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ABSN Cohort 19 > ATI OB > Flashcards

ATI OB Flashcards

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1
Q

Calendar Method is 14 days before the…
Days subtracted from shortest
Days subtracted from longest

A

14 days before the onset of the menstrual cycle
18 days from shortest
11 days from longest

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2
Q

Basal Body Temperature (BBT)

A

Temp drops slightly @ time of ovulation, check temp every morning

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3
Q

Sperm and Ovum viability (hrs)

A 
Sperm = 120 hrs
Ovum = 24 hrs
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4
Q

Symptom-Based Method (Cervical Mucus)

A

Post-ovulation, mucus is thin/flexible, can stretch between fingers (spinnbarkeit sign)

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5
Q

Diaphragm/Spermicide
Refit if…?
Leave in for how long…?

A

q2years or if 15lb/7kg weight change

6 hrs post coitus

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6
Q

Toxic Shock Syndrome
Associated w/…
3 S/S…

A

Diaphragms and Spermicides

high fever, watery diarrhea, HypoTN

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7
Q

Emergency Contraceptive time window

A

72 hrs

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8
Q

Transdermal Contraceptive Patch Use timing

A

same day q3weeks

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9
Q

Injectible Progestin (Depo-Povera)
How often
When start
2 S/S

A

q11-13weeks
1st 5 days of menstrual cycle
↑ thromboembolism ↓ bone density

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10
Q

Infant Plastibell
▲ diaper timing
Clean?
Tx for pain?

A

q4hrs
DON’T
Tylenol

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11
Q

Newborn Ranges

Serum Bili, BgL, Hct, WBC

A

↓ 8 mg/dL
40 - 60 mg/dL
48 - 69%
9k - 30k

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12
Q

Newborn Ranges

HR, Temp, Length, Weight

A

120 - 160/min
36.5º - 37.2º
45 - 55 cm/18 - 22 inch
2.5 - 4kg

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13
Q

Newborn feed times

Min, when, on what, how so?

A

15 - 20 minutes
On demand
Nipple + Areola
Tummy to tummy

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14
Q

Leopold Maneuver (4)

A

Fundus
Fetal back
Inlet
Attitude of Head

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15
Q

MSAFP Effective timing
When
Low = 2 Dx
High = 2 Dx

A

15 - 22 weeks
Low / Low Estriol / high hCG = Downs
High = NTD

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16
Q

Biophysical Profiling (BPP) assesses (5) and score total

A 
FHR
Breathing movements
Gross body movements
Fetal tone
Qualitative Amniotic Fluid Volume
10/10, 2 points each
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17
Q

None Stress Test (NST) assesses (1) and when done

A

FHR

3rd trimester

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18
Q

Trimester timings (1st, 2nd, 3rd)

A 
1st = 0 - 12
2nd = 13 - 24
3rd = 25 - 40
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19
Q

Nageles Rule

A

-3 months, +7 days, +1 year from conception

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20
Q

APGAR (5) and score total

A

HR, Resp effort, Muscle tone, Reflex, Color

10/10, 2 points each

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21
Q

Graffian Follice

A

Expels mature ovums

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22
Q

Carseats (3)

A

rear facing until 2 y/o
Turn airbag off
45º to prevent airway obstruction

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23
Q

S3, epistaxis/stuff nose, ↑ caloric intake. numbness in fingers

A

Common @ 2nd trimester

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24
Q

Traditional Spanish Practices for post-birth (4)

A

Warm milk
3 days bedrest
14 days until bathing
Protect head/feet from cold air

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25
Expected weight gain range from pregnancy
25 - 35 lbs
26
Ultrasonography purpose in pregnancy
located placenta
27
Stages of Labor First (3), Second, Third, Fourth
First (latent 3cm, active 4cm, transition 8cm+), Second (birth), third (delivery of placenta), fourth (1 - 4 hrs until VS stabilization).
28
Cleaning Breath vs. Patterned Breathing
Cleaning = start to gain focus | Patterned Breathing = during transitional phase
29
Ferning Test
Amniotic fluid dries in a fern shape
30
Catecholamines what and fx
hormone r/t anxiety/fear r/in myometrial d/fx
31
Natural Active/Passive vs. Artificial Active/Passive
``` Active = exposure r/in antibody creation (exposure/vaccine) Passive = antibodies given (milk/gamma globule INJ) ```
32
Folic Acid counters
NTD and Tubal pregnancy
33
Presumptive S/S pregnancy (2)
S/S and Quickening
34
Quickening
Fluttering movements of fetus 16 - 20 weeks gestaiton
35
Probably S/S pregnancy (4)
Ab. enlargement, named signs, +Fetal pregnancy test/outline
36
``` Hegars Chadwicks Goodells Ballottement Brackton Hicks Contractions ```
``` softening/compressability lower uterus deepened violet-bluish cervix/vaginal mucosa softening of cervial tip rebound of engaged fetus false painless contractions ```
37
Positive S/S pregnancy (3)
Fetal ♥ Sounds Radiography Palpated Fetal movement
38
GTPAL
``` Gravidity Term births (↑ 38 weeks) Preterm births (↓ 20 - 37 weeks) Abortions/Miscarriages Living Children ```
39
BP, pulse, and RR ↑ r/t pregnancy
5 - 10 sys/dia 5 - 15/min 1 - 2/min
40
Percutaneous Umbilical Blood Sampling (PUBS)
detects fetal anomalies
41
FHR can be heard by Doppler as early as... Ultrasound Measurable fundal hieght
10 - 12 weeks 16 - 20 weeks 12 weeks
42
Rationale for following Prenatal tests Blood type, Rh CBC, HH Hgb electrophoresis
Blood types of mom/baby infection/anemia hemoglobinopathies (sickle/thassalemia)
43
Group B Streptococcus (GBS) test timing
35 - 37 weeks
44
``` Rationale for following Prenatal Tests 1hr/3hr BgL Papanicolaou (PAP) (3) Vaginal/Cervical Culture (3) Venereal Disease Research Laboratory ```
hyperglycemia ( ↑ 140 mg/dL 1hr) cervical cancer, herpes 2, human pap Strep B, gonorrhea, chlamydia Syphilis
45
Contraction Stress Test what (2) and assesses
brush nipple/give pitocin, fetal tolerance of contracitons
46
Alpha Fetoprotein is measured w/... and timing
Amniocentesis 16 - 18 weeks
47
High AFP and Low AFP = ???
NTD | Chromosomal disorders
48
Fetal Lung Test is done when...? Ratio = maturity? Absence of ____ = respiratory distress
37 weeks 2:1 Phosphatidylglercol (PG)
49
Causes of bleeding in... 1st trimester (2) 2nd trimester 3rd trimester (2)
spontaneous abortion, ectopic pregnancy trophoblastic disease placenta, abruptio previa
50
Ectopic pregnancy S/S (2)
unilateal lower-quadrant ab pain w/out bleeding | shoulder pain
51
Trophoblastic dz S/S (2) | AKA Hyatidid mole
N/V with scant/profuse dark brown/red vaginal bleeding
52
Placenta Previa vs. Abruptio previa S/S they allow?
painless bleeding vs. bleeding w/ sharp abdominal pain/rigid uterus Vaginal examinations
53
``` Abortions (cramps, bleeding, cervix status) Threatened Inevitable Incomplete Complete Missed Septic Recurrent ```
``` light, light, closed moderate, moderate, dilated severe, severe, dilated light, light, closed none, brown discharge, closed varies, malodorous discharge, dilated varies, varies, dilated ```
54
TORCH infections what and acronym meaning
cross the placenta and are teratogenic | TOxoplasmosis, Rubella, Cytomegalovirus, Herpes Simples virus
55
Medication for Gonorrhea/Chlamydia | S/S, Chlamydia r/in if untreated
Azithromycin (Zithromax) white/yellowish green discharge Pelvic Inflammatory Dz
56
Medication for Candida Albicans
Fluconazole (Diflucan)
57
S/S MagSulfate Toxicity (5) Counter med.
``` Ø deep tendon reflex Urine output ↓ 30 ml/hr RR ↓ 12/min LoC Dysrhythmias ``` Calcium gluconate
58
Incompetent Cervix medications + tx (2)
tocolytics | bedrest and hydraiton
59
Hyperemisis Gravidarium medications (4), tx (2), R/F (3), ketones?
IV LR, Vit B, antiemetics, corticosteroids Monitor I&Os and NPO 24 - 48 hrs obesity, multifetal preg, migraine headaches in Urine
60
Anemia medication
Iron Dextran (Imferon)
61
S/S Hypoglycemia (3) vs. Hyperglycemia
hunger, blurred vision, tingling | thirst, N/V, polyuria
62
Gestational HTN week, BP | Severe = BP w/ s/S
after 20th week 140/90 or higher 4 - 6 hrs apart 160/100 or greater w/ proteinuria, oliguria,
63
HELLP
Hemolysis Elevated Liver enzymes (ALT/AST) Low Platelets (↓ 100k)
64
Take ferrous sulfate with...?
VitC, juices.
65
Preterm labor what is and 2 medications
Contractions and cervical ▲ between 20 - 37 weeks Nifedipine (Procardia/Adalat) MagSulfate
66
Nifedipine (Procardia/Adalat) fx, effect, do not take w/...?
Ca Chnl blocker Ø contractions DO NOT TAKE WITH MAGSULFATE
67
MagSulfate Fx, watch for, counter w/
Tocolytic to relax suppress contractions SoB, crackles, TSS Calcium gluconate
68
Betamethasone (Celestone) #shots and fx
2 IM 24 hr apart to enhance fetal lung maturity
69
Premature rupture of membranes (PROM) what is and tx
Rupture 1 hr before labor within 20 - 37 weeks
70
▲ Preceding Labor (8) BWLC BEGR
``` backache weight loss (1 - 3 lbs) Lightening (easier breathing, ↑ pressure on bladder) Contractons Bloody show Energy burst GI changes Rupture of membranes ```
71
5 P's of the labor process
``` Passenger Presentation Passageway Powers Position ```
72
``` Presentation Occiput Mentum Scapula Sacrum/Feet ```
Head Chin Shoulder Breech
73
Lie Transverse Parallel/Longitudinal
Spine relationship to mother
74
Attitude Flexion Etension
chin/extremities flexed vs. not flexed
75
Large gush during birth? Priority is...?
Assess FHR for distress
76
Pain during Stages of Labor
1st - visceral back/leg 2nd - somatic 3rd - pelvic 4th - soreness
77
Drug timing during stages
1st - sedatives 2nd - opiods/epidural 2nd - spinal, pudendal, local infiltration
78
``` FHR Patterns Accels FHR brady FHR tachy Early Decels Late Decels Variable Decels Decrease/Loss FHR ```
``` Reassuring! Side lying, O2 mask Ø pitocin O2 mask, IV fluid Ok Side lying, O2 mask Ø pitocin Side lying, O2 mask Ø pitocin stimulate scalp ```
79
Perineal Lacerations | 1st, 2nd, 3rd, 4th degree
skin muscle anal anterior rectal wall
80
Contraction durations to discontinue Pitocin
↑ 90 seconds
81
Amnioinfusion is for...? (2)
Oligohydraminos and Fetal Cord Compression

ABSN Cohort 19 (28 decks)

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