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ob unit 3-6

Question	Answer
WHAT IS THE MOST COMMON HEMOLYTIC DISEASE IN NEWBORNS?	PATHOLOGIC JAUNDICE
WHAT IS ISOIMMUNIZATION?	RH INCOMPATABILITY
wHAT DRUG IS USED FOR PHARMOCOLOGICAL MANAGEMENT OF KERNICTERUS?	PHENOBARBITAL
WHAT TYPE OF BLOOD IS USED IN AN EXCHANGE TRANSFUSION?	O NEG
WHAT IS PERINATAL LOSS?	DEATH OF FETUS/INFANT FROM CONCEPTION TO 28 DAYS AFTER BIRTH
WHAT IS GRIEF?	INDIVIDUAL'S TOTAL RESPONSE TO LOSS
WHAT IS MOURNING?	RITUALS USED DURING THE GRIEF PROCESS THAT HELP ADJUSTMENT TO LOSS
WHAT IS BEREAVEMENT?	PERIOD OF ADJUSTMENT TO LOSS
WHAT IS MISOPROSTOL (CYTOTEC)?	Prostaglandin - terminate pregnancy starts LABOR, induces labor, Complete spontaneous missed abortion, Start labor in 2nd trimester abortions, Start labor in 3rd trimester abortions. Dilate cervix 3-4 hours surgical abortion, Soften cervix for induction
WHEN IS PROSTAGLANDIN E 2 USED?	FOR INDUCTION OF LABOR LESS THAN 28 WEEKS
WHAT IS PITOCIN?	UTERINE STIMULANT
WHAT ARE THE PHASES OF PARENTAL GRIEF?	ACUTE DISTRESS INTENSE GRIEF REORGANIZATION ALL MAY OVERLAP - NOT IN STAGES
WHAT ARE THE PHASES OF ACUTE STRESS?	SHOCK NUMBNESS INTENSE CRYING DEPRESSION
WHAT ARE THE PHASES OF INTENSE GRIEF?	LONELINESS, YEARNING GUILT ANGER/RESENTMENT/BITTERNESS/IRRITABILITY FEAR/ANXIETY SADNESS/DEPRESSION WITH FULL AWARENESS PHYSICAL SYMPTOMS
WHAT ARE THE PHASES OF REORGANIZATION?	SEARCH FOR MEANING - wHY ME REDUCTION OF STRESS REENTERING NL ACTIVITIES FUTURE PREGNANCY PLANNING
hOW DO YOU REFER TO AN EARLY FETAL LOSS?	MISCARRIAGE
HOW DO YOU REFER TO A STILL BIRTH?	DEAD OR DOED TP HELP INITIATE THE GRIEF PROCESS
WHAT IS THE LAW RE: REPORTING FETAL DEATH IN SC?	BORN 20 WEEKS GESTATION OR 350GMS OR MORE
WHO MAKES DECISIONS IN A MUSLIM FAMILY>	HUSBAND
WHO MAKES DECISIONS IN A HISPANIC FAMILY?	FAMILY
WHAT CULTURES VIEW PICTURE TAKING AS TABOO?	AMERICAN INDIAN ESKIMO AMISH HINDU MUSLIM
WHAT ARE ROMAN CATHOLIC CUSTOMS AT DEATH?	BAPTISM
WHAT IS THE MUSLIM MOTHER'S RESPONSE?	CRYING BUT QUIETLY
WHAT IS THE HISPANIC MOTHER'S RESPONSE?	VERY DEMONSTRATIVE CRYING
WHEN SHOULD FOLLOW UP PHONE CALLS BE MADE?	1 WEEK 2-6 WEEKS 4-6 MONTHS 1 YEAR
WHAT DO YOU DO WITH A MEMORY BOX IF PARENT DECLINES IT?	STORE IT
WHAT ARE THE CARDINAL RULES OF GRIEF SUPPORT?	SILENCE ADMIT WE ARE HELPLESS BE WITH THE PERSON IN GRIEF DON'T JUDGE ANOTHER'S GRIEF BE CLEAR ON YOUR OWN ISSUES ON GRIEF KNOW YOUR LIMITATIONS
WHAT TESTS WOULD YOU PERFORM AT 32 WEEKS ON A PREGNANY MOM WITH A PREVIOUS LOSS ?	BPP NON STRESS
WHEN SHOULD A MOTHER WITH A PREVIOUS LOSS DELIVER?	ON OR BEFORE HER DUE DATE - NEVER AFTER IT
WHAT ARE SOME METHODS USED WHEN THERE IS AN ADOLESCENT WITH A LOSS?	ACKNOWLEDGE LOSS ESTABLISH TRUST PROVIDE CHOICES MAY NEED PICTURES/DIAGRAMS MAY EXPRESS GRIEF THRU PHYSICAL SYMPTOMS
WHAT IS COMPLICATED BEREAVEMENT?	EXTREMELY INTENSE REACTIONS THAT LAST FOR A VERY LONG TIME
WHAT ARE SOME S/S OF COMPLICATED BEREAVEMENT?	LONELINESS/YEARNING INTENSE GUILT DEPRESSION.ANXIETY DRUG.ALCOHOL USE SUICIDAL THOUGHTS LOW SELF ESTEEM RELATIONSHIP DIFFICULTIES
WHAT IS BITTERSWEET GRIEF?	GRIEF THAT OCCURS WITH REMINDERS/ANNIVERSARY DATE
WHAT ARE SOME NURSING DX DEATH?	ANXIETY INEFFECTIVE FAMILY COPING POWERLESSNESS INTERUPPTED FAMILY PROCESSES FATIGUE DYSFUNCTIONAL GRIEVING
WHAT ARE THE MOST COMMON CONGENITAL DEFECTS FOR INFANTS OF DIABETIC MOTHERS?	COARCTATION OF AORTA TRANSPOSITION OF GREAT VESSELS ATRIAL OR SEPTAL DEFECTS CAUDAL REGRESSION SYNDROME (SACRAL AGENESIS
DISCUSS MACROSOMIA	BIG BUT NOT NECESSARILY MATURE FETAL INSULIN RESULTS IN ACCELERATED PROTEIN SYNTHESIS COMBINED WITH A DEPOSITION OF EXCESSIVE GLYCOGEN AND FAT STORES
WHAT ARE SOME CHARACTERISTICS OF IDM?	RUDDY EXCESSIVE ADIPOSE TISSUE DECREASED TOTAL BODY WATER INCREASED WEIGHT OF VISCERAL ORGANS EXCEPT BRAIN
WHAT ARE IDM'S MOST AT RISK FOR AFTER/DURING BIRTH?	HYPOGLYCEMIA HYPOCALCEMIA HYPERBILIRUBINEMIA SHOULDER DYSTOCIA RESPIRATORY DISTRESS SYNDROME POLYCYTHEMIA BIRTH DEFECTS/TRAUMA
WHAT SHOULD BE INCLUDED IN NURSING ASSESSMENT OF IDM?	GLUCOSE TEST - ABRUPT LOSS GLU WHEN CORD IS CUT HCT - POLYCYTHEMIA, BILIRUBIN ASSESS BIRTH TRAUMA OR ANOMALY
WHAT ARE S/S HYPOGLYCEMIA IN IDM?	TREMORS/JITTERY IRREG. RESP RATE, CYANOSIS, APNEA POOR FEEDING TEMP INSTABILITY WEAK, HIGH PITCHED CRY HYPOTONIA SEIZURES IN SEVERE CASES
WHAT ARE NURSING INTERVENTIONS FOR IDM?	GLU LEVEL 1-3 HRS AFTER BIRTH THEN Q 4
WHAT DO YOU FO FOR AN idm WITH A GLUCOSE < 40?	GIVE THEM AN EARLY FEEDING iF STILL NOT MAINTAINED,DO D10W@ 4-6ML/KG/MIN
wHAT CAN YOU DO ONCE GLUCOSE HAS BEEN STABLE FOR 24 HOURS?	INCREASE ORAL FEEDINGS AND DECREASE INFUSION RATES
DISCUSS IGG AND IGM LEVELS IN NEONATE	MATERNAL IGM DOESN'T CROSS PLACENTA BABY IGG AND IGM ARE IN ITIALLY LOW AND PHAGOCYTOSIS IS INEFFICIENT SO INCREASED RISK FOR INFECTION
WHAT ARE SOME MEANS OF INFECTION (SEPSIS) IN NEONATE?	VIA PLACENTA INTO AMNIOTIC FLUID ASCEND FROM VAGINA TO CERVIX THROUGHT THE BIRTH CANAL NOSOCOMIAL
WHAT IS EARLY ONSET SEPSIS?	OCCURS WITHIN 24-72 HOURS USUALLY A/W NORMAL VAGINAL FLORA
WHAT IS LATE ONSET OR ACQUIRED SEPSIS?	OCCURS 1-2 WEEKS AFTER BIRTH SLOWER PROGRESSION MAY BE ACQUIRED FROM BIRTH CANAL OR EXTERNAL ENVIRONMENT
WHAT IS SEPTICEMIA?	GENERALIZED INFECTION OF THE BLOODSTREAM
WHAT IS A COMMON CAUSE OF PERINATAL MORBIDITY?	PNEUMONIA
WHAT ARE RESPIRATORY SIGNS OF SEPTICEMIA?	APNEA, TACHYPNEA, GRUNTING, RETRACTIONS, LOW SAT
WHAT ARE CARDIAC SIGNS OF SEPTICEMIA?	TACHYCARDIA, HYPOTENSION, DECREASED PERFUSION
WHAT ARE CNS SIGNS OF SEPTICEMIA?	LETHARGY, HYPOTONIA, IRRITABILITY, SEIZURES, TEMP INSTABILITY
WHAT ARE GI SIGNS OF SEPTICEMIA?	FEEDING INTOLERANCE, AND DISTENTION, N/V/D
WHAT ARE INTEGUMENTARY SIGNS OF SEPTICEMIA?	JAUNDICE, PALLOR, PETECHIAE
WHAT ARE METABOLIC SIGNS OF SEPTICEMIA?	HYPOGLYCEMIA, HYPERGLYCEMIA, METABOLIC ACIDOSIS
WHAT ARE HEMATOLOGIC SIGNS OF SEPTICEMIA?	THROMBOCYTOPENIA, NEUTROPENIA
WHAT ARE SOME NON SPECIFIC SIGNS OF SEPTICEMIA?	LETHARGY IRRITABILITY POOR FEEDING POOR WEIGHT GAIN
WHAT LAB STUDIES CAN BE DONE TO DIAGNOSE SEPTICEMIA?	BCX, OROPHARYNGEAL CULTURES, STOOL AND URINE SAMPLES CBC WITH DIFF
WHAT ARE THE SEQUELA OF SEPTICEMIA?	MENINGITIS DIC SEPTIC SHOCK
WHAT ARE SIGNS OF SEPTIC SHOCK?	GRAY, MOTTLED, COOL EXTREMITIES RAPID, IRREGULAR RESPIRATIONS AND PULSE MOST COMMON - DECREASE BP
WHAT TYPE OF SOAP SHOULD BE USED WHEN GIVING A NEONATE A BATH?	NON MEDICATED
CAN YOU ADD ABX TO FORMULA?	CHECK WITH PHARMACY FIRST - SOME MAY CAUSE DEACTIVATION OR PRECIPITATION
WHAT ARE CNS COMPLICATIONS OF FETA; ALCOHOL SYNDROME?	HYPOTONICITY DIFFICULTY BLOCKING REPETITIVE STIMULI MICROCEPHALY LOW IQ, MENTAL RETARDATION ADD POOR SPEECH
WHAT ARE SOME OTHER COMPLICATIONS OF FAS?	FTT NURSE POORLY PERSISTENT VOMIT FOR 6-7MONTHS DELAYED RECEPTIVE AND EXPRESSIVE LANGUAGE
WHAT ARE SOME EYE CHARACTERISTICS OF NEONATES WITH FAS?	EPICANTHAL FOLDS SMALL EYES SHORT PALPEBRAL FISSURES STRABISMUS PTOSIS HYPOPLASTIC RETINAL VESSELS
WHAT ARE SOME CHARACTERISTICS OF THE MOUTH AND EARS WITH FAS?	POOR SUCK CLEFT PALATE/LIP SMALL TEETH - THIN UPPER LIP DEAFNESS
WHAT ARE SOME CHARACTERISTICS OF THE HEART AND SKIN IN FAS?	ABNIRMAL PALMAR CREASES IRREGULAR HAIR AV SEPTAL DEFECTS TETRAOLOGY OF FALLOT PDA
WHAT ARE SOME CHARACTERISTICS OF KIDNEY AND LIVER IN FAS?	RENAL HYPOPLASIA HYDRONEPHROSIS EXTRAHEPATIC BILIARY ATRESIA HEPATIC FIBROSIS
WHAT ARE SOME CHARACTERISTICS OF THE IMMUNE SYSTEM AND FAS?	INCREASED OM INCREASED URI INCREASED IMMUBE DEFICIENCIES
HOW SOON WILL YOU MONITOR THE NEONATE FOR WITHDRAWAL?	6 - 12 HOURS
WHICH DRUGS CROSS THE PLACENTA BARRIER AND ENTER FETAL CIRCULATION?	ALMOST ALL OF THEM - CAOCAINE USE HAS DECREASED BUT OXYCONTIN HAS INCREASED
WHAT ARE THE FETAL RISKS WHEN THE MOM IS DRUG DEPENDENT?	INTRAUTERINE ASPHYXIA INTRAUTERINE INFECTION LOW APGAR ALTERED BIRTH WEIGHT
THERE IS A HIGH OCCURENCE OF ABRUPTIO PLACENTA WITH THE USE OF WHICH DRUG?	COCAINE
WHAT ARE THE MOST COMMON CAUSES OF INTRAUTERINE INFECTION?	STD, HIV, HEPATITIS
WHAT CAUSES LOW APGARS IN BABIES FROM DRUG ADDICTED MOMS?	INTRAUTERINE ASPHYXIA MEDS DURING LABOR
WHAT BEHAVIORAL ABNOMALITIES WILL A DRUG EXPOSED BABY EXHIBIT?	DECREASED INTERACTIVE BEHAVIORS
WHAT ARE S/S NEONATAL ABSTINENCE/WITHDRAWAL?	TREMORS EXCESSIVE CRYING, ESP WHEN HUNGRY INCREASED REFLEXES EXPLOSIVE STOOLS RIGID MUSCLES BREAKING OF SKIN INCREASED RESP RATEREPETITIVE SNEEZING/YAWNING VOMITING FEVER
WHAT IS TREATMENT FOR NEONATAL ABSTINENCE?	SIDE LYING WITH SPINE AND LEGS FLEXED INTRODUCE ONE STIMULUS AT A TIME WHEN CARING FR INFANT WHEN DISTRESSED, SWADDLE IN A FLEXED POSITION AND ROCK IN SLOW, RHYTHMIC PATTERN
WHAT IS THE MOST COMMON SYMPTOM WITH USE OF METHADONE?	JAUNDICE
CAN YOU USE NARCAN WITH NEONATES/	NO - IT IS CONTRAINDICATED. IT MAY CAUSE SEVERE ANSTINENCE SYNDROME AND/OR SEIZURES
WHAT ARE SOME NURSING INTERVENTIONS FOR NEONATE WITH DRUG EXPOSURE?	MONITOR HYPOTHERMIA SMALL. FREQUENT FEEDINGS RIGHT SIDELYING OR SEMI FOWLERS LOW STIMULUS MONITOR VITALS Q 15 TIL STABLE
CAN YOU DECREASE THE TRANSMISSION OF HIV DURING PREGNANCY?	POSSIBLY WITH USE OF SIDOVUDINE DURING GESTATION
WHEN DO YOU PERFROM A CSECTION ON AN HIV POSITIVE MOTHER?	WHEN THERE IS A DETEDTABLE VIRAL LOAD AND NO ANTIRETROVIRAL THERAPY
HOW LONG DOE SIT TAKE NEWBORN TO PRODUCE HIV ANTIBODIESS?	CAN TAKE UP TO 15 MONTHS
WHAT IS THE PREFERRED METHOD OF TESTING IN INFANTS EXPOSED IN UTERO TO HIV?	DNA POLYMERASE - PCR TES 1 FIRST 48 HOURS TEST 2 1-2 MONTHS AGE TEST 3 3-6 MONTHS AGE
WHY DON'T THEY DO ELISA OR WESTERN BLOT TEST TO DETERMINE HIV STATUS IN NEONATES?	BECAUSE THEY CAN'T DETERMINE MOM V BABYHIV ANTIBODIES
when do you administer antiretroviral therapy to a neonate with an hiv positive mother?	start 8-12 hrs age for 6 weeks
WHEN DO YOU ADMINISTER PROPHYLACTIC ANTIBIOTICS IN HIV EXPOSED NEONATE?	AT 4-6 WEEKS FOR PNEUMOCYSTIS - REGARDLESS OF CD4
WHAT TYPE OF BLEASE SOLUTION DO YOU USE FOR CLEANING WITH HIV?	1:10 BLEACH TO WATER
WHAT IS INFERTILITY?	INABILITY TO CONCEIVE AFTER 1 YEAR REGULAR INTERCOURSE, 2-3 TIMES WEEK WITH NO CONTRACEPTION
WHAT IS SUBINFERTILITY?	A PROLONGED TIME TO CONCEIVE RELATED TO REDUCED FERTILITY IN BOTH PARTNERS
WHAT IS PROMARY INFERTILITY?	NEVER CONCEIVED
WHAT IS SECONDARY FERTILITY?	CONCEIVED AT LEAST ONCE BEFORE
WHAT IS UNEXPLAINED INFERTILITY	NO APPARENT CAUSE
WHEN IS IVF RECOMMENDED IN UNEXPLAINED INFERTILITY?	IF THERE IS NO PREGNANCY AFTER 2 IUI CYCLES
WHAT IS AZOOSPERMIA?	NO SPERM PRODUCED
WHAT IS OLIGOSPERMIA?	FEW SPERM PRODUCED
WHAT IS OVULATORY CYCLE LENGTHS?	24-34 DAYS
WHAT CERVICAL ABNORMALITIES MIGHT CONTRIBUTE TO INFERTILITY?	ACID MUCOUS
WHAT RELIGION BELIEVES AN EMBRYO IS A HUMAN BEING?	ROMAN CATHOLIC
WHAT RELIGIONS ARE Against fetal reduction and donor sperm?	protestant, muslim
what religion permits insemination but not ivf or surgical procedures?	christian scientists
SOME CULTURES MAY REGARD INFERTILITY AS A RESULT OF	SIN, EVIL SPIRITS, INADEQUACY
WHAT OCCURS IN A SEMEN ANALYSIS?	ASSESSED AFTER 2-3 DAYS ABSTINENCE DO 2X OVER 6 MONTHS COUNT MOTILITY MORPHOLOGY
WHAT SHOULD THE SPERM COUNT BE PER ML?	LESS THAN 20000MILLION
WHEN SHOULD OVULATION OCCUR	DAY 14 PLUS OR MINUS 2 DAYS
WHAT IS BASAL BODY TEMO?	DO X 3 MONTHS DO 5 MINUTES BEFORE GETTING UP OR SMOKING GRAPH RESULTS
WHAT IS PREOVULATORY BBT?	BELOW 98
WHAT IS OVULATORY BBT?	0.5 - 1.O F RISE INDICATES RELEASE PROGESTERONE AND LH
WHEN SHOULD INTERCOURSE OCCUR?	QOD BEGINNING 3-4 DAYS BEFORE AND 2-3 DAYS AFTER ANTICIPATED OVULATION
WHAT IS THE SINGLE MOST VALUABLE TEST OF OVARIAN RESERVE OR FUNCTION?	FSH
WHEN IS MOST FERTILE TIME?	LH SURGE - 10MG OR HIGHER
WHAT ARE THE CHARACTERISTICS OF FAVORABLE CERVICAL MUCUS?
WHAT IS SPINNERBARKEIT?	FORMATION OF STRETCHABLE THREAD OF CERVICAL MUCUS AT TIME OF OVULATION ASSOCIATED WITH CERVICAL MUCUS ELASTICITY AND VISCOSITY
WHAT HAPPENS TO MUCUS AT TIME OF OVULATION?	ELASTICITY INCREASES - OPTIMAL 8-10 CM STRETCH OR MORE VISCOSITY DECREASES
WHAT IS PATIENT TEACHING RE: SPINNERBARKEIT?	GOOD PREDICTOR OF OVULATION TELL PT TO LOOK FOR WHAT INCREASED AMOUNT MUCUS - SIMILAR APPEARANCE TO EGG WHITE
WHAT IS FERNING	D/T DECREASED SALT AND H20 INTERACTING WITH GLYCOPROTEINS IN MUCUS DURING OVULATION - IT WILL FERN INDIRECT INDICATION OF ESTROGEN PRODUCTION INDICATES FAVORABLE CONDITIONS FOR SPERM SURVIVAL
WHAT IS HUHNER TEST?	EVALUATED INTERACTION BETWEEN SPERM AND MUCUS NOT A STANDARD TEST
WHEN IS HUHNER TEST DONE?	1-2 DAYS BEFORE OVULATION AND 2-8 HOURS AFTER INTERCOURSE
WHEN IS HYSTEROSALPINGOGRAM DONE?	FOLLICULAR PHASE CYCLE - ABOUT 10TH DAY OR ONE WEEK AFTER MENSTRUATION SOMETIMES FLUSH WITH DYE TO OPEN TUBES
WHY IS LAPARASCOPE DONE?	DIAGNOSE AND TREAT ENDOMETRIAL CAUSES OR ADHESIONS DONE 6-8 MONTHS AFTER HSG
WHAT IS CLOMID/SEROPHENE USED FOR?	TRICKS PITUITARY INTO PRODUCING MORE FSH/LH WHICH STIMULATES OVARIES TO PRODUCE M,ORE FOLLICLES
WHAT MUST YOU HAVE TO USE CLOMID?	NORMAL OVARIES NORMAL PROLACTIN LEVEL INTACT PITUITARY
WHAT IS PT TEACHING FOR CLOMID?	1ST ROUND - 50MG PO X 5 DAYS 2ND ROUND - 100MG PO X 5 DAYS 3RD ROUND - UP TO 250MG/DAY MAXIMIM OF 3 CYCLES
WHAT IS A CONTRAINDICATION FOR CLOMID?	PERSISTENT OVARIAN CYSTS
WHAT ARE SIDE EFFECTS OF CLOMID?	MOOD SWINGS, FLASHES, BLOATING, ABD DISTENTION, BREAST TENDERNESS, N/V VISUAL DISTURBANCE
WHAT IS THE FIRST LINE TREATMENT FOR WOMEN WHO DON'T OVULATE?	HUMAN MENOPAUSAL GONADOTROPIN (HMG) iT IS ALSO THE SECOND LINE TREATMENT FOR FAILED CLOMID THERAPY
WHAT IS hmg?	COMBINATION OF FSH AND LH PERGONAL, HUMEGON, REPRONEX GIVE IM FOR 7-12 DAYS
WHAT DO YOU MONITOR DURING HMG THERAPY	ESTRADIOL LEVELS/US - PREVENT HYPERSTIMULATION
WHAT DO YOU GIVE ONCE STIMULATION HAS OCCURED?	HCG 10,000U IM TO STIMULATE OVULATION THEN INTERCOURSE 24-36 HOURS AFTER 2 DAYS HCG
WHY IS PROGESTERONE USED IN PREGNANCY?	TO STIMULATE ENDOMETRIUM

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