Maternal/Child Final Review
Maternal/Child Final Review with Instructor
1
1. Before administering baby/child Iron
a. Teaching give with orange juice,
b. May cause black tarry stool,
c. and constipation
2. Baby with n/v and they have anterior bulging fontanel, you realize head
circumference is not normal size.
a. Brain tumor
3. Infant with cancer, what do you give for meds?
a. Zofran (Ondansetron), offsets the chemotherapy effects of nausea and vomiting.
med is for safe and effective and given to ped, PRN 6-8 hr
4. What Stage of grief, Pt/Child dx of cancer, they may not want to talk to
about Denial.
5. Health care setting, you have child life specialist, they provide:
a. Opportunities
b. Interact with the child and patient
c. Therapeutic communication therapies
d. To provide opportunities for therapeutic play.
6. If you have a pregnant mother, hemoglobin, 7.0,8.0,9.0 - What will happen
to the developing fetus? It decreases oxygen…so,
Intrauterine growth restriction (IUGR). Restricts growth of fetus. Interfere
with the fetus growth.
7. A mother who has been smoking marijuana and pregnant. What do you
think will happen to fetus?
a. Child will have low birth weight
b. Miscarriage c.
Preterm
birth.
d. or other complications are a risk.
8. Dysmorrhea, pt has pain with menses-What is effective medication:
a. Give Ibuprofen, Aleve, (no Tylenol).
b. NSAID/anti-inflammatory agent. – endomethacin, ibuprofen, aleve.
9. Pt who is 25 weeks pregnant have gestational diabetes. Why would you
not want patient to go full term?
a. Mascrosomia baby. (they take all sugar)
10. Pt is 38 weeks, uncomfortable, sleeping. What is the best side to sleep
on.? a. Turn them to the left.- sidelying.
, Maternal/Child Final Review
11. Discharge teaching for a 34 weeks pregnant patient: patient should
be advised to report:
a. Bleeding
b. Ruptured membrane,
c. Headache that does not respond to
medication d. Heartburn accompanied by
headache.
12. Preterm labor –interventions-Contractions two to three minutes
apart. Happening last three hours.
a. Hook up to fetal monitor,
b. IV therapy, bolus 500 ml fluids,
c. Get urine sample/ a UTI could cause contractions!!!!!
13. Prevent hypotension in a patient during labor and they just got an epidural:
a. IV fluids, (nothing by mouth) administer a rapid 500 ml of normal saline.
14. Fetal monitor with non-reassuring contractions-what do you do?
a. Change position, first, Change position to lateral side. Left is best.
b. If not working and the heart rate of 80 or Delivery baby now!
Position the pregnant woman to the left side. If this does solve the
problem prepare for the delivery of the baby.
15. Newborn skin assessment- (not breaking down bili)
a. Eyes are yellow, and the Skin is yellow. –jaundice
TREATMENT.
a. Treatment is light therapy,-cover the newborn eyes.
b.Treatment is breastfeed/bottle-feed
16. Most common trauma on a child being born is:
a. …clavicle fracture/shoulder break
17. Child born on drugs (drug mom) What do you look
for,: a. Incessant crying,
b. Inconsolable crying.
c. They tend to posture when cuddled.
18. Suspect child abuse, and signs of skin
bruising…. a. Report to supervisor
b. Report to authorities.
As healthcare worker we are mandated reporters.
Maternal/Child Final Review with Instructor
1
1. Before administering baby/child Iron
a. Teaching give with orange juice,
b. May cause black tarry stool,
c. and constipation
2. Baby with n/v and they have anterior bulging fontanel, you realize head
circumference is not normal size.
a. Brain tumor
3. Infant with cancer, what do you give for meds?
a. Zofran (Ondansetron), offsets the chemotherapy effects of nausea and vomiting.
med is for safe and effective and given to ped, PRN 6-8 hr
4. What Stage of grief, Pt/Child dx of cancer, they may not want to talk to
about Denial.
5. Health care setting, you have child life specialist, they provide:
a. Opportunities
b. Interact with the child and patient
c. Therapeutic communication therapies
d. To provide opportunities for therapeutic play.
6. If you have a pregnant mother, hemoglobin, 7.0,8.0,9.0 - What will happen
to the developing fetus? It decreases oxygen…so,
Intrauterine growth restriction (IUGR). Restricts growth of fetus. Interfere
with the fetus growth.
7. A mother who has been smoking marijuana and pregnant. What do you
think will happen to fetus?
a. Child will have low birth weight
b. Miscarriage c.
Preterm
birth.
d. or other complications are a risk.
8. Dysmorrhea, pt has pain with menses-What is effective medication:
a. Give Ibuprofen, Aleve, (no Tylenol).
b. NSAID/anti-inflammatory agent. – endomethacin, ibuprofen, aleve.
9. Pt who is 25 weeks pregnant have gestational diabetes. Why would you
not want patient to go full term?
a. Mascrosomia baby. (they take all sugar)
10. Pt is 38 weeks, uncomfortable, sleeping. What is the best side to sleep
on.? a. Turn them to the left.- sidelying.
, Maternal/Child Final Review
11. Discharge teaching for a 34 weeks pregnant patient: patient should
be advised to report:
a. Bleeding
b. Ruptured membrane,
c. Headache that does not respond to
medication d. Heartburn accompanied by
headache.
12. Preterm labor –interventions-Contractions two to three minutes
apart. Happening last three hours.
a. Hook up to fetal monitor,
b. IV therapy, bolus 500 ml fluids,
c. Get urine sample/ a UTI could cause contractions!!!!!
13. Prevent hypotension in a patient during labor and they just got an epidural:
a. IV fluids, (nothing by mouth) administer a rapid 500 ml of normal saline.
14. Fetal monitor with non-reassuring contractions-what do you do?
a. Change position, first, Change position to lateral side. Left is best.
b. If not working and the heart rate of 80 or Delivery baby now!
Position the pregnant woman to the left side. If this does solve the
problem prepare for the delivery of the baby.
15. Newborn skin assessment- (not breaking down bili)
a. Eyes are yellow, and the Skin is yellow. –jaundice
TREATMENT.
a. Treatment is light therapy,-cover the newborn eyes.
b.Treatment is breastfeed/bottle-feed
16. Most common trauma on a child being born is:
a. …clavicle fracture/shoulder break
17. Child born on drugs (drug mom) What do you look
for,: a. Incessant crying,
b. Inconsolable crying.
c. They tend to posture when cuddled.
18. Suspect child abuse, and signs of skin
bruising…. a. Report to supervisor
b. Report to authorities.
As healthcare worker we are mandated reporters.
