OB/Peds (NUR 230) Exams 1 - 4 complete Review Guides_ 2026
McRoberts maneuver = 1st intervention for shoulder dystocia
Latent/Early labor = 0-5 cm
Active = 6-10 sm
Tingling in fingers means hyperventilating = use cupped hands
Lowest acceptable values for hgb |
1st trimester: 11 g/dL
2nd trimester: 10.5 g/dL (We see an increase in blood volume)
3rd trimester: 11 g/dL
Second stage of labor = cervix 10 cm dilated & 100% effaced
Preterm labor: most likely causes: infections, underweight
External version: fetus is either transverse, oblique, or breech, so we try to rotate the fetus
-Med used: tocolytic to relax the uterus & move the baby
,Goal: cephalic or vertex presentation
Rhogam is used in the situation of Rh incompatibility
If you have a Rh-negative mom, and baby is + we would give her Rhogam at 28 wks gestation
If she delivers an RH positive baby then she would receive rhogam within 72 hrs of that delivery
Acceleration= 15 bpm for 15 secs
For an amniotomy, due to the increased risk of infection, the nurse should monitor the
temperature every 2 hrs following the procedure. Vaginal exams are kept to a minimum due to
the chance of infection.
For variable decelerations = priority action is to change positions
Prior to placing an epidural = 1000mL IV bolus has been given *On Exam*
Pitocin = used to accelerate contractions / make them happen more frequently and more
intensely
Tocolytic = relaxes the uterus
Mg sulfate = 4-7 (therapeutic range)
>9 is mg toxicity
Side effects of Mg: *On Exam*
Warm/flushed
Headache
Sweaty
A persistent occiput posterior position causes intense back pain because of fetal compression of
the sacral nerves. Occiput anterior is the most common fetal position and does not cause back
pain.
,Nursing Interventions:
Do NOT place pt in a supine position
C-section incision = lower transverse is the best
Giving a narcotic analgesic during the transition phase of the first stage of labor will likely result
in respiratory depression to the newborn
Reverse an opioid overdose= Narcan
Effleurage = nonpharmalogic therapy / light stroking of the abdomen to facilitate relaxation
during labor and provide tactile stimulation to the fetus
, Cardiovascular change during 2nd trimester = pulse increases by 10–20 beats per minute *On
Exam*
Heart palpitations are a normal change related to pregnancy
WBC normal value = 4,500 - 11,000
Biggest concern during first prenatal visit = Rubella titer non-immune (Arrangements should be
made to administer the rubella vaccine during the postpartum time period)
- Pregnancy meds to be avoided for 1 to 3 months
- The vaccine is administered by the subcutaneous route
- Exposure to immunosuppressed individuals needs to be avoided
- A hypersensitivity reaction can occur if the client has an allergy to eggs
A woman who is 32 weeks pregnant, a danger sign of pregnancy could be: a decrease in fetal
movement
A pregnant woman with nausea/vomiting should: eat small, frequent meals every 2 to 3 hrs
Other inventions: crackles in the morning, carbs / ginger pops
Iron Supplements
Take with vitamin C and empty stomach
Cause black stools
Avoid calcium (milk)
Iron foods
Green leafy greens
McRoberts maneuver = 1st intervention for shoulder dystocia
Latent/Early labor = 0-5 cm
Active = 6-10 sm
Tingling in fingers means hyperventilating = use cupped hands
Lowest acceptable values for hgb |
1st trimester: 11 g/dL
2nd trimester: 10.5 g/dL (We see an increase in blood volume)
3rd trimester: 11 g/dL
Second stage of labor = cervix 10 cm dilated & 100% effaced
Preterm labor: most likely causes: infections, underweight
External version: fetus is either transverse, oblique, or breech, so we try to rotate the fetus
-Med used: tocolytic to relax the uterus & move the baby
,Goal: cephalic or vertex presentation
Rhogam is used in the situation of Rh incompatibility
If you have a Rh-negative mom, and baby is + we would give her Rhogam at 28 wks gestation
If she delivers an RH positive baby then she would receive rhogam within 72 hrs of that delivery
Acceleration= 15 bpm for 15 secs
For an amniotomy, due to the increased risk of infection, the nurse should monitor the
temperature every 2 hrs following the procedure. Vaginal exams are kept to a minimum due to
the chance of infection.
For variable decelerations = priority action is to change positions
Prior to placing an epidural = 1000mL IV bolus has been given *On Exam*
Pitocin = used to accelerate contractions / make them happen more frequently and more
intensely
Tocolytic = relaxes the uterus
Mg sulfate = 4-7 (therapeutic range)
>9 is mg toxicity
Side effects of Mg: *On Exam*
Warm/flushed
Headache
Sweaty
A persistent occiput posterior position causes intense back pain because of fetal compression of
the sacral nerves. Occiput anterior is the most common fetal position and does not cause back
pain.
,Nursing Interventions:
Do NOT place pt in a supine position
C-section incision = lower transverse is the best
Giving a narcotic analgesic during the transition phase of the first stage of labor will likely result
in respiratory depression to the newborn
Reverse an opioid overdose= Narcan
Effleurage = nonpharmalogic therapy / light stroking of the abdomen to facilitate relaxation
during labor and provide tactile stimulation to the fetus
, Cardiovascular change during 2nd trimester = pulse increases by 10–20 beats per minute *On
Exam*
Heart palpitations are a normal change related to pregnancy
WBC normal value = 4,500 - 11,000
Biggest concern during first prenatal visit = Rubella titer non-immune (Arrangements should be
made to administer the rubella vaccine during the postpartum time period)
- Pregnancy meds to be avoided for 1 to 3 months
- The vaccine is administered by the subcutaneous route
- Exposure to immunosuppressed individuals needs to be avoided
- A hypersensitivity reaction can occur if the client has an allergy to eggs
A woman who is 32 weeks pregnant, a danger sign of pregnancy could be: a decrease in fetal
movement
A pregnant woman with nausea/vomiting should: eat small, frequent meals every 2 to 3 hrs
Other inventions: crackles in the morning, carbs / ginger pops
Iron Supplements
Take with vitamin C and empty stomach
Cause black stools
Avoid calcium (milk)
Iron foods
Green leafy greens
