N222 OB Midterm Study Guide PDF

N222 OB Midterm Study Guide: ============================ ***\*\*\*Please note: This is NOT everything you need to know/understand, however these are things you MUST know/understand\*\*\**** ***please do not write on linked documents, save a copy and then edit*** ***[KAPLAN Content:]*** There wi...

N222 OB Midterm Study Guide: ============================ ***\*\*\*Please note: This is NOT everything you need to know/understand, however these are things you MUST know/understand\*\*\**** ***please do not write on linked documents, save a copy and then edit*** ***[KAPLAN Content:]*** There will be 5 Kaplan questions on the midterm. The Kaplan questions can be found in the "Focused Review Tests." I recommend that you take the OB Kaplan Focused Review Tests (you can build your own tests) and remediate any questions that you have missed. Kaplan provides remediation for all questions missed. Content Areas for Kaplan Questions: [Reproductive:] **Breastfeeding** - - - - - - **Contraception** - - **Labor and Birth** - - - - - - - - - - - - - - - - - - - - **Newborn physiological Jaundice** - - **Newborn Care at Birth** - - **Postpartum** - - - - - - - - - - - - **Postpartum Complications** - - **Pregnancy Complications: Late** - - **Pregnancy: Fetal Monitoring** - - - - - - - - **Pregnancy: Fetal Complications** - - **Pregnancy: Prenatal Care** - - - - - - - - - - **Pregnancy Complications: Preexisting and Gestational** - - Introduction to Maternal-Newborn Nursing & Normal Pregnancy: ============================================================ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - discharge w odor, itching - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ***[Normal Labor & Delivery and Postpartum:]*** - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ***[Complications of Labor & Delivery, Anesthesia/Analgesia, Complications of Postpartum:]*** - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - indication for use assessment / intervention +-----------------------+-----------------------+-----------------------+ | Pitocin | labor induction and | **s/e** uterine | | | augmentation, and/or | hyperstimulation | | (oxytocin) | contraction of | | | | uterus, control of | **monitor** for | | | PPH | vaginal bleeding and | | | | uterine tone | +=======================+=======================+=======================+ | Methergine | contractions of | **s/e** HTN, | | | uterus | dizziness, flushing, | | | | hot, tinnitus, N/V | | | | | | | | hypotension & | | | | headache (from book) | | | | | | | | check BP before | | | | giving and do not | | | | give if \>140/90 | | | | | | | | **monitor** for | | | | vaginal bleeding and | | | | uterine tone | | | | | | | | **contraindication** | | | | HTN, preeclampsia, | | | | cardiac disease | +-----------------------+-----------------------+-----------------------+ | Hemabate | control of PPH after | **s/e** N/V/D, | | | other oxytocics have | flushing, HA, | | | failed | bradycardia | | | | | | | | **in book:** s/e HA, | | | | N/V/D, fever, chills, | | | | HTN, tachycardia, | | | | contraindication w/ | | | | HTN & **asthma** | | | | | | | | **monitor** for | | | | vaginal bleeding and | | | | uterine tone | | | | | | | | **contraindications** | | | | cardiovascular, | | | | renal, liver disease, | | | | asthma | +-----------------------+-----------------------+-----------------------+ | Terbutaline | beta | **s/e** rapid HR, | | | mimetic-stimulate | palpitations, anxiety | | | beta adrenergic | HA, dizziness N/V/D, | | | receptors causing | | | | relaxation of muscles | **Monitor** | | | in uterus | | | | | -I/O, Cr, BUN, LFT, | | | | | | | | -B/P (often for pt on | | | | HTN meds) | | | | | | | | -hyperglycemia & | | | | hypokalemia | | | | | | | | **Antidote**-Proprano | | | | lol, | | | | incase of CV effects | | | | | | | | **Contraindicated**- | | | | pt w/ cardiac | | | | disease, eclampsia, | | | | DM, hyperthyroidism, | | | | migraine | +-----------------------+-----------------------+-----------------------+ | Mag sulfate | **\***CNS depressant | **S/E:** Lethargy, | | | and Muscle Relaxant | Muscle Weakness, | | | | Visual blurring and | | | **preeclampsia:** | headache, Feeling | | | prevention of | Flushed, Hypotension, | | | maternal seizure | N/V, Pulmonary Edema, | | | | Decreased DTRs, | | | **placenta previa**: | Decreased U/O | | | prevention of preterm | | | | labor Protect baby | **Nursing | | | brain during preterm | considerations** | | | labor (May reduce | | | | risk of cerebral | secondary infusion, | | | palsy) | apply seizure | | | | precautions (padded | | | | side rails, suction, | | | | O2, non stimulating | | | | environment) FC in | | | | place (should have | | | | urine meter for | | | | strict I/O) have tox | | | | box in room | | | | | | | | **Assess** VS/DTR | | | | (q5min-1hr), Mg level | | | | (5-8) RR, Fetal and | | | | UC status, lung | | | | sounds, UO, | | | | | | | | **DC** CNS, cardio | | | | depression, or lab | | | | elevation | +-----------------------+-----------------------+-----------------------+ | Cytotec | contraction of uterus | **s/e** HA, N/V/D, | | | | fever, chills | | (misoprostol) | | | | | | **monitor** for | | | | vaginal bleeding and | | | | uterine tone | +-----------------------+-----------------------+-----------------------+ | Cervidil | ripening of cervix, | **s/e** gel may | | | induction of labor, | produce warmth in | | (dinoprostone) | abortion | vagina, HA, N/V/D, | | | | fever, hypotension, | | | | uterine tachysystole | | | | w/ or w/out abnormal | | | | FHR & pattern, fetal | | | | page of meconium | | | | | | | | **Nursing | | | | considerations** | | | | | | | | -not recommended for | | | | pt w/ hx of c section | | | | | | | | -Assess mom and fetus | | | | prior, bishop score, | | | | have pt void prior to | | | | insertion | | | | | | | | -Avoid us for pt w/ | | | | asthma, glaucoma, | | | | hypotension or HTN | | | | | | | | -if contraction last | | | | \>1 min call MD | | | | | | | | -cal MD if cramping, | | | | pain, increased | | | | bleeding | +-----------------------+-----------------------+-----------------------+ ***[Fetal Development & Normal Newborn:]*** - - - - - - - - - - - - - - - - - - - - - - - - - - - ***[Assessment of Fetal Status, Genetic Screening, Family Planning, Infertility & Contraception:]*** - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ***[High Risk Pregnancy & Complications of Pregnancy:]*** [[high risk OB, complications outline]](https://docs.google.com/document/d/1TDwrSdbV0qCggWOa9DbcpStcupOme1Xe2SVYF_axKh4/edit?tab=t.0) - - - - - - - - - - -