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NURS215/216ExamIIPt2
Numbers
Question | Answer |
---|---|
preterm is __________ wks | >20 and <38 |
post term is ________wks | >42 |
induction is indicated at >_______ wks | 40 |
Nagele's rule | LMP-3mos+7days=EDD |
normal newborn VS (2hrs post) | HR=120-160(sleeping 100, crying 180), RR=30-60(avg 40), temp=36.5-37.5(axillary) |
a newborn >______gms is considered macrosomic | 4000 |
rapid labor is <____hrs | 3 |
involution rate and completion | 1cm/day, 9-10 days total |
how is a biophysical profile scored and what is a good/normal score? | 5 criteria, 2pts for each, good/normal=7-10 |
total normal pregnancy weight gain | 25-35lbs |
What age is considered high risk? | <15yrs or >35yrs |
The FHR can begin to be auscultated at ______wks. | 8-12 |
added daily calories for expecting mother? lactating? total fluid intake? | 300, 500, 2000ml |
amt of daily folic acid for expecting mother | 400mcg |
avg rate of weight gain during pregnancy | 3-5lbs 1st trimester and 12-15lb each following trimester (about 1lb a wk) |
OGTT and indirect Coombs test done at ______wks | 28 |
at ______wks the fundus is at the umbilicus | 20 |
quickening begins during the ________trimester | 2 |
GBS screening done at ______wks. | 35-37 |
alpha-fetoprotein (MSAFP) done at _______wks | 16 |
amniocentesis done at _______wks and CVS done at _____wks | >14-16, 10-12 |
4 trimester is from ______to_______ | birth to 6wks |
baseline FHR | 110-160 |
intensity range for normal contraction | 50-100mmHg |
intensity range for resting contraction | 15-25mmHg |
hypotonic contraction is considered <____mmHg | 50 |
hypertonic contraction is considered >_____mmHg | 125 |
average duration, frequency and length of interval for labor contraction | 60-90secs, 2-3mins, 1-2mins |
cms needed for adequate passage through pelvis | = or >11.5cm |
ideal fetal head size for vaginal birth | 9.5cm or less |
occipital fontanels close around ____mos and anterior fontanels close around _____mos | 18-24, 2-4 |
APGAR is assessed at _____min and again at ____min after birth | 1, 5 |
McDonald's method is | dist in cm / 7 x 8 = gestational age in wks, btw 22-34wks cm=wks |
normal schedule of prenatal visits | once a month for first 7mos, then every 2wks for next 2 months, then q week until delivery |
APGAR scores for severely depressed, moderately depressed and normal | 0-2, 3-6, 7-10 |
puerperal diuresis of __________ml in first ______hrs post is normal | 2000-3000, 24 |
post partal mother VS's | HR=50-80 (relative bradycardia 1-10days), RR=16-24, temp=38C (24hrs) |
a post delivery maternal HR of >____ should be reported | 100 |
the fundus should be _____cm above the umbilicus 12hrs after delivery | 1 |
mother should void ______hrs post delivery (or after foley is removed) but should be encouraged to void _______hrs after | 6-8, 2-3 |
saturation of 1 pad <___hr is considered abnormal and should be reported | 1 |
avg total volume of lochia | 240-270ml |
a nursing baby should be fed q ____hrs and a bottle fed baby should be fed _____oz q ____hrs | 2-3, 3-4, 4 |
after c-section a foley should be maintained for _____hrs | 12-24 |
Rhogam should be given the mother within ______hrs after delivery | 72 |
temp of >_____F or bright red bleeding >____pad/hr after d/c should be reported | 100.4F, 1 |
newborn weight gain _______oz/wk or ____oz/day, double by ____mos and triple by _____yrs | 4-8, 1/2-1, 6, 1 |
by day _____, the newborn should have _____wed diapers and _____ stools per day | 5-6, 6-10, 2-3 |
numbers rule 5 & 10 | 10% weight loss and back again in 10 days, feed approx 5ml, yellow BM by day 5 |
numbers rule 3 & 6 | growth spurts at 3 and 6 months |
Rubella vx should be given if titer is <____ and pregnancy should be avoided for _____ following | 1.8, 1month |
newborn 1st period of is reactivity ______min, period of inactivity (deep sleep) is _______hrs and 2nd period of reactivity is _______hrs | 30-60, 2-4, 4-8 |
keep infant with RR >____ NPO | 60 |
newborn stomach capacity | 30ml |
tachypnea >_____RR, apnea >______secs and/or retractions >______hr is abnormal | 60, 20, 1 |
normal newborn measurements | 2500-3500g, length=48-53cm, head circumference=33-35cm, chest circumference=30.5cm (or 1-2cm < head) |
meconium is passed ____hrs after birth and urine ____hrs | 12-48, 12-24 |
a full term infant has enough iron supply for ____months | 6 |
Ballard scale scoring | SGA <10th percentile, AGA btw 10-90th percentile, LGA= >10th percentile |
after _____days, formula fed babies take an avg of _____oz/lb weight/day | 2-3, 2-3 |
an infants lips would be at an angle of ______degrees if latched correctly | 120 |
after lightening/engagement, the fundus is _____cm below the xiphoid | 4 |
jaundice <____hrs after birth is pathological and anything greater is physiologic | 24 |
after circumcision the newborn must void within _____hrs or before d/c, whichever comes first | 8 |
normal newborn BG ________ml/dl on day 1 and _____ml/dl on day 2 | 40-60, 50-90 |
if BG is <______ml/dl then _________ | 40-45, venous blood needs to be obtained |
to obtain a non-reactive/reassuring/neg result for a CST/OCT there must be _____contractions of _______quality of _______duration within ________min with no __________decelerations | 3, good, 40-60secs, 10, late |
to obtain a reactive/reassuring/positive result for an NST there must be = or > _______ accelerations (not late or variable) of ________BPM | 2, 15 |
ripening occurs @ stage _____ of labor | 1 |
fetal monitoring for pregnancy w/o risk factors during labor should be assessed q _____min for 1st stage and q _____min for 2nd stage. for a high risk pregnancy q ____min for 1st stage and q ____min for 2nd stage | 30 and 15, 15 and 5 |
during labor assessment of FHR is q ____ min and mother HR is q _____ min | 5, 15 |
amniotic fluid is alkaline and has a pH of ____ | 7-7.5 |
APGAR score for HR is 1pt for <____ and _____pt for >____ | 100, 2, 100 |
lochia rubra (red) occurs for ______days following delivery, lochia serosa (pink) for _____days and lochia alba (white) for _____days | 1-3, 4-10, 11-21 |
menstruation returns ______wks if not nursing and by _____months if nursing | 6-12, 6 |
mother should have BM ____days after delivery and normal bowel pattern should return in ______wks | 2-3, 2-3 |
full/complete dilation is ____cm and complete effacement is ______ | 10, 100 |
dilation at 1st stage of labor-latent is ______cms, contractions are ______ intensity, q _____min for ______secs | 0-3, mild, 15-20, 15-30 |
dilation at 1st stage of labor-active is ______cms, contractions are ______ intensity, q _____min for ______secs | 4-7, moderate, 3-5, 30-60 |
dilation at 1st stage of labor-transition is ______cms, contractions are ______ intensity, q _____min for ______secs | 8-10, strong (urge to bear down), 2-3, 45-90 |