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WorksheetsOB EXAM 3
Total questions: 20
Worksheet time: 10mins
Severity of postpartum depression compared to "baby blues"
Less severe than "baby blues"
Equally severe as "baby blues"
More severe than "baby blues"
Milder than "baby blues"
Treatment for NEC
Allow bowel to rest, NPO, NG/OG tube, antibiotics, O2/ventilator, IV fluids, TPN
Immediate surgery to remove affected bowel
High-dose steroids to reduce inflammation
Oral rehydration therapy and probiotics
Characteristics of gelatinous shiny skin in preterm babies
Blood vessels visible, no plantar creases, no ear recoil, breast tissue.
Presence of thick hair and strong reflexes.
Skin is dry and flaky with deep creases.
Normal skin texture with well-defined plantar creases.
Normal heart rate variations in newborns
80 BPM when sleeping, 160 BPM when crying
100 BPM when sleeping, 180 BPM when crying
120 BPM when sleeping, 150 BPM when crying
90 BPM when sleeping, 170 BPM when crying
Decreased lung sounds and bowel sounds in chest indicate diaphragmatic hernia.
Diagnosed with ultrasound before birth.
Treated with antibiotics after birth.
Requires immediate surgery after birth.
Commonly resolves on its own.
Coombs test measures presence of antibodies in blood.
Used to detect ABO incompatibility.
Used to measure blood glucose levels.
Used to assess liver function.
Used to determine cholesterol levels.
Erythromycin prevents gonococcal and chlamydial infections.
Used as an ophthalmic medication for newborns.
Used to treat viral infections in adults.
Used as a pain reliever for infants.
Used to prevent bacterial infections in adults.
Respiratory function in preterm babies
Decreased alveoli and surfactant, weak/absent gag reflex, signs of respiratory distress, may need ventilation.
Increased alveoli and surfactant, strong gag reflex, no signs of respiratory distress, usually stable.
Normal alveoli and surfactant levels, strong gag reflex, no respiratory issues, can breathe independently.
Decreased alveoli but normal surfactant, strong gag reflex, mild respiratory distress, usually requires minimal support.
Symptoms of meconium aspiration syndrome
Severe respiratory distress
Mild cough
Fever
Skin rash
Erythroblastosis fetalis causes anemia and hyperbilirubinemia.
Can lead to fetal death or stillbirth.
Is a condition that only affects the mother.
Is easily treatable with antibiotics.
Has no impact on the fetus.
Rh incompatibility details
Occurs when mom is Rh positive and baby is Rh negative; affects first pregnancy
Occurs when mom is Rh negative and baby is Rh positive; affects second and subsequent pregnancies
Occurs when both mom and baby are Rh positive; affects all pregnancies
Occurs when mom is Rh negative and baby is Rh negative; affects only the third pregnancy
Diaphragmatic hernia involves failure of diaphragm to close.
Leads to abdominal contents recessing into the chest.
Causes increased lung capacity.
Results in excessive coughing.
Prevents normal breathing.
Cephalhematoma in newborns
Bilateral swelling caused by natural birth process
One-sided, caused by trauma, higher risk for jaundice
Caused by infection during pregnancy
A common condition that resolves without treatment
APGAR scoring timing
Obtained at 1 and 5 minutes, repeat at 10 minutes if APGAR not reassuring.
Obtained at 2 and 6 minutes, repeat at 12 minutes if APGAR not reassuring.
Obtained at birth and 15 minutes, repeat at 30 minutes if APGAR not reassuring.
Obtained at 1 and 3 minutes, repeat at 5 minutes if APGAR not reassuring.
Risk factors for jaundice
< 38 weeks
Jaundice in sibling
Breastfeeding
High birth weight
Pathologic jaundice development time
Develops within < 24 hrs of birth
Develops within 24-48 hrs of birth
Develops after 48 hrs of birth
Develops within the first week of life
Abnormal heart rate variations in newborns
Faint sound, dyspnea, murmur with distress
Rapid heart rate with no distress
Normal heart rate with occasional pauses
High-pitched cry and irritability
Rhogam is given to prevent antibodies from attacking fetal blood cells.
Administered to mom at 24-28 weeks gestation.
Given immediately after birth.
Administered during the first trimester.
Given only if there is a Rh incompatibility.
Temperature range for newborn assessment
35.0-36.0 C or 95.0-96.8 F
36.5-37.5 C or 97.7-99.7 F
37.6-38.5 C or 99.7-101.3 F
34.0-35.0 C or 93.2-95.0 F
Normal postpartum assessment and management
Monitor vital signs, fundal massages, lochia, and encourage ambulation and voiding.
Only focus on monitoring vital signs and fundal height.
Encourage bed rest and limit fluid intake to prevent swelling.
Diuresis is abnormal and should be avoided.
