care teaching*
Demonstrate use of sponge bath- protect cast from water breakdown
Discuss clothing that may accommodate a cast
Pavlik Harness Correct Answer: Pavlik harness (younger than 3 months of age)- dynamic splint that
allows movement. Ensures hip flexion and abduction. Kept on 23 hours a day
Skin traction (older than 3 months of age)
Spica cast, surgery (older than 18 months of age)
casting - how can you minimize edema? Correct Answer: *Keep cast elevated above heart to minimize
edema*
-check neurovascular status
-Assess extremities for color, temp, cap refill, peripheral pulses, edema, sensation, motor ability, and pain
-Pain control
-Promote mobility
*Limit activities for 8 weeks*
jaundice Correct Answer: excess RBC that can't be broken down due to immature liver
hyperbilirubinemia
,*hydration status*
encouraging feeding and stooling
pathologic reason happens within first 24 hours - w blood incompatibility
physiologic - after 24 *typically seen*
risk for jaundice Correct Answer: traumatic birth
Rh factor
ABO incompatibility
cephalahematoma - pooling of blood
Preterm labor meds Correct Answer: *Terbutaline*- stops contractions
*Celestone* for maturation of lungs
*Methergine* - prevents hemorrhage
vaccination contraindications Correct Answer: can give vaccines with low grade fever
egg allergies - influenza
neomycin
gelatin
previous vaccine reactions? febrile, topical , anaphylactic?
varicella is contagious for what amount of time? when can they go back to school? Correct Answer:
Contagious until lesions are completely crusted over
Estimated: 7-14 days
Preterm infants at risk for Correct Answer: *Respiratory issues*
, Brain bleeds
*Retinopathy of Prematurity - which is caused by HYPER-OXYGENATION*
- monitor 02 stats and lowest 02 levels possible
Newborn assessment at 26 weeks Correct Answer: thin skin
vernix and lanugo
ballard scale - *LOOK AT THESE CHARACTERISTICS*
Ballard Scale Correct Answer: External physical characteristics
-Resting posture
-Skin
-Lanugo
-Sole (planar) creases
-Breast tissue
-Ear form and cartilage distribution
-Evaluation of genitals
Neurologic characteristics
-Posture
-Square window sign - pushing fingers back to wrist - a full term infant can be bent back to a 0 degree
angle
-Popliteal angle
-Arm recoil
