Transcript RN review-2 - Perinatal Empowerment

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Antepartum
5
10
15
20
25
Low risk
5
10
15
20
25
Postpartum
5
10
15
20
25
Ethical
5
10
15
20
25
5
10
15
20
25
Newborn
Legal
Complication
s of
pregnancy
0
Team One
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Team Three
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Team Five
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Team Two
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Team Four
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Team Six
Antepartum
Question for 5 Points
What are the changes
in the uterus during
pregnancy?
Show Answer
Antepartum
Answer for 5 Points
The uterus due to the
influence of estrogen
enlarges in size from a
capacity of 10 ml to 5L and
in weight from 2 oz to 2.5
lbs.
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Antepartum
Question for 10 Points
What is Hegar’s sign?
Show Answer
Antepartum
Answer for 10 Points
The softening of the
isthmus, the area
between cervix and
uterine body
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Antepartum
Question for 15 Points
What are the changes
in the cardiac system
during pregnancy?
Show Answer
Antepartum
Answer for 15 Points
Blood volume increases by 4045%
Heart size increases
Cardiac output increases 30-50%
Apical heart rate increases
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Antepartum
Question for 20 Points
Describe the changes in
blood pressure during
normal pregnancy?
Show Answer
Antepartum
Answer for 20 Points
Increases in 1st trimester as volume
increases
Decreases in 2nd trimester as
vasculature relaxes and enlarges
Returns to normal during 3rd
trimester
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Antepartum
Question for 25 Points
What is chloasma?
Show Answer
Antepartum
Answer for 25 Points
Also called melasma. It is increased
pigmentation occurring on face due
to increased hormones. Also seen in
women taking birth control pills.
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Low Risk Newborn
Question for 5 Points
Describe the 3 periods
of the transition period
following birth
Show Answer
Low Risk Newborn
Answer for 5 Points
1st period of reactivity:30 min after
birth
Sleep phase: lasting up to 4 hours
Second period of reactivity: lasts 46 hours
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Low Risk Newborn
Question for 10 Points
What is lanugo?
Show Answer
Low Risk Newborn
Answer for 10 Points
Fine, Downy hair covering body
Decreases as gestational age
increases
Greatest from 28-30 weeks
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Low Risk Newborn
Question for 15 Points
What are the
manifestations of
respiratory distress?
Show Answer
Low Risk Newborn
Answer for 15 Points
Tachypnea, apnea, expiratory
grunting, labored breathing,
nasal flaring on inspiration,
pallor, cyanosis
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Low Risk Newborn
Question for 20 Points
What is the treatment
for hypoglycemia?
Show Answer
Low Risk Newborn
Answer for 20 Points
Early breastfeeding
Formula supplementation
IV 5-10% D5W
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Low Risk Newborn
Question for 25 Points
Excessive mucus or
drooling can be a sign
of ________?
Show Answer
Low Risk Newborn
Answer for 25 Points
Tracheoespohageal atresia:
esophagus ends blindly
and does not connect to
stomach
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Post Partum Mom
Question for 5 Points
What are the signs of
genital tract laceration?
Show Answer
Post Partum Mom
Answer for 5 Points
Persistent vaginal
bleeding in a firmly
contracted uterus.
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Post Partum Mom
Question for 10 Points
What 4 drugs are used
for uterine atony?
Show Answer
Post Partum Mom
Answer for 10 Points
Methergine (Methylergometrine maleate)
Pitocin (oxytocin)
Cytotec (misoprostol)
Hemabate (carboprost
tromethamine)
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Post Partum Mom
Question for 15 Points
What is the amount of
urine output that
indicates normal kidney
function?
Show Answer
Post Partum Mom
Answer for 15 Points
30 ml/hr
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Question for 20 Points
What are the signs of
uterine infection?
Show Answer
Post Partum Mom
Answer for 20 Points
Elevated temperature
Foul odor
Leukorrhea
backache
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Post Partum Mom
Question for 25 Points
What are signs of
pulmonary emboli?
Show Answer
Post Partum Mom
Answer for 25 Points
Vague chest pain
Anxiety
Increased respiratory rate
Pallor
Tachypnea
Rales/friction rub
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Ethical/Legal
Question for 5 Points
What are some of your
nursing
responsibilities?
Show Answer
Ethical/Legal
Answer for 5 Points
Patient advocacy
Caring
Coordinating
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Ethical/Legal
Question for 10 Points
What is the number one
cause of death in the
US?
Show Answer
Ethical/Legal
Answer for 10 Points
Medical Errors
98,000 a year
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Ethical/Legal
Question for 15 Points
Name 3 ethical issues
perinatal nurses face.
Show Answer
Ethical/Legal
Answer for 15 Points
Errors
Court ordered medical care
Selective reduction
Infertility treatment
Substance abuse screening
Contraception choices
Policies
performance
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Ethical/Legal
Question for 20 Points
What is the standard of
care when dealing with
triaging an OB patient
over the phone?
Show Answer
Ethical/Legal
Answer for 20 Points
The patient needs to call the practitioner
directly
Or
The patient needs to come to the hospital to
be assessed.
Over the phone triage needs to be avoided
at all costs
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Ethical/Legal
Question for 25 Points
When dealing with perinatal care
what would be some of the things to
more likely cause a malpractice
claim?
Show Answer
Ethical/Legal
Answer for 25 Points
Not providing what is
perceived to be the standard of
care
Not providing research/science
based medical care
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Complications of
Pregnancy
Question for 5 Points
Name 3 ways to
manage cardiac
conditions in pregnancy
Show Answer
Complications of Pregnancy
Answer for 5 Points
Bed rest if necessary
Avoid excess weight gain and salt intake
Screen for stressors (anemia, thyroid disease,
infections)
Endocarditis prophylaxis for high risk patients only
Early hospitalization for changes in functional capacity
Medications like Digoxin and diuretics are ok
Don’t use warfarin or angiotensin-converting enzyme
inhibitors
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Complications of
Pregnancy
Question for 10 Points
What changes normally
occur during pregnancy
in renal diagnostic
tests?
Show In
Answer
Complications of
Pregnancy
Answer for 10 Points
Creatine, BUN and Uric Acid
decrease
Drop in BP
Mild proteinuria and glycosuria
are common
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Complications of
Pregnancy
Question for 15 Points
How is pyelonephritis
managed during
pregnancy?
Show Answer
Complications of Pregnancy
Answer for 15 Points
Hospitalization with IV ABX
Choice of ABX should be based on culture
and sensitivity
Possible obstruction, abscess, resistant
organisms, infected calculus or cyst should
be considered when pain persists longer
than 72 hours
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Complications of
Pregnancy
Question for 20 Points
How are chronic
hypertension patients
managed during
pregnancy?
Show Answer
Complications of
Pregnancy
Answer for 20 Points
Mild disease: Systolic 140-150mmHg,
diastolic <100 mmHg may be watched first
semester for response to normal pregnancy
hormones
If on medicines, taper off with
consideration of organ damage Back to Board
Complications of
Pregnancy
Question for 25 Points
What is pruritis
gravidarum?
Show Answer
Complications of
Pregnancy
Answer for 25 Points
Intense generalized itching
Absence of preceding skin lesions
Elevated serum bile salts
Treated with emollients and
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anthistamines
Show Question
“Big Points”
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Question
What does low set ears
indicate?
Show Answer
Big Points
Answer for Big Points
Chromosomal
abnormalities like
trisomy 21
Fetal alcohol syndrome
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