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NCLEX OB/Maternity/peds Study Guide. 76 Comprehensive Questions and Answers 100% Accuracy|Updated 2024|. $12.49
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NCLEX OB/Maternity/peds Study Guide. 76 Comprehensive Questions and Answers 100% Accuracy|Updated 2024|.
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  • OB/PEDS NCLEX
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  • Chamberlain College Of Nursing

NCLEX OB/Maternity/peds Study Guide. 76 Comprehensive Questions and Answers 100% Accuracy|Updated 2024|.

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  • April 1, 2024
  • 13
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • nclex obmaternitypeds study guide 76 comprehens

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  • Chamberlain College Of Nursing
  • OB/PEDS NCLEX
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NCLEX OB/Maternity/peds Study Guide. 76
Comprehensive Questions and Answers 100%
Accuracy|Updated 2024|.
Newborn reflexes

1.palmar grasp, moro, tonic neck (fencing): fades 3-4 months
2.rooting and sucking: turns to any object that touches mouth/cheek, disappears 4-7months
3.stepping reflex:fades 4-5months
4.plantar grasp: pressure on sole behind toes elicits flexion (lessens by 8months)
4.pupillary: constricts to light
6.babinski:reverts to adult response by 12months

Normal Newborn Assessments

>weight 6-9 lbs, 19-21 inches, head circumference 13-14 inches, chest 12-13 inches
>anterior fontanel: diamond shaped, easily felt, flat and open (moderate bulging with crying/stooling).
Sustained bulging = incr ICP, depressed =dehydration. closes 18 months
>posterior fontanel: not easily palpated, close 8-12 weeks
>cephalhematoma: collection of blood under periosteum of a cranial bone on 1st and 2nd day, doesn't
cross suture line, disappears in wks-mos
>caput succedaneum: localized soft swelling of the scalp, assoc with long and difficult birth, overrides
suture line, fluids is reabsorbed w/i hours to days
>eyes edematous, pupils equal and reactive to light, absence of tears, corneal reflex, blink reflex, areas of
subconjunctival hemorrhage
>breast enlarge up to 2 wks
>umbilical cord white and gelatinous, 2 Arteries 1 Vein. Shriveled and black 2-3 days, falls off in 1-2 wks.
Foul smelling discharge =infection
>may not void for 12-24 hrs (may be brick-red spots on diaper from passing uric acid crystals), then 6-
10x/day void
>females may have thick white discharge; white cheese-like substance (smega) and/or blood-tinged
(pseudomenstruation)

Normal newborn stool transition

1. first stool - black and tarry, passed w/i 12-24hrs. 2. 3rd day - green-brown
3. then 1-2 formed pale yellow to light brown stools a day with (formula feeding). loose golden yellow
with sour milk odor (breast feeding)

Newborn circumcision care

>whitish yellow exudate is normal. If plastibell is used, report to pediatrician if it has not fall off in 8 days
>Area red with small bleeding is normal
>informed consent

, >monitor bleeding, voiding, and swelling. swelling interfere with urination
>apply A&D ointment or petroleum jelly (except when plastibell is used)
>Wash with warm water squeezed over penis

Newborn umbilical cord care

>cord should be dry and hard, no tub baths until it falls off. Don't cover with a shirt or diaper. Fold diaper
below it to maintain dry area
>redness, drainage/exudate, foul odor =infection and needs to be reported
>clamp can be removed 24 hrs if cord is dried and not bleeding
>clean with soap and water, wash newborn with sponge bath after cord falls off (w/i 2 wks)

GPTAL

G-gavidity (# of pregnancies)
P-preterm births
T-term births
A-abortions/miscarraiges
L-living children

TORCH infections

T-toxoplasmosis
o-other (hepatitis, syphillis, HIV)
r-rubella
c-cytomegalovirus
h-herpes simplex

cause the most damage in 1st trimester

Rho immune globulin

>given IM 28wks gestation & within 72 hrs after delivery
>also given within 72hrs after potential or actual exposure to Rh+ blood

Folic acid - when do you start

>start 3 months before getting pregnant
>decr incidence of neural tube defects

Predisposing conditions for disseminate intravascular coagulation (DIC)

abruptio placentae
amniotic fluid embolism
gestational htn
intrauterine fetal death
liver dz
sepsis

Tocolytic drugs to stop preterm labor

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