Maternal Child Exam 2 Study

a patient returns for their 2 week post partum appointment with signs of depression. What treatment could you do?

Refer for evaluation and treatment

a 4-month-old presents to the office lifting head up when laying on tummy. What’s the next developmental milestone?

turning over back to front

mom comes to pediatricians office with concerns that her 14-month-old formula fed infant is not back up to birth weight. what do we need to do?

assess how the infant is tolerating feedings, how is the formula prepared

School aged child presents to the office with increased respirations and a hx of infections. What would you assess?

Access lung sounds, & inspect nasal mucous

What is treatment for uterine atony?

Uterotonics (Pitocin, methergine, hemabate)

What would a nurse assess if a pt complains of severe abdominal pain? (post partum)

perineal hematoma and report to MD.

Number of normal respirations for a newborn

20-60

Newborn high risk for hyperbilirubinemia. What do you do?

Encourage frequent feedings either formula or BF in order to promote meconium

On assessment, infant has a cephalhematoma. What will you watch for?

Hyperbilirubinemia (actual lab test is bilirubin – indirect bilirubin test)

15 y/o presents to the office with concern about appearance. Do you have any concerns, or is this normal?

worry about low self-esteem, educate

Mom presents to the office with c/o her child is teething. What would you expect to see on examination?

Drooling, gums are tender, and possible low grade fever

A child presents to the office for a well child visit, what is the focus?

Development on track and immunizations

Infant weighs 1200 grams. Infant has been in an incubator, how will we transition infant to open crib?

Dress in regular clothing, maintain the temp with a temp probe, & decrease temp every 30 mins – can’t decrease the temp too fast (shock)

A mother calls out with concern because her newborn has had 3 meconium stools and then a green stool. What do you say?

Newborns have meconium stool at first and then transition into a green stool. This is a normal finding

How could you help an infant latch onto an engorged breast.

Apply warm compress before feeding

Mom presents with concerns her 3 year old is wetting the bed again after their new sibling arrives. What do you say?

Suggest spending 1-1 time with the child discuss feelings.

What is normal finding 12 hours post-delivery?

Low grade fever treat with rest and fluids

What would you do for a breasted baby that is jittery and has low glucose?

Bring to mom to breastfeed

Infant is diagnosed with macrosomia. What does the mom have?

Gestational diabetes

Mom has concerns that her 6 month is not sitting unsupported. What do you say?

Educate normal finding & give it a little more time (8 months)

What would you check if a pt has an increase in perineal pad changes

Assess fundas and massage

What is important to document and watch for signs of in the PP period (6 weeks)?

History/postpartum depression

What is the treatment for a patient with a hx of thrombophlebitis?

Ambulate early

What is a therapeutic activity that can help a preterm infant?

touch and hold the infant

Infant presents to the office with prominent abdomen and forward curvature. Is this normal or not normal?

normal

You are taking care of a high risk newborn that keeps having apneic episodes. What do you do?

When episode happens document & stimulate flicking of the soles

Mom comes to the office with c/o frequent resp infections?

Frequent hand washing

Mom is O+ & baby is A+. what will we watch baby for and how will we treat it?

ABO incompatibilities, treat with frequent and early feedings

What is a painful breast on one side called?

Mastitis

The nurse is planning education.. highest priority for papulation?

Number one cause for children 5-14 is unintentional accidents