3. What is the average, expected weight gain for a pregnant woman? __________________________ 4. Def

3. What is the average, expected weight gain for a pregnant woman? __________________________ 4. Define ROM ______________________________________________________________________ What is the expected normal color of amniotic fluid when membranes rupture?_________________ 5. Define clonus _____________________________________________________________________ Should clonus normally be present? ___________________________________________________ 6. Define DTR _____________________________________________________________________ 7. Are these symptoms normally present? Headache – yes/no Blurred vision – yes/no 8. During labor, a woman’s urine output should be at least _____________ ml/hour. Look up these medications: Medication: Indications: Administration: Side effects: Contraindications: Nursing implications: Ampicillin Betamethasone (Celestone) Butorphanol tartrate (Stadol) Dinoprostone (Cervidil) Magnesium Sulfate Nifedipine (Procardia) Labetalol Hydralazine Oxytocin (Pitocin) Promethazine (Phenergan) Terbutaline sulfate Normal, Expected Findings: Postpartum 1. Normal ranges for selected maternal lab values during immediate postpartum period: Hg PLT Hct Urine Protein WBC Vaginal culture for Group B Strep 2. Rubella-immune status should be positive/negative (circle one). What medication do you give if Rubella is non-immune and why? ______________________________________________________ 3. If a postpartum mother receives the rubella vaccine, how long should she avoid pregnancy? ______________________________________________________________________________ 4.. RPR or VDRL is the test for ______________________________________________________ 5. Describe normal, expected changes in a woman’s breasts: During 1st 24-48 hours postpartum _______________________________ By 3-4 days postpartum ________________________________________ 6. Location of uterine fundus compared to umbilicus and related to time after delivery Immediately after delivery ____________________________________ 1st 12-24 hours postpartum ____________________________________ 24-48 hours postpartum ______________________________________ 48-72 hours postpartum ______________________________________ 4-5 days postpartum _________________________________________ 7. Lochia: Describe the color, expected timeframe, and expected amount. Rubra: ___________ Day _____ to _______Expected amount is ________________ Serosa: ___________________Day _____ to ______ Expected amount is ________________ Alba: _____________________Day _____to ______Expected amount is _________________ 8. Homan’s sign is a test for _____________. A normal finding is recorded as ________________. Look up these medications: Medication: Indications: Administration: Side effects: Contraindications: Nursing implications: Hydrocodone (Lortab) Ketorolac (Toradol) Oxycodone hydrochloride/acetaminophen (Percocet) Rubella virus vaccine, live Varicella vaccine, live Diphtheria, tetanus, acellular pertussis vaccine (Tdap) Carboprost (hemabate) Methylergonovine (Methergine) Misoprostol (Cytotec) Rhogam Normal, Expected Findings: Newborn 1. Term Gestation is defined as being born when? ________to ________ weeks 2. Normal Apgar Scores are ______@ 1 minute and _______5 minutes 3. The Coombs test on cord blood measures ________________ 4. Newborn infant: Normal bilirubin level on cord blood is _____________________________ 5. Jaundice that occurs in a newborn infant before ________ hours of age is considered pathologic. 6. Normal serum glucose level for a newborn infant at 24 hours of age is _____________________. 7. Define terms: SGA: _________________________________________________________________ AGA: _______________________________________________________________ LGA: _________________________________________________________________ Acrocyanosis: _________________________________________________________ 8. Lanugo is usually present at ________ week gestation and disappears by ___________ weeks. 9. Where are Mongolian spots most often seen? _________________________________________ 10. What ethnic/racial groups are most likely to have Mongolian spots _________________________ 11. Define cephalahematoma:________________________________________________________ _______________________________________________________________________ 12. Is this a normal finding? Yes/No (circle one) 13. Fontanels: Anterior: Normal shape _________________________ Normal Size ________________ Posterior: Normal shape _________________________ Normal Size ________________ 14. Briefly describe each reflex and how it is elicited by the nurse: Moro: ___________________________________________________________________ Babinski: _________________________________________________________________ Grasp:__________________________________________________________________ Suck/Root:_________________________________________________________________ 15. Normal Infant vital signs: Respirations _________ to ___________ per minute Heart Rate __________ to ___________ per minute Temperature _________ to ___________ F Blood pressure ________/ ____________ 16. What position should newborn infants sleep?______________________________________ Why is this position preferred? ___________________________________________________ 17. A breastfeeding infant should eat about every ___to___ hours or about ____to___times in 24 hours. 18. A formula fed infant should eat about every ___to____ hours or about ____ to___times in 24 hours. 19. First voiding should occur within ________ hours of birth. 20. First stool is called ______________________ and should occur within ___________hours of birth. Look up these medications: Medication: Indications: Administration: Side effects: Contraindications: Nursing implications: Erythromycin Ointment Vitamin K Hepatitis B

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