High Risk OB Ticket to Sim Name: ______________________________ 1. List the 5 M’s of postpartum hemorrhage treatment and the appropriate actions for each. a. __________________________________________________________________________ b. __________________________________________________________________________ c. __________________________________________________________________________ d. __________________________________________________________________________ e. __________________________________________________________________________ 2. Describe interventions involved in newborn resuscitation. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ 3. What is surfactant? How is it administered in infants with respiratory distress? _________________________________________________________________________________ __________________________________________________________________________________ 4. Label and identify the 5 locations where retractions might occur. 5. A G1P1 client gave birth vaginally 6 hours ago. The nurse palpates the client’s fundus. What level of involution should the nurse find the fundus at this time? a. At the level of the umbilicus b. Two fingerbreadths above the umbilicus c. Two fingerbreadths below the umbilicus d. The fundus is unable to be palpated above the symphysis pubis 6. A G2P0 client at 35.2 weeks gestation was admitted after being diagnosed with HELLP syndrome. The nurse knows that HELLP syndrome is classified by which of the following? a. Hemoptysis, elevated liver enzymes, low platelets b. Hemolysis, decreased liver enzymes, low platelets c. Hemolysis, elevated liver enzymes, low platelets d. Hemolysis, elevated lung expansion, low platelets 7. A nurse is assessing a newborn. Which finding would alert the nurse to the possibility of respiratory distress in a newborn? a. Symmetrical chest movements b. Periodic breathing c. Respirations of 56 breaths per minute d. Sternal retractions 8. The nurse receives report on a postpartum client who delivered a baby 6 hours ago after her membranes were ruptured for 30 hours. While assessing the client, the nurse notes that she is pale, lethargic and seems confused. Which of the following interventions would be most appropriate at this time? Select all that apply a. Call a rapid response b. Ask the patient if she has taken any medications not given by a nurse c. Assess the client for anaphylaxis d. Discontinue breastfeeding so the infection isn’t passed to baby e. Assess the client’s vital signs f. Assess the client for foul-smelling lochia or increased abdominal tenderness
