MATERNAL and CHILD

FEMALE REPRODUCTIVE SYSTEM

1) Signs of sexual maturity – “first sign” 🡪 thelarch

2) Blood loss 1st mens 🡪 30-80ml

3) Max dilatation of cervix 🡪 10cm

4) Three part of the uterus 🡪 fundus,corpus(body), cervix

5) Muscular composition 🡪 endo, myo, perimetrium

6) Pride of pregnancy 🡪 lordosis

7) Best time to take BBT 🡪before doing anything

8) 2 types of infertility 🡪primary and secondary

9) 3 segment of the fallopian tube 🡪infundibullum/ampulla(BTL)/isthmus

10)Ectopic preg common site 🡪 ampulla

MALE REPRODUCTIVE SYSTEM

11)2 cylindrical layers of penis 🡪2 corpus CAVERNOSA, 1 corpus SPONGOSIUM

12)Release testosterone 🡪 LEYDIG CELL

13)Normal only in school age 🡪gynecomastia

14)Signs of sexual maturity 🡪age 12 (prescence of viable sperm)

15)Presence of viable sperm 🡪 wet dreams/nocturnal emission

 16)(n) semen volume 🡪 3-5ml

17)Per cc / ml 🡪100 million

FAMILY PLANNING
18)Social method ff. diaphragm 🡪 monthly papsmear

19)Safe contraceptions after 🡪 achieved after 7 days

20)p inj. Of IV contraceptives 🡪 do not massage

21)abruption placentae 🡪 painful/dark red viganal bleeding

22)(n) amniotic fluid 🡪 500ml

23)Amniocentesis 🡪 instruct mom to void

24)(n) AFP(alpha feto protein) 🡪4g/dl

25)Umbilical cord 🡪 connect fetus to placenta

26)Cord prolapsed 🡪 #1 position, #2 cover with wet gauze

27)Placenta 🡪 develops on the 2 month of pregnancy

28)Wt. of placenta 🡪 500gms

29)Periods of placenta development 🡪

30)First organ to be develop intrauterine 🡪 heart

31)Normal adaptation to pregnancy
a. Breast🡪 colostrums🡪 IgA (enhance immune system)

32)Painless mild contraction 🡪 on the 2nd tri (Braxton hicks)

33)Viganal discoloration 🡪 Chadwick’s sign(estrogen)

34)Best position during pregnancy 🡪 left side lying

35)Type of shoe for pregnancy 🡪 flat broad shoes

36)Lordosis (backpain) 🡪 pelvic rocking exercise

37)Cramping in the calf (hypocal) 🡪 dorsiflex the foot

38)Calcium / day 🡪 1,200 mg/day

39)Nutrition 🡪

40)(n) wt. gain 🡪 25-35lbs

41)First tri 🡪 1lb/months

42)2nd & 3rd tri 🡪 1lb/week

43)Acceptance of pregnancy 🡪 2month

44)Fetal mov’t count 🡪 positive sign

45)Presumptive sign 🡪 subjective data

46)Probable sign 🡪 objective data/ utz (gestational sac only)

47)Positive sign 🡪 fetal movement

48)Most reliable test for pregnancy 🡪 serum hcg

49)Frequency of visit
50)1st – 7 month 🡪 once a month

51)8 months 🡪 every 2 weeks

52)9 months 🡪 weekly

53)Gravid 🡪 # of pregnancy

54)Para 🡪 # of delivered babies (viable)

55)Naegel’s rule 🡪 LMP jan-mar (+9 +7)

Apr-dec (-3 +7 +1)

56)Hormones of the girls 🡪 estrogen

57)Hormones of the mother 🡪 progesterone

58)UTZ snowstorm in appearance 🡪 h. mole

59)Complications of H.mole 🡪 choriocarcinoma

60)Insulin for pregnancy woman 🡪 regular

61)(n) wt of NB 🡪 6.9lbs, 2.5kg-4.0kg, 2,500gms-4,000gms

62)Earliest sign of impending labor 🡪 lightening

63)Cervical dilation
a. PRIMI🡪 1cm/hour

b. MULTI🡪 1.5cm/hour

64)Rupture of membrane 🡪 (x) bath tab

65)Leopolds maneuver 🡪 void or empty bladder before procedure

66)Fetal presentation 🡪 cephalic is the most common

67)Fetal lie 🡪 longitudinal is the most common

68)When to prepare and to bring to the E.R.
a. PRIMI 🡪 10cm dilation

b. MULTI 🡪 8cm dilation

69)Position after Episiorrapy or repair of episiotomy🡪 sims/ sidelying position

70)Abortion
a. Threatened – spotting, mild pain, closed cervix
b. Imminent/inevitable – bleeding, open cervix
c. Missed – fetal death inside uterus before 20 weeks, small fundus, no
fht
d. Habitual- history of 3 or more consecutive abortions
71)Placement previa
a. complete – C.S delivery, totally occludes the cervix
b. partial – partially occluding the cervix
c. marginal – edge of placenta to the edge of the cervix
d. low lying – placental edge is 2 cm from the edge of cervix

PEDIATRIC
 11) (MOTOR milestone)
1) Neonate 🡪0-28days
7) Birth weight QUADRUPLES 🡪 2 ½
2) Infant 🡪 29-1 yr. old
y/old
3) Best criteria of the growth process
8) Height
🡪 weight
a. 1st – 6 mos 🡪 1 inch/ mos

4) (n) weight 🡪 6-9lbs

b. 7mos – 12 mos 🡪

5) Birth weight DOUBLES 🡪 6months 1 ½ mos

9) (n) I.Q. 🡪 80-120 or 90-110

6) Birth weight TRIPLES 🡪 12 months

10)Gifted child 🡪 130-140

GROSS FINE
1ST month Head turns to side to side (head Hand close
lag)
2nd Lifts head (prone)
3rd Lifts head and chest (prone) Hold toys in hand
4th Gains head control
5th Prone 🡪 supine Voluntary grasp

Can drink in a cup

6th Supine 🡪 prone Sit
with support
7th Sit without support Transfer object from hand to
(momentarily) hand
8th Sit without support (definitely)
9th Creeping 🡪 crawling Pincer grasp
10th Stand with support Pincer grasp
11th Cruises
12th Stand alone Neat pincer grasp
Walks with support
15th Walks alone
12)SOCIAL milestone

1st 1. May smile

2nd 2. Social smile 3.
Cooing sounds
3rd 4. Boo & bubbles
4th 5. Enjoys social interaction
5th 6. Smile @ mirror image
6th 7. Vocalizing
8. Begins stranger anxiety
7th 9. Plays peek a boo
8th 10. Peak of strangers anxiety
9th-10th 11. 2 words (MAMA and DADA)
12. Recognize own name
15th 13. 2 cubes
14. Walks alone
15. Use cup well
16. Begins temp. tantrums
18th 17. 3-4 cubes
18. Begins security object
19. Tintin “ moymoy”
24th / 2yrs. Old 20. 6-8 cubes
21. Use spoon well
3yrs. Old 22. Rides tricycle
23. Tip toe walker
 4yrs. Old 24. Copies []
25. Skip and hops walking
5yrs. Old 26. Can tie shoelace
27. Copies triangle & diamond
28. backward walking
5-6 yrs. Old 29. Rides bicycle

13)Babies are obligatory 🡪 nose breather

14)Can now breath through mouth 🡪 4months

15)Extrusion reflex subside 🡪 4-6 months

16)(n) head circumference 🡪 32-35cm

17)A. fontanel 🡪 12-18mos

18)P. fontanel 🡪 2-3 months

19)Sunken 🡪 dehydration

20)Buldge 🡪 IICP

21)Acrocyanosis 🡪 trunk (pink), extremities (blue)

22)Pathologic jaundice 🡪 within 24 hours due to Rh incompatibility

23)Physiologic jaundice 🡪 after 24 hours

24)Encourage BF 🡪colostrum🡪laxative 🡪 early excretion of meconium

25)(n)finding color pink on dependent side 🡪 harlequin’s sign

26)Flexes

27)Disappear by (4-5mos) 🡪 moro or starle reflex

28)Disappear by (3-4mos) 🡪 tonic-neck reflex

29)Disappear by (6wks-4mos) 🡪 grasp reflex

30)Disappear by (6wks-3-4mos) 🡪 rooting reflex

31)Fanning of toes, persist until 1 y/o 🡪 babinski sign

32)Disappear by (6-9mos) 🡪 sucking reflex

33)Disappear by (4-6mos) 🡪 extrution reflex

34)18mos-24mos 🡪 best age for toilet training

35)Best sign to toilet train 🡪 walking

36)Daytime bladder training 🡪 24mos-2yrs. old

37)Nighttime bladder training 🡪 3-4 years old

38)(n)finding due to withdrawal of maternal hormones 🡪 pseudomenstruation

39)Important to consider before TT 🡪 readiness of the child

40)Apgar score
41)Criteria
 a. 0-3 🡪 needs CPR (severe depressed)

b. 4-6 🡪 needs o2 + suctioning (mod. Depressed)

c. 7-10 🡪 good/healthy baby

42)Failure of the meconium to passed out within 24hours

a. Imperforated anus
b. Hirsprung disease

43)Eye meds: erythromycin 🡪 gives protection aginst STI

44)Telescopic invagination of one bowel to another portion 🡪 intussuception

45)Most common site of affection 🡪 ileo-cecal valve

46)Dysfunction of the exocrine gland (mucus secretion gland) 🡪 cystic fibrosis

47)Test for salty skin 🡪 sweat caloric test

a. (n) 🡪 <40 meq/L

b. (+) cystic fibrosis 🡪 >60meq/L

48)Dentition

49)Eruption of the first temp. teeth 🡪 6mos

50)Location of the first milk teeth 🡪 lower central incisor

51)1st dental teeth brushing with assistance 🡪 2 ½ yrs old

 52)Bruxism 🡪 4-6 yrs old (pre-school)

53)Eruption of the first permanent (molar teeth) 🡪 6 yrs old

54)Eruption of the 2nd permanent (molar teeth) 🡪 12 yrs old

55)Eruption of the final molar teeth 🡪 17-21 yrs old

56)(n) adult teeth 🡪32 pcs

57) the purpose of giving “Anti D” for a pregnant woman?

– to prevent the RBCs destruction for the next baby

58) a pregnant woman 2nd-3rd trimester, planned for C/S, the nsg priority is?
– start IV fluids

59) Post normal vaginal Delivery, the pt developed vaginal bleeding, uterus is
soft, what is the most appropriate Nsg intervention?
– Uterus message to make the uterus rigid and decrease bleeding.

60) The most suitable diet for a woman with pre- exlampsia is?
– high protein, low salt diet

61) the reason of gum bleeding for a pregnant woman?

– high estrogen level

62) - 20 weeks pregnant woman, first fatal movement called?

– Quickening.

63) When you let the patient suddenly down, the normal newborn’s reflex is
called? (revise reflexes) – Moro reflex
64) To prevent perineal laceration during delivery – Episiotomy
65) the priority, pt with facial and chest burn is? – maintain airways and
breathing. (laryngeal edema)

66) the first priority regarding medication administration ?

– check pts name
– check the expiry date
– check physician order
– check medication name

67) Documentation error (with 2 words) hoe the nurse fixes this error?
– flat line over then sign
 SAMPLE QUESTIONS

1) Which vaccine may tamper the result of tuberculin test

a. Diphtheria
b. Tetanus
c. Mmr
d. Varicella
2) Young adult type of diabetes
a. Type1
b. Type2
3) Common sign for fluid imbalance?
a. Thirst
b. Dry skin
c. Dry mouth
d. Dry colored urine

4) EBV is associated with cancer

a. Lymphoma
b. Cervical
c. Colon
d. Bladder
5) Tetracycline not to be given under 12 yrs. Old
a. Staining of teeth
7) Leukemia – most common cancer in pedia

8) Endoscopy 🡪 NPO

9) Chlorazipam 🡪 anti psychotic 5-10mg haldol

10) Central venous pressure 🡪(5-10)

11) Mngt.brain thrombosis 🡪 anticoagulant

12) Infant 38c 🡪 take a bath

 13) Mother to infant disease that can be transfer 🡪 HIV

14) Contraindicated to CROUP

a. LTB laryngotracheobronchitis
b. Encourage coughing physiotherapy
c. Put to inhalation
d. Back clapping

15) Severe anemia 🡪 pallor, fatigue

16) Sickle cell anemia 🡪 cold can aggravate vasoconstriction slows the blood flow

17) Colostomy 🡪 1/3 full, stoma pink to red, can swim low fiver add smell-modification in the

diet

18) How to check patency and placement of NGT (xray)

19) PICC (peripherally inserted central catheter)

20) Pyloric stenosis 🡪 projectile vomiting, secure IV line, olive shape mass

21) Digital rectal exam – sims position

22) Cancer test 🡪 biopsy

23) Prior to seizure 🡪 secure the place and environment

24) BLS? ACLS choking unconscious 🡪 JAW TRUST

25) Movt diaphragm 🡪downward to outward

26) Non projectile vomiting and stiffneck

a. TEF
b. GERD
27) Intubation 🡪 auscultate gargling sound heard at stomach

28) Primary prevention 🡪 early detection/immunization o Secondary prevention 🡪diagnostic test

o Tertiary prevention 🡪 rehabilitation / insulin injection

29) GERD 🡪proton pump inhibitor, cytoprotective-coats stomach

30) ICP value 🡪 7-12mmHg

31) Cataract 🡪 blurring of vision

32) Glaucoma 🡪 loss of peripheral vision

33) Dornase Alpha neb 🡪cystic fibrosis

34) Acute pancreatitis 🡪epigastric pain radiates to back

35) Glargine🡪 longest duration of insulin peak(hypoglycemia) no peak

36) AED 🡪right under clavicle, left mid axillary

37) Coumadin 🡪 PT (CPK)

38) Blood in the plaste of paris 🡪encircle the blood

39) Respect for autonomy 🡪

40) Lower lobe pulmonary secretion 🡪 prone

41) Congestive heart failure 🡪 complete bed rest without bathroom privileges

42) Infection control mask 🡪airborne/droplet

43) Apgar score 1 🡪 flaccid, acrocyanis

44) Gall bladder obstruction 🡪grayish stool

45) Naso gastric tube insertion cholecystectomy🡪 to prevent abdominal distention

46) Primary research 🡪 new study was made

47) Systemic lupus erythematous 🡪 avoid prolonged sun exposure, hair spray color

48) Child cancer in children curable🡪 leukemia

49) Assess patients dehydration 🡪 weight

50) Position on his left side🡪 can’t hear sound

51) Digoxin toxicity ECG 🡪 T-wave inversion, prolonged PR, shortened Q wave

52) HIV/AIDS 🡪 5-10 yrs can develop after HIV infection Everybody can have

53) High chair 🡪 to keep the hip flex less than 90degrees

54) Primary IVF in piggyback 🡪lower primary IVF than piggyback (increase side drip)

55) 1-3 L with venturi mask🡪 emphysema

56) Defibrillator 🡪 pulseless, V-tach & V-fib

57) Family with CHF child 🡪daily weight, admin diuretics, monitor I & O

58) Rhogam is given to mother ff blood type 🡪 with negative blood

59) Allergic penicillin 🡪 avoid also CEPHALOSPORIN

60) Sweap on the base of the fire and side to side

61) Increase osmotic pressure(sodium) decrease OP 🡪 hypotonic solution

62) Head injury🡪vehicular accident🡪airway always 🡪jaw trust

63) Baby of diabetes mellitus 🡪full round face and excessive fats “JM”

64) Diabetic patient eat sweet foods🡪 reassess the patient and wife’s behavior and know if their
willingness

65) Sign of complete obstruction airway🡪 unable to talk

66) Eliminate potassium 🡪 kayexalete

67) Avoid increase heart rate🡪 meds decrease cardiac work load/ cardiac output

68) Right side brain stroke/left side paralysis🡪 comb, brush teeth

69) Oxygen is dangerous 🡪support burning

70) Asepsis 🡪 no microorganism and spores

71) Functional 🡪 V/S, practical nurse, RN-meds

72) Reverse isolation🡪 burns

73) Irritability cast patient🡪 inability to do ADL

74) OS (left eye), OD(right eye), OU(both eye)

75) Iron deficiency anemia🡪 hypochromic, microcystic red blood cells

76) Pharmacokinetics🡪absorb-distribution and excretion

77) Ventricular tachycardia 🡪amiodarone, LIDOCAINE--> simple arrhythmia

78) Post cataract🡪 avoid lifting, 🡪IICP

79) 12 moths 🡪3.2 kg x2 body weight = 9.6-10kg

80) Mumps

a < 5 or less days 🡪contagiuos

b More than 5 days 🡪 contagious

81) Gastostomy tube🡪 flush with water

82) Carbon dioxide 🡪respiratory drive in normal adults

83) 100-105 degrees farenheit 🡪bed bath the child

84) Dry powder fire extinguisher 🡪wood inflammable liquids,electrical equipment, paper cloth

85) Third stage of deliver 🡪 expulsion of the placenta, ask pt. to bear down slightly

86) Diarrhea 🡪don’t give diluted fruit juice

87) Diabetic mother 🡪 baby jittery, hypoglycemia, hypocalcemia

88) Clang association 🡪 based on sound (rapper)

89) Looseness of association 🡪

90) PCA 🡪pain does not go away- assess patient further and vital sign

91) Therapeutic🡪 emphaty(put your shoes on others), sympathy(naawa)

92) Panic attack 🡪ask the patient to breathe through paper bag

93) Delusion of persecution 🡪 I understand your fear, but im afraid its not present reality

94) Osteoporosis 🡪weigh bearing exercise (make it strong)

95) Jaundice🡪first 24 hours –rapid destruction RBC 🡪jaundice ABO incompatibility 105) Urine collection –

menstruating women is not

106) Post op abdominal surgery obese 🡪cough and vomit 🡪 dehiscence

107) Total knee arthrosplasty 🡪 leg is red, warm to touch, leg cramps🡪 notify the physician

108) 1%=1000mg/100ml 3%solution with 60mg/ml as stock

a. Ex. 60mg/3000
b. Ex. 60mg/3000 x 100 = 2

109) Perforated ulcer 🡪tender and rigid abdomen

110) Oxygen deprivation 🡪anemia and decrease RBC

111) Client at risk for falls 🡪 keep the bed at lowest position

112) Glomerulonephritis 🡪group A Beta hemolytic streptococcus

113) (.6-1.2) lithium, 10-20 🡪theophylline & dilantin

114) Meningitis 🡪restless and vigorous crying

115) Redness of coccyx 🡪bumalik 1st stage ulcer

116) Increase potassium 🡪best normal saline (safest)

 117) Diverticulitis 🡪definitive barium enema

118) Beta blocker as anti arryhmic 🡪 TENORMIN

119) Aminophylline 🡪 except on empty stomach 🡪GI distress, constipation, dry mouth,

tachycardia

120) Bed sores🡪skin integrity

121) Common cause of abortion uterus 🡪 oblique 122)

122) 30:2 – 1 rescuer CPR

123) Cloudy urine 🡪peritoneal dialysis 🡪 REPORT

124) Tuberculosis 🡪 use disposable utensils after 2 weeks (not contagious) or medications

125) Lougehrig’s disease – ALS (aMYOtropic lateral sclerosis)

DRUG ANTIDOTES

❖ Morphine sulfate & promethazine 🡪 Narcan

❖ Atropine sulfate 🡪 tensilon

❖ Heparin (HP/HAPPT) 🡪 protamine sulfate ❖ Coumadin (warfarin) 🡪 vit. K

❖ Streptokinase (USA) 🡪 aminocaproic acid

❖ Digoxin 🡪 digibind

❖ Paracetamol/acetaminophen overdose 🡪 acetylcysteine (mucomyst)

❖ Magnesium sulfate 🡪 calcium gluconate

❖ Iron dextran intoxication 🡪 defenoxamine ( DEXTRAN)

❖ Doxorubicin toxicity (for cancer) 🡪 zinecard

❖ MAOI(hypertensive crisis) “thyramine restriction (figs,bananas,avocados,soybeans,savebraut)

🡪phentonamin mesylate

❖ Bromocriptine (parlodel) dopamine agonist (Parkinson) 🡪 Chlorpromazine (thorazine)

❖ Anticholinergic agents 🡪physostigmine

❖ Arsenic 🡪 flumazenil

❖ Beta blockers 🡪 glucagon

❖ Cyanide 🡪 dicobalt edentate or sodium nitrate

❖ Ethylene glycol 🡪 ethanol, fomiprezole

❖ Opiods 🡪 naloxone

❖ Organophosphates 🡪 atropine, pralidoxime, mesylate