with OB questions, when in doubt: - ANSWER check the fetal HR

Mark Klimek NCLEX notes; Peds and OB

A SaO2 in a pediatric patient of <95 is: - ANSWER an emergency!

pathologic jaundice: - ANSWER bili high at birth.

dangerous physiologic jaundice: - ANSWER bilirubin increase after 24h. Peaks at day 3 or 4.

with OB questions, when in doubt: - ANSWER check the fetal HR

basic peds development principle: - ANSWER give them more time to develop. pick the easier task and give them more time to develop when in doubt pick the older age and call it normal.piaget stage: 0 to 2y teaching:

When:

What:

How: - ANSWER sensory motor

When: As you do it

What: what you are currently doing

How: verbally, they dont understand play yet.

Piaget stage 3-6y teaching:

When:

What:

How: - ANSWER preoperational

When: teach slightly ahead of time (morning of or 1-2h prior)

What: what you are going to do

How: through play

Piaget stage 7-11y teaching:

When:

What:

How: - ANSWER school aged

When: Can teach days ahead

What: What youa re goign to do plus skills

How: No toys/play. verbal and ae appropriate internet/audio/visual teaching aids

Piaget stage 12-15y teaching:

When:

What:

How: - ANSWER Teach like an adult.

If a child is immunocompromised, what toys do you avoid? - ANSWER stuffed animal Toddlers engage in _____ play - ANSWER parallel (next to each other, but not together) Preschoolers engage in ____ play - ANSWER imaginitive.work on fine motor skills

School ages kids like to: - ANSWER CCC

Collect Create and are Competative How do you calculate a due date? - ANSWER First day of the LMP, add 7 days and then subract 3 months.How much weight should a woman gain during pregnancy?each trimester? - ANSWER 25-31lbs 1st trimester - 1lb per month 2nd and 3rd trimesters - 1lb per week.Ideal weight gain can be calculated by: - ANSWER subtracting gestational week - 9 When is the fundus first palpable? - ANSWER second trimester

When is the fundus at the umbilicus: - ANSWER 20-22w gestation

hietal mole pregnancy: - ANSWER a cancerous mass that produces pg symptoms

Viability is between: - ANSWER 22-24w

Positive pregnancy signs: - ANSWER fetal skeleton on xray, fetal presence on ultrasound, fetal HR present, when the examiner palpates fetal movement.

fetal hear rate is able to be first heard: - ANSWER 8-10w

Really carefully read OB choices, because there can be 3 different questions for every OB fact...such as - ANSWER When would you FIRST? When would you MOST LIKELY? When sho uld you BY?i.e when would you first auscultate a fetal HR? 8w when would you most likely hear a fetal HR? 10w When should you hear a fetal HR by? 12w quickening is when the baby first ______, and occurs _______ - ANSWER kicks.16-20e probable/presumptive pregnancy signs (maybes) include: - ANSWER All urine and blood tests

Chadwick PG sign: - ANSWER cervical color turns blue.

Chadwick, goodell and hegar signs occur in ____ order. - ANSWER Alphabetical.Chadwick, Goodell, Heagar cervical color, cervical softening, uterine softening

Goodell PG sign: - ANSWER Cervical softening

Hegars PG sign: - ANSWER Uterine softening

Hgb in pregnancy: - ANSWER Hgb will fall.

1st - 11 2nd - 10.5 3rd - 10

Pattern for good prenatal care: - ANSWER 1x a month until week 28, then q2w until week 36, then q week until delivery.

Treat morning sickness with: - ANSWER dry carbs, like crackers, before you get out of bed.

How do you treat women to deal with urinary incontinence (during 1st and 3rd trimester) - ANSWER void q 2 h from the day of conception to 6 weeks pp

How do you teach preggo's to deal with difficulty breathing: - ANSWER Tripod position (feet flat, with arms onthe table, leaning forward)

treat back pain with: - ANSWER pelvic tilt exercises

In Ob if you dont know the answer you should pick one: - ANSWER that is good for anyone healthy

the most valid sign of labor: - ANSWER onset of regular, progressive, contractions

fetal station means: - ANSWER the relation of the fetal presenting part to the moms iscial spine.

the ischial spine is the smallest diameters through which the baby needs to fit through delivery.

Negative fetal station - ANSWER fetal presenting space is above the narrowest space.

If the baby stays here even though mom is fully dilated/effaced she needs to be c/s.

Negative numbers are negative news.

Positive fetal station - ANSWER the fetal presenting part is below the narrowest space.

Engagaement is when the fetal presenting part is at - ANSWER station zero, at the narrowest space