ATI Flashcards
1
Q
FHR
acceleration
A
Means baby is moving and healthy
The baby has an adequate oxygen supply
2
Q
Gonorrhea?
characteristic
A
Usually no manifestation
if untreated cause infertility
reported to health department
3
Q
Gonorrhea
expecting findings
A
lower abdominal pain
greenish charge
pain urination
Absence of condom used
(STIs)
4
Q
Candidiasis?
A
Yeast infection
Not STIs
no report
5
Q
Candidiasis
expecting findings
A
Thick, white, lumpy discharge
DM
6
Q
Trichomoniasis?
A
most common STD
no report
7
Q
Trichomoniasis
expecting findings
A
Greenish discharge
Pain in urination
Absence of condom use
8
Q
Baby bathe
A
Head to toe
Clean to dirty
so the diaper area is last
Hair last
9
Q
a) increase folic acid intake to?
b) fluid intake up to?
c) protein to?
A
a) 600mcg
b) 3L
c) 71g
10
Q
Weight gain
weekly limit?
A
0.5 kg(1lb)per week is ideal
11
Q
BUN normal level?
A
6 to 24 mg/dL
25mg/dL =hydration
12
Q
urine ketones
should be positive or negative?
A
Should be negative which means no risk for hydration
13
Q
Calcium gluconate
what used for?
A
reverse the toxicity of Magnesium sulfate
14
Q
Oxytocin
contraindication
A
late decelerations
indicative of uteroplacental insufficiency
15
Q
Misoprostol?
What used for?
A
induce contractions to begin labor
16
Q
Misoprostol
administer?
A
can administer oxytocin no sooner than 4 hr
remain on the side position for 30 to 40 min after the insertion
should avoid administering aluminum hydroxide and magnesium coating antacids with this
17
Q
1hr glucose test
normal range
A
should less than 140mg/dL
18
Q
Hematocrit/ HCT
range
A
should be greater than 33%
19
Q
Erythromycin
A
against ophthalmia neonatorum
Prevents gonorrhea and chlamydia in newborns
20
Q
Don’t give a pacifier until
A
breastfeeding is established,
3-4 weeks
21
Q
Facial swelling or generalized edema can be?
A
HTN or preeclampsia
Feet swelling is ok
22
Q
a) Normal pregnancy weight gain?
b) Obese gain?
A
a) 25-35lbs or 11.3 to 15.9 kg
b) 15 to 20lb
23
Q
Clean newborn’s ears with?
A
the corner of wet washcloth
No Q-tips
24
Q
Leukorrhea is normal or abnormal?
A
Normal
25
Ca gluconate when to use?
magnesium sulfate toxicity
26
Terbutaline
smooth muscle relaxer to inhibit uterine contractions in premature labor
27
Indomethacin
Smooth muscle relaxer. Stops preterm labor
28
Bacterial vaginosis(BV)
most common vaginal infection. Treat with metronidazole or clindamycin cream.
29
HCG for?
positive pregnancy test
30
Nitric oxide
improve oxygenation for babies with respiratory distress syndrome.
31
Naloxone is for
opioid reversal
32
Protamine sulfate reverses?
the effects of heparin
33
Flumazenil reverses
the effects of benzodiazepines.
34
Do not use fetal scalp electrode when mom has what disease?
HIV
This increases the fetus’s exposure to HIV. Doppler, BPP, and NST are all safe
35
Methylergonovine
a uterotonic medication that causes sustained (持続)contractions.
36
magnesium sulfate toxicity
RR >12
muscle weakness
depressed deep-tendon reflexes
37
Oxytocin ADRs
Water intoxication 中毒
nurse should monitor urinary output.
HTN is also adverse effect, monitor BP.
Cardiac dysrhythmias are adverse effect, monitor pulse rate
38
PID increases the risk of
Pelvic inflammatory disease
ectopic pregnancy
39
Moro reflex should be gone by?
4 months of age.
Older than 4 months may indicate a neurological disorder
40
Amniotomy
known as artificial rupture of membranes
assess the FHR
Assess temp every TWO hours after rupture of the membranes
Limit vaginal exams to avoid infection
41
During latent stage
pain management
use counter pressure to the sacral area for pain management.
42
labor 1st stage
latent phase
0-3cm
5-30 mins
30-40secs
43
labor 1st stage
Active phase
4-7cm
3-5mins
40-70secs
44
labor 1st stage
Transition
8-10cm
2-3mins
45-90secs
45
Magnesium sulfate to for preeclampsia?
is lower BP and minimize risk of seizures
46
The McRoberts maneuver
done to resolve shoulder dystocia.
47
Central cyanosis
tachypnea, nasal flaring, retractions, and grunting.
48
NST
healthy sing?
if it is reactive
If non-reactive further testing (BPP)
49
Screening for chlamydia is doing during
pelvic exam, not amniocentesis
50
Breech means
fetus is upright and presenting feet of buttocks
51
Mentum
means fetus has fully extended the head and is presenting with the chin
52
A rash during phototherapy for bilirubin
This is temporary and does not need treatment
53
For hypotension
intervention
put the client in a lateral position Increase IV fluids
Admin O2 at 10-12 L/min via nonrebreather face mask
54
Admin a vasopressor to?
increase BP
55
hyperemesis gravidarum
expecting findings
ketonuria due to inadequate dietary intake
Hypokalemia is expected as well as weight loss and dehydration
56
Sudden onset of abdominal pain in a laboring
client who had previous c-sections
a manifestation of uterine rupture. Do a c-section!
57
occipital brow means
babies chin is untucked
can cause prolonged labor, forceps or vacuum assisted birth, or c-section.
58
precipitous labor proceeds
abnormally fast, onset of labor to delivery is under 3 hours.
59
Have the client drink WHAT before the NST test?
OJ
Should raise the client’s blood glucose level and help promote fetal movement.
60
480 mL of urine in 24 hours is OK or
not? ok.
NOT ok
30mL/hour is acceptable = 720/24 hours.
Reduced urine is a priority for preeclampsia
61
first visit
what test should be done?
Get a rubella titer
Get blood type and Rh factor
62
Blurred vision
is not always normal
manifestation of hypertension or preeclampsia
63
Platelets
low value indicated?
150,000 to 300,000
preeclampsia or HELLP syndrome
64
increase BUN may indicate
BUN should be within 10 to 20 baby
Mom range is 6 to 24 mg/dL
preeclampsia or HRLLP syndrome
65
acrocyanosis in 24hr ok?
Yes
66
posterior fontanel larger than the anterior fontanel
NO!
anterior fontanel is larger
67
folic acid intake
Fluid intake up to
protein
Lactation moms add ?? calories
600mcg.
3L,
71g
450 to 500 calories/day to their pregnancy diet
68
1st trimesters gain
2nd and 3rd gain
4lb(1.8kg)
12lb(5.4kg) each
69
38 weeks of gestation
weight gain of 2.2kg is OK?
NO!
is above the expected/ 0.5 kg per week is ideal
70
Leopold maneuvers
-first, determine which fetal part is in the uterine fundus
-fetal butt should in the uterine fundus
71
Hyperemesis gravidarum
A severe type of nausea and vomiting during pregnancy
72
Oxytocin
contraindication
late decelerations are indicative of uteroplacental insufficiency
73
Ectopic pregnancy
Lower abdominal pain on one side, virginal spotting, delayed period
74
Cocaine used in labor
-Risk for abruption placenta
75
Misoprostol
- induce contractions to begin labor
-The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol
-should void before administered
-they shou
76
Ferrous sulfate
education
increase daily intake of fluid and fiber
-medication can cause constipation
77
Circumcision
Monitor every?
Do not use?
every 4 hr for bleeding or infection
DO NOT use a baby wipe
DO NOT use soap water till after it heals
-clean with plain warm water to remove urine and feces.
78
Exercise
check your pulse every 10 mins during exercise. If pulse greater than 140/min. then STOP!
-exercise for 30 min
79
Probable sign
-means examiner can observe=objective
-Goodell’s sign
-Ballottement sign
-Chadwick’s sing
-Quickening sing
Pregnancy test
-test should be use the first morning void
80
Vaginal birth 6 hr ago, heavy vaginal bleeding
massage the pt’s fundus BEFORE applying O2 face mask
81
Amniotic fluid embolism
-when a pregnant person gets amniotic fluid into their bloodstream just before, during or immediately after childbirth
82
Terbutaline
ADR
is hypokalemia so pt will have blood test to check
83
Contraindication of oral contraceptive
Cholecystitis
-bladder disease is a contraindication
Hypertension
Migraine headaches
84
Levonorgestrel
is emergency contraceptive take within 72hr after unprotected sex
85
Fetal position
occiput anterior is best for deliver
86
Iron intake
27 mg/day
87
Oligohydramnios
requires further fetal assessment using electronic fetal monitoring
a disorder of amniotic fluid resulting in decreased amniotic fluid volume for gestational age.
88
1hr glucose test greater than
140mg/dL is not normal
130-140 is positive
89
Terbutaline ADRs?
increase HR
Relax muscle--- bronchodilation
hypokalemia
90
Magnesium sulfate cause NB to what?
Respiratory depression
91
Oxygen therapy for premature?
what is a complication?
Retinopathy
blindness
92
Oxytocic is given?
When pt had increased lochia rubra
boggy fundus to promote constrictions
Postpartum
93
Pre-eclampsia
Common findings so not need STAT actions are?
High BP
1+ proteinuria
94
Contraction that last for 60 seconds each with a 4 mins rest between contraction.
Means?
should measure interval from the beginning of one contraction to the beginning of the next one.
so this means contraction is 5 min apart
95
A nurse is preparing to admin naloxone to a NB.
Why?
because the mom had IV narcotics admin during labor
96
Oxytocin contraindication?
Active genital herpes
intrauterine growth restriction needs to Oxytocin
97
IUD contraindication?
menorrhagia=Heavy periods
sever dysmenorrhea=Menstrual cramps
history of ectopic pregnancy
98
isolette?
a clear plastic enclosed crib that maintains a warm environment for a new baby
99
hydatatldiform mole
rare mass or growth tumor that forms inside the womb (uterus) at the beginning of a pregnancy
DO NOT become pregnant for at east 1 year
100
admin Iron IM
using what method?
Z track
101
betamethasone
does not affect the NB's ability to maintain?
dose not affect?
Then what effect?
body temp
VS
Decrease blood glucose
102
genital herpes pregnancy
need to have c-section prior to the onset of labor
103
Neonatal abstinence syndrome
Exaggerated reflex
104
Tachysystole
More than five contractions per ten minutes over the course of 30 minutes
105
If the patient is experiencing tachysystole?
decrease the dose of oxytocin
106
Oxytocin can cause tachysystole
what about terbutaline?
No
107
Iron supplement
a) ADRs
B) avoid what beverage?
c) take with what beverage?
a) constipation
b) Milk and caffeine
c) OJ
108
Calcium
recommend dose
1000mg/day
dark green leafy vege is good source
109
BPP
what should include?
Fetal breathing movement
Fetal tone
Amniotic fluid volume
110
a) Indirect Coomb's test
b) Kleihauer-Betke test
a) Rh antibodies in mom's blood
b) positive KB test means there is fetal blood in the maternal circulation.
111
Lecithin/sphingomyelin(L/S) ration
Fetal lung maturity
112
Deep tendon reflexes of 3+ or greater can indicate?
preeclampsia and should be reported to the provider
113
Pt breast is soft, is this OK?
Yes,
Stat at day 3 and becoming full at day 5
114
insertion of an intrauterine pressure catheter, why need it?
to monitor INTENSITY of contraction
frequency, intensity and duration
115
vacume-assised vaginal deliver
NB has a high risk of developing jaundice
116
Placenta previa
findings
High fundal height
painless bleeding
bright red
