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OB ATI Proctored Study Guide

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Ob ati proctored study guide

 

 

1)      Cytomegalovirus – is an infection contracted by mother during pregnancy  that causes neonate implications of  IUGR, Encephalopathy

 

Exposure to toxoplasmosis, rubella, 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

...Continued

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Ob ati proctored study guide 1) Cytomegalovirus – is an infection contracted by mother during pregnancy that causes neonate implications of IUGR, Encephalopathy Exposure to toxoplasmosis, rubella, 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 ...
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OB ATI Proctored Study Guide

Ob ati proctored study guide 1) Cytomegalovirus – is an infection contracted by mother during pregnancy that causes neonate implications of IUGR, Encephalopathy Exposure to toxoplasmosis, rubella, cytomegalovirus,...

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