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ATI OB PROCTOR.
-pay attention to: 
Assessment 
Who is my priorpety pt to assit mom 
What can u delegate? 
What does the nurse have to do 
Everything newborn 
What do we prioritize 
Car seat safety page 179 
-back in the middle backseat rear facing 45 degree angle 
Harness should be at the shoulder or just below 
The clip should be at the armpit level 
C-section birth** 
STIpage50 active herpes lesion cannot deliver vag HIV CAN 
Treatment for gonorrhea and chlamydia discharge 
Partner and mom needs to...
- Exam (elaborations)
- • 5 pages •
-pay attention to: 
Assessment 
Who is my priorpety pt to assit mom 
What can u delegate? 
What does the nurse have to do 
Everything newborn 
What do we prioritize 
Car seat safety page 179 
-back in the middle backseat rear facing 45 degree angle 
Harness should be at the shoulder or just below 
The clip should be at the armpit level 
C-section birth** 
STIpage50 active herpes lesion cannot deliver vag HIV CAN 
Treatment for gonorrhea and chlamydia discharge 
Partner and mom needs to...
OB-Study Guide by chapters Ch1-to-Ch19
. Since 1995 there has been a significant decrease in the rate of infant death related to which of the following: 
a. Disorders associated with short gestation and low birth weight 
b. Accidents 
c. Sudden infant death 
d. Newborns affected by complications of placenta, cord, and membranes 
 
ANS: c 
	Feedback 
a.	The rates of prematurity and low birth weight are increasing. 
b.	The rates of accidents have increased. 
c.	Correct. The rate of infant death related to SIDS has decreased from 87.1 t...
- Exam (elaborations)
- • 200 pages •
. Since 1995 there has been a significant decrease in the rate of infant death related to which of the following: 
a. Disorders associated with short gestation and low birth weight 
b. Accidents 
c. Sudden infant death 
d. Newborns affected by complications of placenta, cord, and membranes 
 
ANS: c 
	Feedback 
a.	The rates of prematurity and low birth weight are increasing. 
b.	The rates of accidents have increased. 
c.	Correct. The rate of infant death related to SIDS has decreased from 87.1 t...
WEEK 1 OB FALL 2019
WHAT ARE BABIES MADE OF? 
 
-	mom and dad, sperm and egg 
-	DNA, cells, 
-	It matters because we are made out of DNA. We are gonna take care of a woman in her pregnancy. She is gonna grow a person made out of DNA. We need to know the things that deal with mom (all her medical hx) 
-	Half of DNA from mom, half from dad. 
-	Ask questions from dad as well. 
 
GENES 
 
	DNA (deoxyribonucleic acid) is a biomolecule that holds the blueprint for how living organisms are built. 
	A gene is a s...
- Exam (elaborations)
- • 9 pages •
WHAT ARE BABIES MADE OF? 
 
-	mom and dad, sperm and egg 
-	DNA, cells, 
-	It matters because we are made out of DNA. We are gonna take care of a woman in her pregnancy. She is gonna grow a person made out of DNA. We need to know the things that deal with mom (all her medical hx) 
-	Half of DNA from mom, half from dad. 
-	Ask questions from dad as well. 
 
GENES 
 
	DNA (deoxyribonucleic acid) is a biomolecule that holds the blueprint for how living organisms are built. 
	A gene is a s...
WEEK 2 OB FALL 2019
•	Elements of EFM (electronic fetal monitoring) 
o	Baseline: Mean fetal heart rate (FHR) rounded to nearest 5 bpm during a 10 minute period excluding accelerations and decelerations. 
o	Variability and causes for increased or decreased variability: Fluctuations in the baseline FHR that are irregular in amplitude and frequency. Measured from peak to trough (rise and fall) of the HR and given a range within a 1 min period. Classified as absent, mild, or moderate. Most important predictor of adeq...
- Exam (elaborations)
- • 9 pages •
•	Elements of EFM (electronic fetal monitoring) 
o	Baseline: Mean fetal heart rate (FHR) rounded to nearest 5 bpm during a 10 minute period excluding accelerations and decelerations. 
o	Variability and causes for increased or decreased variability: Fluctuations in the baseline FHR that are irregular in amplitude and frequency. Measured from peak to trough (rise and fall) of the HR and given a range within a 1 min period. Classified as absent, mild, or moderate. Most important predictor of adeq...
WEEK 2 OB FALL 2019
•	Overview of the transition the woman goes through into her new maternal role 
o	Rubin’s Maternal Tasks of Pregnancy 
•	Ensuring a safe passage for herself and her child 
•	Ensuring a social acceptance of the child by significant others 
•	Attaching or “binding-in” to the child 
•	According to Rubin, the mother-to-be needs to accept the pregnancy and incorporate it into her own reality and self-concept This process is known as binding in. 
•	Giving of oneself to the demands ...
- Exam (elaborations)
- • 11 pages •
•	Overview of the transition the woman goes through into her new maternal role 
o	Rubin’s Maternal Tasks of Pregnancy 
•	Ensuring a safe passage for herself and her child 
•	Ensuring a social acceptance of the child by significant others 
•	Attaching or “binding-in” to the child 
•	According to Rubin, the mother-to-be needs to accept the pregnancy and incorporate it into her own reality and self-concept This process is known as binding in. 
•	Giving of oneself to the demands ...
WEEK 1 OB FALL 2019
Genetics 
•	Common genetic (inherited) conditions that you would counsel and screen patients either prior to pregnancy or at their first prenatal visit 
o	A gene is a segment of DNA that is passed down from parents to children and confers a trait to the offspring. 
	Dad determines if the baby will be XX (girl) or XY (boy) 
o	Genes can be either dominant or recessive. When there is both a dominant and a recessive gene in the pair, the traits of dominant gene are present. 
	The traits o...
- Exam (elaborations)
- • 9 pages •
Genetics 
•	Common genetic (inherited) conditions that you would counsel and screen patients either prior to pregnancy or at their first prenatal visit 
o	A gene is a segment of DNA that is passed down from parents to children and confers a trait to the offspring. 
	Dad determines if the baby will be XX (girl) or XY (boy) 
o	Genes can be either dominant or recessive. When there is both a dominant and a recessive gene in the pair, the traits of dominant gene are present. 
	The traits o...
OB Exam 2 Study Guide.
.) PRIORITY nursing care/interventions/assessment immediately after birth of normal newborn 
	Check Vitals 
	Most important is to establish respiratory function with the cutting of the umbilical cord. (clear airway using the bulb syringe first mouth then nose) 
	Dry baby up 
	Perform a physical assessment called Apgar scoring to rule out any abnormalities. It is a measure of the physical condition of a newborn infant. It is obtained by adding points (2, 1, or 0) for heart rate, r...
- Exam (elaborations)
- • 16 pages •
.) PRIORITY nursing care/interventions/assessment immediately after birth of normal newborn 
	Check Vitals 
	Most important is to establish respiratory function with the cutting of the umbilical cord. (clear airway using the bulb syringe first mouth then nose) 
	Dry baby up 
	Perform a physical assessment called Apgar scoring to rule out any abnormalities. It is a measure of the physical condition of a newborn infant. It is obtained by adding points (2, 1, or 0) for heart rate, r...
OB EXAM 1 MATERIAL
•	Adaptation to Extrauterine Life 
o	Cardiovascular: NB must initiate respirations & sustain extrauterine oxygenation 
	When born, infant forced to take in oxygen thru lungs. 
	Shunts close & vessels clot off & regress 
o	Respiratory: First breath also in response to temperature & pressure changes, light & noise. 
	1st breath requires great pressure; 40-70 cm H2O. Small amt of fluid present in lungs. 
	1/3 rd of this fluid forced out by pressure of vaginal birth; rest absorb...
- Exam (elaborations)
- • 36 pages •
•	Adaptation to Extrauterine Life 
o	Cardiovascular: NB must initiate respirations & sustain extrauterine oxygenation 
	When born, infant forced to take in oxygen thru lungs. 
	Shunts close & vessels clot off & regress 
o	Respiratory: First breath also in response to temperature & pressure changes, light & noise. 
	1st breath requires great pressure; 40-70 cm H2O. Small amt of fluid present in lungs. 
	1/3 rd of this fluid forced out by pressure of vaginal birth; rest absorb...
OBVsim2 - Documentation Assignment
1.	Document your initial assessment data of Ms. Patton, including uterine activity (frequency and duration), fetal heart rate (FHR) activity (baseline FHR, long-term variability, accelerations, and decelerations), vaginal discharge, and maternal vital signs. 
 
•	Palpated uterus for contractions. Uterus tone soft between contractions. Contractions approximately 4 minutes apart & lasting 50 seconds 
•	FHR 149 @ baseline with occasional acceleration & one episode of early deceleration 
•	No ...
- Exam (elaborations)
- • 4 pages •
1.	Document your initial assessment data of Ms. Patton, including uterine activity (frequency and duration), fetal heart rate (FHR) activity (baseline FHR, long-term variability, accelerations, and decelerations), vaginal discharge, and maternal vital signs. 
 
•	Palpated uterus for contractions. Uterus tone soft between contractions. Contractions approximately 4 minutes apart & lasting 50 seconds 
•	FHR 149 @ baseline with occasional acceleration & one episode of early deceleration 
•	No ...
OBVsim3-Guided Reflection
Opening Questions 
How did the simulated experience of Amelia Sung’s case make you feel? 
 
•	Honestly this VSim made me very excited to experience this in real life. I want to be a Labor & Delivery nurse, so this made me more aware of how I should be reacting during a normal birth and what I need to be able to do in case of an emergency. 
Describe the actions you felt went well in this scenario. 
 
•	During my first attempt, I wasn’t even thinking about medications, so during my second ...
- Exam (elaborations)
- • 4 pages •
Opening Questions 
How did the simulated experience of Amelia Sung’s case make you feel? 
 
•	Honestly this VSim made me very excited to experience this in real life. I want to be a Labor & Delivery nurse, so this made me more aware of how I should be reacting during a normal birth and what I need to be able to do in case of an emergency. 
Describe the actions you felt went well in this scenario. 
 
•	During my first attempt, I wasn’t even thinking about medications, so during my second ...