Ob ati proctored study/Ob ati proctored study

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Ob ati proctored study 1) Cytomegalovirus – is an infection contracted by mother during pregnancy that causes neonate implications of IUGR, Encephalopathy Exposure to toxoplasmosis, rube... lla, cytomegalovirus, herpes simplex, and hepatitis B may adversely affect pregnancy and fetal outcome. TORCH Cytomegalovirus (CMV) belongs to the herpes simplex virus group and causes both congenital and acquired disorders. The significance of this virus in pregnancy is related to its ability to be transmitted by asymptomatic women across the placenta to the fetus or by the cervical route during birth. the virus is usually innocuous in adults and children,itmaybefataltothefetus. Asymptomatic CMV infection is particularly commoninchildrenandgravidwomen.Transmissioniscommon indaycarecenters 2) Who see first? 190 sugar, FHR 160 3) Which food has highest fiber? Oatmeal, asparagus A: oatmeal, avavados, bananas, pears, split peas, lentils 4) Client who reported abdominal pain upon breast feeding Why Does It Happen? The uterus is a muscle, and each pregnancy over-stretches the muscle. Nipple stimulation during breastfeeding causes a hormone known as oxytocin to be released into your bloodstream. This hormone causes the contraction of all smooth muscles and helps your uterus contract back into its pre-pregnancy shape and size. These contractions also help reduce postpartum blood loss, so although you may be uncomfortable, this cramping is helping your body heal. What Can You Do? Don’t be afraid to ask for pain medication while still in the hospital – it will be safe for you and your baby. You can also give yourself a gentle lower-stomach massage. These afterbirth pains almost always subside within a few days, but if they continue longer than that or if the pain becomes intense, reach out to your healthcare provider. 5) Signs of neonate abstinent syndrome - NAS may occur when a pregnant woman takes drugs such as heroin, codeine, oxycodone (Oxycontin), methadone, or buprenorphine. Tremors (trembling) Irritability (excessive crying) Sleep problems. High-pitched crying Tight muscle tone. Hyperactive reflexes. Seizures. Yawning, stuffy nose, and sneezing. 6) Place test in order alpha-protien, 1 hour glucose Gestational diabtes test: To take the glucose screening test you will drink a sugar solution (which tastes like a thick, flat cola—I'm not saying it's delicious, but it's not all that awful either). An hour later, a blood sample will be taken and the blood sugar level will be checked. If the reading is abnormal (which occurs about 20 percent of the time) you'll go home and come back at a later date for a diagnostic exam, called a three-hour glucose tolerance test, to verify the results. Alpha fetoprotien - screening test for congenital disabilities, chromosomal abnormalities - Alpha-fetoprotein levels in men and non-pregnant women vary for age and race but mostly range from 0 ng/ml to 40 ng/ml. Maternal AFP levels in pregnancy start to rise from about 14th week of gestation up until about 32 weeks gestation. Between week 15 and 20 weeks, levels usually range between 10 ng/ml to 150 ng/ml. -elevated levels imply a significant risk of having birth defects 7) Report HR with – 150/155/135 – acceleration. Decleration, variability Cord compression associated with decelerations Baseline Fetal Heart Rate • Normal baseline FHR = 110 – 160 Accelerations/decelerations are compared to the baseline of the infants HR Late and variable decelerartions are the most risk for fetus because of head or cord compression 8) Induction with misoprototesol Taken orally used to soften and ripen the cervix and to induce labor Women who receive Cytotec to in Guidelines for misoprostol induction include (ACOG, 2009a): ■ The initial dosage should be 25 mcg. ■ Recurrent administration should not exceed dosing intervals of more than 3 to 6 hours. ■ Pitocin should not be administered less than 4 hours after the last Cytotec dose. ■ Cytotec should only be administered where the uterine activity and fetal heart rate (FHR) can be monitored continuously for an initial observation period. Contraindications: : ■ Nonreassuring FHR tracing. ■ Frequent uterine contractions of moderate intensity.duce labor typically deliver within 24 hours of administration. reasons for induction include being overdue, pre-labour rupture of membranes and high blood pressure. Prostaglandins are hormones that are naturally present in the uterus (womb); they soften the cervix and stimulate contractions in labour. 9) Risk for which condition -ectopic pregnancy - Who is at risk for an ectopic pregnancy? All sexually active women are at some risk for an ectopic pregnancy. Risk factors increase with any of the following: maternal age of 35 years or older. -postpartum hemmorage Conditions that may increase the risk for postpartum hemorrhage include the following: Placental abruption. The early detachment of the placenta from the uterus. Placenta previa. ... Overdistended uterus. ... Multiple pregnancy. ... Gestational hypertension or preeclampsia. ... Having many previous births. Prolonged labor. Infection. 10) Mother Rh neg, baby RH postitive? Rh incompatibility is a condition that develops when a pregnant woman has Rh-negative blood and the baby in her womb has Rh-positive blood. You can prevent the effects of Rh incompatibility by getting an injection of Rh immune globulins (RhIg) during your first trimester, A positive indirect Coombs test is a sign of Rh incompatibility 11) 28 weeks gestation with no children. Which is vaccine received? -rebulla . - NO -tetanur or tdap - YES -hpv – NO [Show More]

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