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What is recommended L/S ratio? - ANSWERS-2:1 - lungs are probably mature
3:1 - indicative of maturity
What causes a sinusoidal FHR tracing? - ANSWERS-Fetal anemia
Where would you expect to palpate fundus 24h pp? - ANSWERS-1cm below umbilicus
What is the term for lochia appearing 3-10 days pp and pink or brown in colora -
ANSWERS-Lochia serosa
The process of involution that allows for healing of the placental site preventing scarring
is? - ANSWERS-Exfoliation
True or false 2500cc urine 2 days pp is a normal physiologic response to delivery -
ANSWERS-True
If pp woman's fundus is deviated from midline first RN intervention is? - ANSWERS-
Empty bladder
,Why is UTI common in 1st few weeks pp? - ANSWERS-Dilated ureters and renal pelvis
By which pp day has circulating blood volume diminished secondary to diuresis,
returning to prepregnancy volume? - ANSWERS-Day 5
What is the parenteral analgesic with most rapid peak effect? - ANSWERS-Fentanyl
What neonatal complication is increased with cesarean delivery? - ANSWERS-
Respiratory morbidity
A woman who has a c/s is more likely to be re-hospitalized with what pp complication? -
ANSWERS-Wound infection
During the postpartum period, low levels of placental lactogen, estrogen, cortisol,
growth hormone and insulinase result in? - ANSWERS-Lower glucose levels
Due to the catabolic process of involution postpartum, which lab value is expected to be
elevated postpartum? - ANSWERS-BUN
Avg weight loss with delivery? - ANSWERS-12 lbs
What intervention can increase physiological jaundice? - ANSWERS-Delayed cord
clamping
A woman is 12 days pp and has WBC of 25,000. This indicates? - ANSWERS-Expected
range
What is the antidote for Coumadin? - ANSWERS-Vitamin k
What is antidote to MAg? - ANSWERS-Calcium glucinate
,What med for malignant hyperthermia? - ANSWERS-Dantrolene sodium
Uterotonic med contraindicated for elevated BP? - ANSWERS-Methergine
Following delivery, insulin requirements I'd diabetic woman.... - ANSWERS-Decrease
rapidly
Rhinitis and nasal stuffiness increase in pregnancy are due to? - ANSWERS-Estrogen
After delivery, progesterone levels fall causing what acid/base change? - ANSWERS-
Increase pco2
With what disorder would AFP be elevated? - ANSWERS-Esophageal atresia, neural
tube defects
Women with a history of GDM have increased risk of diabetes at what rate? -
ANSWERS-Onset within 20 years in 35-60%
Glucose screen is done when? - ANSWERS-24-28 weeks
A newly delivered postpartum woman received terbutaline and corticosteroids during
labor is at risk for what potential drug interaction? - ANSWERS-Hyperglycemia
Antidote for heparin? - ANSWERS-Protamine sulfate
Two IV anti hypertensives that may be used to treat severe maternal hypertension? -
ANSWERS-Hydralazine, labatelol
Severe BP values - ANSWERS-Over 160 sbp or over 110 dbp
, Another name for hydralazine? - ANSWERS-Apresoline
Another name for labatelol? - ANSWERS-Trandate, normodyne
If a mother has Insulin dependent diabetes during pregnancy, what electrolyte
imbalance is the neonate at risk for? - ANSWERS-Magnesium deficiency
In which trimester is new onset of GHTN most common? - ANSWERS-3rd trimester
In a pregnancy complicated by hypertension, what is a sign of deteriorating status? -
ANSWERS-Increased serum creatinine
What difference can be expected between manual and electronic diastolic BP? -
ANSWERS-Manual are 5-7 mm HG higher
On admission to L&D , a woman has 2+ reflexes. After IV mag, DTRs are absent. What
is your immediate nursing intervention? - ANSWERS-Stop mag and notify provider
With no apparent HSV lesions what is the recommendation? - ANSWERS-Oral
acyclovir 4 weeks prior to delivery
+IgG antibodies in PP period? - ANSWERS-The recurrence is unlikely, no further action
is required. (IgG chronic, IgM is active)
The most common rheumatic valvular lesion in pregnancy is? - ANSWERS-Mitral
stenosis
Cardiac defect with most complications in labor? - ANSWERS-Mitral stenosis
Methamphetamines are expected to last? - ANSWERS-7-24 hrs