MARK KLIMEK NCLEX NOTES: PED AND OB QUESTIONS AND ANSWERS.

MARK KLIMEK NCLEX NOTES: PED AND OB QUESTIONS AND ANSWERS.A SaO2 in a pediatric patient of

MARK KLIMEK NCLEX NOTES: PED AND OB QUESTIONS AND ANSWERS.A SaO2 in a pediatric patient of <95 is: an emergency! pathologic jaundice: bili high at birth. dangerous physiologic jaundice: bilirubin increase after 24h. Peaks at day 3 or 4. with OB questions, when in doubt: check the fetal HR basic peds development principle: 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: 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: 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: 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: Teach like an adult. If a child is immunocompromised, what toys do you avoid? stuffed animal Toddlers engage in _____ play parallel (next to each other, but not together) Preschoolers engage in ____ play imaginitive. work on fine motor skills School ages kids like to: CCC Collect Create and are Competative How do you calculate a due date? First day of the LMP, add 7 days and then subract 3 months. How much weight should a woman gain during pregnancy? each trimester? 25-31lbs 1st trimester - 1lb per month 2nd and 3rd trimesters - 1lb per week. Ideal weight gain can be calculated by: subtracting gestational week - 9 When is the fundus first palpable? second trimester When is the fundus at the umbilicus: 20-22w gestation hietal mole pregnancy: a cancerous mass that produces pg symptoms Viability is between: 22-24w Positive pregnancy signs: 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: 8-10w Really carefully read OB choices, because there can be 3 different questions for every OB fact... such as When would you FIRST? When would you MOST LIKELY? When should 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 _______ kicks. 16-20e probable/presumptive pregnancy signs (maybes) include: All urine and blood tests Chadwick PG sign: cervical color turns blue. Chadwick, goodell and hegar signs occur in ____ order. Alphabetical. Chadwick, Goodell, Heagar cervical color, cervical softening, uterine softening Goodell PG sign: Cervical softening Hegars PG sign: Uterine softening Hgb in pregnancy: Hgb will fall. 1st - 11 2nd - 10.5 3rd - 10 Pattern for good prenatal care: 1x a month until week 28, then q2w until week 36, then q week until delivery. Treat morning sickness with: 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) void q 2 h from the day of conception to 6 weeks pp How do you teach preggo's to deal with difficulty breathing: Tripod position (feet flat, with arms onthe table, leaning forward) treat back pain with: pelvic tilt exercises In Ob if you dont know the answer you should pick one: that is good for anyone healthy the most valid sign of labor: onset of regular, progressive, contractions fetal station means: 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 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.