NUR 2633 MOM BABY FINAL EXAM STUDY GUIDE
NUR2633 (Mom Baby) Final Exam
Previous Material
1. GTPAL
G= gravida, T= term deliveries (each delivery counts as 1), P=
preterm delivery 20-37 weeks, A= abortion (spontaneous, elective—
terminated before 20 weeks), L= # of living children
2. Naegle’s rule
• Naegele’s Rule--- subtract 3 months +7 days from the first day of
the last menstrual cycle then add a year
3. RhoGam—who qualifies
RhoGam—why is it given and when is it given? What is the
primary action?
Who is the only person who is going to receive rogam
mom is RH-. Give again if baby is Rh+
· Type O blood has no antigens (A, B, AB all have antigens)
Rh- people do not have antigens, Rh+ have antigens. **If a
Rh- mom is carrying a Rh+ baby, if there is fetal blood that
gets into the material circulation and mom will create
antigens against Rh+** (1st fetus is normally not the problem,
it is the second baby with Rh+ because mom will attack
baby) RhoGam can be given Rh- mom to stop antigen
, formation, must be given to mom for every pregnancy. After
birth of baby, babies blood type will be tested, if Rh+ then
mom will get another shot of RhoGam 72 hours after birth.
4. Highest priority for nurse caring for laboring client
Put on fetal monitor, check fetal status.
5. PDA—identification, what closes it, what keeps it open
• Patent Ductus Arteriosis -present like RHF
• What is unique with PDA and the murmur?
• Machine like murmur.
There are some time that we want to actually keep PDA open
(depending on what the defect is, there is no oxygenation if PDA is
closed), to provide some oxygenation.
Premature babies most at risk
• Endomethacin to close, Prostaglandins to keep open
• Needs to stay open in utero. Fetus is exposed to prostaglandins in
utero. these defects present with symptoms of RT sided heart
failure.
6. What medications are given to a newborn right after birth and what
are they for
• Eye ointment-erythromycin (open eye and put on eye) DO NOT
WIPE OR WASH OUT, it is to prevent ophthalmia neonatorum.
Administer 1 hour after birth. Start in inner and move to outer.
Required
• Vitamin K: inject in the thigh, acts as a catalyst to synthesize
prothrombin, needed for blood clotting, in the liver. Prevents
, neonatal injury caused by hemorrhage, a sing dose (0.5-1.0 mg) of
vitamin k1. Helps with clotting required vastus lateralis
• Hep B- IM in thigh to prevent hep B not required vistas lateralis
7. Infants of moms with diabetes—nursing considerations
• check glucose (watch for hypoglycemia)-WE DO NOT CARE
ABOUT HYPERGLYCEMIA
• The newborn is still wanting all the high glucose from diabetic
mom.
• Large bodied babies sWeights more than 8.8 lbs.
• At risk for birth injuries.
• Glucose screening is recommended for infants in the following
categories who are at increased risk for pathological
hypoglycemia.
• Low APGAR scores
8. Erikson’s (similar to like on the last exam)
• trust vs mistrust (0-18 months) infancy.
• Children develop a sense of trust when caregivers provide
reliability, care, and affection.
• a lack of this will lead to mistrust
Resolved: trust in self and others
Unresolved: mistrust
• Autonomy vs shame/doubt (18 mnths-3 yrs) Early childhood
• children need to develop a sense of control over physical
skills and a sense of independence.
• Success leads to feelings of autonomy, failure results in
feelings of shame/doubt.
• motor and verbal skills. Independent and confident
Resolved: independent/confident
NUR2633 (Mom Baby) Final Exam
Previous Material
1. GTPAL
G= gravida, T= term deliveries (each delivery counts as 1), P=
preterm delivery 20-37 weeks, A= abortion (spontaneous, elective—
terminated before 20 weeks), L= # of living children
2. Naegle’s rule
• Naegele’s Rule--- subtract 3 months +7 days from the first day of
the last menstrual cycle then add a year
3. RhoGam—who qualifies
RhoGam—why is it given and when is it given? What is the
primary action?
Who is the only person who is going to receive rogam
mom is RH-. Give again if baby is Rh+
· Type O blood has no antigens (A, B, AB all have antigens)
Rh- people do not have antigens, Rh+ have antigens. **If a
Rh- mom is carrying a Rh+ baby, if there is fetal blood that
gets into the material circulation and mom will create
antigens against Rh+** (1st fetus is normally not the problem,
it is the second baby with Rh+ because mom will attack
baby) RhoGam can be given Rh- mom to stop antigen
, formation, must be given to mom for every pregnancy. After
birth of baby, babies blood type will be tested, if Rh+ then
mom will get another shot of RhoGam 72 hours after birth.
4. Highest priority for nurse caring for laboring client
Put on fetal monitor, check fetal status.
5. PDA—identification, what closes it, what keeps it open
• Patent Ductus Arteriosis -present like RHF
• What is unique with PDA and the murmur?
• Machine like murmur.
There are some time that we want to actually keep PDA open
(depending on what the defect is, there is no oxygenation if PDA is
closed), to provide some oxygenation.
Premature babies most at risk
• Endomethacin to close, Prostaglandins to keep open
• Needs to stay open in utero. Fetus is exposed to prostaglandins in
utero. these defects present with symptoms of RT sided heart
failure.
6. What medications are given to a newborn right after birth and what
are they for
• Eye ointment-erythromycin (open eye and put on eye) DO NOT
WIPE OR WASH OUT, it is to prevent ophthalmia neonatorum.
Administer 1 hour after birth. Start in inner and move to outer.
Required
• Vitamin K: inject in the thigh, acts as a catalyst to synthesize
prothrombin, needed for blood clotting, in the liver. Prevents
, neonatal injury caused by hemorrhage, a sing dose (0.5-1.0 mg) of
vitamin k1. Helps with clotting required vastus lateralis
• Hep B- IM in thigh to prevent hep B not required vistas lateralis
7. Infants of moms with diabetes—nursing considerations
• check glucose (watch for hypoglycemia)-WE DO NOT CARE
ABOUT HYPERGLYCEMIA
• The newborn is still wanting all the high glucose from diabetic
mom.
• Large bodied babies sWeights more than 8.8 lbs.
• At risk for birth injuries.
• Glucose screening is recommended for infants in the following
categories who are at increased risk for pathological
hypoglycemia.
• Low APGAR scores
8. Erikson’s (similar to like on the last exam)
• trust vs mistrust (0-18 months) infancy.
• Children develop a sense of trust when caregivers provide
reliability, care, and affection.
• a lack of this will lead to mistrust
Resolved: trust in self and others
Unresolved: mistrust
• Autonomy vs shame/doubt (18 mnths-3 yrs) Early childhood
• children need to develop a sense of control over physical
skills and a sense of independence.
• Success leads to feelings of autonomy, failure results in
feelings of shame/doubt.
• motor and verbal skills. Independent and confident
Resolved: independent/confident
