Chapter1-10 Maternity

Question 1

What is ADPIE?

Answer 1

The nursing process (assessment ,diagnosis,planning,implementation, evaluation?

Question 2

Postpartum is during ?

Answer 2

After birth

Question 3

Puerperium?

Answer 3

6 weeks after delivery

Question 4

Intrapartum?

Answer 4

During labor

Question 5

Antepartum?

Answer 5

During pregnancy

Question 6

What is always the goal?

Answer 6

Health promotion disease prevention

Question 7

Who determines the sex of the baby and why?

Answer 7

The male determines the sex of the baby because male can give either x or Y chromosome

Question 8

What does the amniotic sac consist of ?

Answer 8

Amnion,chorion,,amniotic fluid,urine,vernix and lanugo

Question 9

What is the age of viability?

Answer 9

20 weeks- Age of viability. Fetus can survive on its own outside of the uterus/womb.

Question 10

The fundus is supposed to ascend at what rate ?

Answer 10

1cm per week

Question 11

Is the vagina muscular ? Explain

Answer 11

Yes can stretch to accommodate fetus during delivery), internal.

Question 12

What are your roles as a pregnant woman for a fetus?

Answer 12

Respiration, excretion and nutrition

Question 13

What are some presumptive signs of pregnancy?

Question 14

What are some probable signs of pregnancy?

Question 15

What some positive signs of pregnancy?

Question 16

What is the normal fetal heart rate ?

Question 17

What is isoimmunization ?

Question 18

What is hyperemesis gravidarum? Some concerns/treatment?

Answer 18

-Excessive vomiting during pregnancy
-Some concerns are dehydration, electrolyte imbalance , weight loss. ***Nutrition role to the fetus. Fetus will also experience weight loss. You can tell the fetus is losing weight by the decrease of the fundus measurement. Fundus must increase 1 cm per week.
-Treatments: fluids (hydration), food (small and frequently), bland meals( nothing to upset the stomach), also electrolytes, TPN(total parenteral nutrition) IV
If hospitalized you can give antiemetic
Terminate the pregnancy (deliver the fetus) ** the can deliver the fetus after 20 weeks ** only if nothing works!

Question 19

What is incompetent cervix? Some concerns/ treatment?

Answer 19

-This means the cervix does not stay closed
-Some concerns are bleeding ( because of pressure and highly vascular area) and spontaneous abortion (also known as miscarriage )
-Treatments: cerclage (suture/stitch to keep the cervix closed), bedrest (to reduce pressure on the fetus), trendelenburg position ( reduce pressure on fetus on the cervix)
Terminate the pregnancy if nothing works (deliver the fetus)

Question 20

What is ectopic pregnancy? Some concerns / treatments?

Answer 20

-Implantation takes place outside of the uterus (most often in the fallopian tubes)
-Concerns: fallopian tubes don’t stretch much and fetus needs room to grow, tube can rupture, bleeding and pain, fetal death
-Treatments: surgery to remove from the fallopian tube, spontaneous reduction (comes out on its own), methotrexate ( also known as a chemo drug to kills the cells and it will get smaller and makes it way to the uterus and bleed to get rid of the zygote) induced abortion

Question 21

What are the stages of labor ?