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Nursing 2nd Spring Semester > Antepartum- EXAM 1 > Flashcards

Antepartum- EXAM 1 Flashcards

1
Q

Nursing priorities during pregnancy

A

Address self care and discomforts
Perform ongoing assessments to ensure health and safety of women and fetus
Prepare women and family for childbirth

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2
Q

Antepartum

A

before birth
prenatal

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3
Q

Intrapartum

A

during birth

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4
Q

Postpartum

A

after birth

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5
Q

Prenatal health history

A

First day of last period
Contraceptive, meds used
Medical and surgical hx
Woman & partner family hx
Both woman and partners hx

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6
Q

Routine assessments at each visit

A

vital signs
urinalysis
Leopold meanuvers
fundal height
blood glucose
fetal heart rate
nutrition intake
any discomforts

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7
Q

objective of physical examination

A

Evaluate the woman’s general health
Determining baseline weight and VS
Evaluating nutritional status
Identifying current physical and social problems
Determining EDD

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8
Q

miscarriage time frame

A

before 24 week

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9
Q

abortion time frame

A

before 20

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10
Q

gravida

A

has been pregnant before

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11
Q

Nulligravida

A

never been pregnant before

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12
Q

primigravida

A

first time pregnant

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13
Q

multigravida

A

more then 1 pregnancy

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14
Q

para

A

delivered before 20 weeks

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15
Q

primipara

A

had a pregnancy over 20+ weeks

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16
Q

GTPAL

A

Gravida
Term: 37+ weeks
Preterm
Abortions
Living children

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17
Q

Nägele’s rule

A

Determining the estimated date of delivery
Identify first day of LNMP
Count backwards 3 month
Add 7 days
Update year if need be

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18
Q

FIRST TRIMESTER common discomforts

A

N&V: estrogen and HcG
Urinary frequency:pressure on the bladder
Fatigue: hormones,stress
Brest tenderness
Increased vaginal discharge
Nasal stiffness and epistaxis

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19
Q

SECOND & THIRD TRIMESTER common discomforts

A

heartburn
hemorrhoids
leg cramps
flatulence
backache
ankle edema
varicose veins
constipation
faintness

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20
Q

Pregnancies at risk include those who

A

Are under16 years or above 35 years
Have maternal history of stillbirth
Have had prior preterm birth
Have chronic illnesses: HTN, GDM, PC, HD

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21
Q

When does maternal assessment typically begin

A

28 weeks gestation

22
Q

every 4 weeks visits

A

From conception to 28 weeks

22
Q

every 2 to 3 weeks visits

A

From 29-36 weeks

23
Q

weekly visits

A

From 37 weeks to birth

24
Q

How long does pregnancy last and how is it divided

A

Lastas an average of 40 weeks plus or minus 2 weeks
Divided into 3 13 week parts

25
Q

Reasons for prenatal tests

A

determine gestational age
evaluate fetal growth
detect congenital anomalies
assess fetal status
diagnose cardiac problems
assess fetal lung maturity
determine fetal presentation

26
Q

Ultrasound and its types

A

noninvasive, painless and non radiating
helps visualize fetus and growth
Transabdominal and Transvaginal

27
Q

Transabdominal ultrasound

A

moved across abdomen
full bladder needed to examine structures in relation to bladder

28
Q

Transvaginal ultrasound

A

Probe inserted into vagina
Produces clearer, more defined image
Can be done with empty bladder
Detection of fetal anomalies

29
Q

Nonstress test
Procedure & results

A

Evaluates fetal status aka oxygenation by looking at FHR reaction to movement, women must be still got 20 min
Px is semi Fowler, monitor placed on stomach

reactive: >2 accelerations of FHR at 15 beats/min
Desired
Nonreactive: reactive criteria not met
unsatisfactory: data cannot be interpreted or inadequate fetal movement
IF ANY DECELERATIONS, PROVIDER NOTIFIED ASAP

30
Q

Contraction stress test

A

Done if NST results are non-reassuring
Used to identify risk for asphyxia
Evaluates respiratory function of placenta

31
Q

Amniocentesis and the process

A

Amniotic fluid analysis
Done in third trimester, for fetal abnormalities
Ultrasound is used to identify fetal placental placement to insert the needle to withdraw amniotic fluid without puncturing fetus

32
Q

Chronic Villus Sampling

A

Small sample of chronic villi is obtained from placenta
Performed at 10-12 weeks gestation, NOT done before 10 weeks due to possible association with birth defect
Does quadruple screen

33
Q

Quadruple Screen

A

Blood test for Down syndrome, trisomy 18 and neural tube defect, but cannot detect early in pregnancy

34
Q

First trimester Nutritional requirement for pregnant women

A

Increase by 300 kcal/day
Up to 4.4 pound weight gain

35
Q

Second trimester Nutritional requirement for pregnant women

A

Increase by 40 to 340 kcal/day
1 pound a week during rest of pregnancy

36
Q

Third trimester Nutritional requirement for pregnant women

A

Increase by 110 to 450 kcal/day
1 pound a week during rest of pregnancy

37
Q

Ideal weight gain pattern

A

25-30 pounds in normal weight
15-25 in overweight women
11-20 in obese women
37-54 in multifetal carriers (4-6 in first trimester and 1.5 per week in 2 and 3 trimester)

38
Q

iron defeciency anemia most common concern in who

A

Pica patients

39
Q

Lacto-ovo-vegeterian

A

eat milk, dairy products and eggs
should eat 4 servings of B12 food daily

40
Q

Lactovegeterians

A

eat dairy products, no eggs

41
Q

Vegan

A

eat no food from any animal sources
should eat 4 servings of B12 food daily

42
Q

Folic Acid

A

Assists in normal growth, reproduction and lactation
Prevents microcytic, megablastic anemia of pregnancy
No intake=fetal neuraltube defects
400 mcg daily

43
Q

Artificial sweetener

A

Saccharin, aspartame safe if taken within guideline
Splenda, Truvia, safe for pregnant, lactating women

44
Q

Mercury in fish

A

can be beneficial but can threaten developing nervous system of fetus and young child

45
Q

Who has an increased risk for complications- higher incidences of fetal anomalies

A

obese women

46
Q

height of fundus

A

10 and 12 ar low pelvis
16 between belly button and lower pelvis
20 at belly button
26 at wait
32
36 at sternum, top

47
Q

important factors to assess in pregnant adolescents

A

low prepregant weight
low weight gain during pregnancy
smoking
excessive weight
unhealthy lifestyle

48
Q

Prenatal exercises

A

pelvic tilt
abdominal exercise
perineal
inner thigh stretch

49
Q

Environmental hazards

A

Bioterrorism
3: A-can be easily transmitted from person to person
b-can be oread via food and water
c-can be spread via manufactured weapons designed to spread disease
Substance abuse and alcohol

50
Q

Key time frames
Abortion
Miscarriage
Preterm
Full term
Max weeks

A

Before 20 weeks
Before 24 weeks
Before 36 weeks
37 weeks and over
40 weeks max

Nursing 2nd Spring Semester (42 decks)

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