Exam 1 ( Chapter 3 p. 47-73, Chapter 7 A&P of pregnancy, Chapter 8, Chapter 13, Chapter 14, Chapter 15, Chapter 16, Chapter 31 p. 882-904, Chapter 32 p 934-951, chapter 33 p 962-964, Chapter 34 p 996-1000, Chapter 35 p 1020-1028) Flashcards
(129 cards)
1
Q
Early Term labor is from __ weeks through __ weeks and _ days
A
37 weeks, 38 weeks and 6 days
2
Q
Full term labor is from __ weeks through __ weeks and _ days
A
39 weeks, 40 weeks and 6 days
3
Q
Late term is from __ weeks through __ weeks and _ days
A
41 weeks, 41 weeks and 6 days
4
Q
Post term labor is from __ weeks and beyond
A
42 weeks
5
Q
Most babies are delivered in the ____ term and the ____ term
A
Full term, Late term
6
Q
It is ___ recommended to deliver post term
A
NOT
7
Q
Between 37 and 39 weeks, the baby goes through development of what?
A
Brain, Lungs, Liver
8
Q
__-__cm dilated is considered Latent phase
A
0-3cm
9
Q
__-__% effacement occurs during Latent phase
A
0-40%
10
Q
Contractions are every _-__ minutes during Latent phase
A
5-30 mins
11
Q
Contractions LAST about __-__seconds during Latent phase
A
35-45 seconds
12
Q
What will discharge/bloody show look like during the Latent phase?
A
Scant, mucoid, and blood tinged
13
Q
What station will baby be in during the Latent stage?
A
-3-0 station
14
Q
_-_cm dilated is considered Active phase
A
4-7cm
15
Q
__-__% effacement occurs during Active phase
A
40-80%
16
Q
Contractions are every _-_mins during Active phase
A
2-5mins
17
Q
Contractions LASR about __-__seconds during Active phase
A
45-70 seconds
18
Q
What will discharge/bloody show look like during the Active phase?
A
Scant, mucoid, and bloody
19
Q
What station will baby be in during the Active phase?
A
-2 to +1/+2
20
Q
_-__cm dilated is considered Transitional phase
A
8-10cm
21
Q
__-___% effacement occurs during Transitional phase
A
80-100%
22
Q
Transitional phase lasts about __-__ minutes
A
20-60minutes
23
Q
Contractions are every - minutes during Transitional phase
A
2-3mins
24
Q
Contractions will last about __-__seconds during Transitional phase
A
45-90 seconds
25
What will discharge/bloody show look like during Transitional phase?
Moderate to heavy bloody show
26
What station will baby be in during the Transitional phase?
0 to +2/+3
27
The first stage of labor includes the ______, ______, and the _________ phases.
Latent, Active, Transitional
28
The second stage is the time from ____ _______, to the ____.
Full dilation, birth of fetus
29
__cm is considered the Second stage of labor
10cm
30
___% effacement occurs in the Second stage of labor
100%
31
The Second stage of labor lasts ____ to ___.
10mins to several hours
32
Contractions are every __ to __ mins during the Second stage
1-3mins
33
Contractions last for about __to__seconds in the Second stage
60-90 seconds
34
Bloody show during the Second stage will be ______
Increased
35
What station is the baby in during the Second stage?
0 to +3 to birth of baby
36
The Third stage of labor lasts from the _____ to the ______.
Birth of the baby to the explosion of the placenta
37
_____ _____ are felt during the third stage of labor
Strong contractions
38
What will discharge/bloody show look like during the third stage?
Gushes of blood with the placental detachment
39
The Fourth stage of labor is the time immediately _____ ______ to about ___hours after.
Postpartum, 4 hours
40
B U B B L E-E stands for....
B-Breast
U-Uterus
B-Bladder
B-Bowel
L-Lochia & Legs
E-Episiotomy/Incision
E-Emotions
**DON'T FORGET ASSESSMENT FOR DVT(legs)**
41
You would perform a BUBBLE-E assessment after which phase of labor?
After the 4th stage of labor you perform a BUBBLE-E on the mother
42
What are some assessments you must do on the neonate?
Observe the newborn at rest for
-Breath sounds
-Signs of Respiratory Distress
-Bowel sounds
-Temperature (axillary)
-Fontanelles/head
-Face
-Eyes
-Mouth
-Abdomen
-Extremities
-Reflexes
-Pulses
-GI (meconium, urination)
-Feeding
43
You must always document the _____, _____, and ____.
voids (bowel, urinary), feedings, # of diaper changes
44
What are signs of Respiratory distress in a neonate?
Nasal flaring, intercostals retracting, use of accessory muscles
45
You must assess a neonates RR for how long?
1 full minute
46
You must assess a neonates apical HR for how long?
1 full minute
47
During the 1st stage of Placental separation, it moves more _______ and is accompanied by some _____.
Central, bleeding
48
During the 2nd stage of Placental separation it changes from a ______ shape to a _____ shape.
Discoid, globular
49
During the 3rd stage of Placental separation it _____ the ______ _____.
Enters the lower uterus
50
During the 4th and final stage of Placental separation it _____ the ______.
Enters the vagina
51
In the Fourth stage of labor, you must assess the __ every __ mins for the first ____.
BP, 15 minutes, first hour
52
In the Fourth stage of labor, you must assess the ____ for ____ & ____ every ___ mins for the first ____.
Pulse
Rate & Regularity
15 mins
first hour
53
At the beginning and at the end of the recovery period, you must also assess the ______ .
Temperature
54
V E A L C H O P stands for...
V-Variable -----> C-Cord compression
E-Early -------> H-Head compression
A-Acceleration----> O-OK
L-Late --------------> P-Placenta Problems
55
What is a normal pulse rate for a neonate?
110-160 beats per min
56
What is a normal pulse for a postpartum woman?
50-90 beats per min
57
Where should the uterine funds be palpable 1 hour after delivery?
Level of the umbilicus
58
One day after delivery, where should the fundus be palpable?
Approximately 1cm (1 finger width) under the umbilicus.
59
When will the uterus become a pelvic organ again?
About 10-14 days after delivery
60
The uterus will be back to pre-pregnancy size _____ weeks after delivery
6 weeks
61
What is lochia?
Lochia is the normal uterine discharge after birth
62
What are the three types of lochia?
Rubra
Serosa
Alba
63
Lochia Rubra is from _-_ days after birth and is ___ in color
1-3 days, dark red
64
Lochia Serosa is from __-__ days after birth and is _____ in color
4-10 days, brown/red/pink
65
Lochia Alba is from ___ days after birth, and is ____ in color
10+ days, yellow/white
66
What is a normal hemoglobin range for a newly delivered postpartum woman? _-__g/dL
6-11g/dL
67
What is the normal RR for a newborn?
30-60 breaths per minute
68
____ is how often _____ occur.
Frequency
Contractions
69
_____ is how long between the _____ and the ___ of a single contraction
Duration
Onset
End
70
______ is the peak of a contraction
Intensity
71
What is the WORST position for a pregnant mom to lie in?
Supine
72
What is the BEST position for a pregnant mom to lie in?
Left Lateral (*most effective and preferred*)
Or Right Lateral
73
What would describe a reassuring fetal monitor tracing?
Reactive to the NST
74
Infertility is the diagnosis given to couples who have not conceived after trying for ______ of regular unprotected intercourse when the woman is less than ____ years of age
1 year
35
75
Infertility is diagnosed to woman over 35 if they have been trying for ___ months and have not yet achieved pregnancy.
6 months
76
Pregnancy induced hypertension is the onset of hypertension ______ proteinuria after __ weeks of pregnancy
without
20 weeks
77
A blood pressure of ____/___ is considered hypertension
140/90 and above
78
Gestational diabetes occurs in the ____ part of pregnancy around the ___th week
second
24th
79
In gestational diabetes, mom's glucose levels _____ and insulin resistance _____.
rise
increases
80
What is abruptio placenta?
Placental separation that occurs because of changes in the body's contours as a result from the force of something else
(think car accident, etc)
81
What is placenta previa?
Placenta previa is when the placenta is implanted in the uterine segment in such a way that it either partially or completely covers the cervix. This causes bleeding and problems during dilation and effacement
82
What is an ectopic pregnancy?
When a fertilized egg implants itself outside of the uterus
83
What is spontaneous abortion?
A loss of pregnancy before the 20th week
84
Congenital anomalies occur ______ birth
before and happen during fetal development
85
Genetic disorders are _______
hereditary (alterations in genetic makeup)
86
Intrauterine growths.....
could be cause for concern of the baby in terms of growing to maximum weight/length
87
_______ occur when the baby is stimulated during fetal monitoring
accelerations
88
________ is an abrupt increase in the baseline HR
acceleration
89
___ more beats above baseline is acceleration
15 beats
90
Acceleration is a ______ sign
reassuring
91
Early decelerations are caused by ________
head compressions
92
Early decelerations cause a ____ in the FHR
drop
93
Early decelerations occur ____ the peak of a contraction
before
94
Early decelerations DO or DO NOT require interventions..
Do not. Early decelerations are a benign sign
95
Variable decelerations are caused by _______
cord compression
96
Variable decelerations cause an abrupt ______ in FHR
decrease
97
What are some interventions for variable deceleration? (5 things)
-Change mom's position
-administer 8-10L oxygen via nonrebreather
-stop oxytocin
-notify physician
-assess for cord prolapse
98
What does it mean if there are repetitive variable decelerations?
Oxygen supply to baby is impaired which is BAD!
99
How would a variable deceleration be seen on a monitor?
U, V, or W shape
100
Late decelerations are caused by ________
Placenta problems
101
What interventions could you do for late decelerations? (7 things)
-Change maternal position
-Elevate mom's legs
-Increase IVs
-Stop oxytocin
-Administer 8-10L oxygen via nonrebreather
-Consider internal monitoring
-Notify physician
102
How long should you EXCLUSIVELY breast feed for?
12 months
103
When can complementary foods be introduced?
6 months
104
What are the benefits of breast feeding for mom?
-Enhanced uterine involution
-Delayed resumption of ovulation
-Earlier return to pre-pregnancy weight
-Reduced risks of osteoporosis, ovarian cancer, premenopausal breast cancer, and RA
-Enhanced mother-infant attachment
-Enhanced self-esteem
105
What are the benefits of breast feeding for the baby?
-Natural and Optimal source for growth and development
-Decreased incidence/severity for infection
-Potential Protective effects (SIDS, allergies, adult hypertension)
-Less gastric reflux less constipation
-Potential for enhanced cognitive development
106
Colostrum is ____ protein, ____ calorie
HIGH protein
LOW calorie
107
Colostrum _____ the intestines and provides ________.
Coats
Antibodies
108
What does T P A L stand for?
T-Term pregnancies
P-Preterm (pregnancies that have been carried to 20 weeks)
A-Abortions
L-Living children
109
What does the G stand for?
Gravida
110
What does gravida mean?
The number of times a woman has been pregnant
111
What does the para mean?
How many times the mom has given birth
112
Cercival cancer screening is recommended in women __ to __ years every __ years
21-65years cervical
Every 3 years
113
Cervical cancer screening can also be done every _years in women who are __-__yrs with a pap
5 years
30-65 years old
114
Prostate cancer screening is ______ recommended
NOT recommended
115
Ovarian cancer screening is _____ recommended
NOT recommended
116
Colorectal screening is recommended for people __-__years old and is NOT recommended for people __-__ yrs
50-75 years old
NOT for 76-85yrs
117
Skin cancer screenings have ________ evidence
Insufficient evidence
118
Breast cancer screening should be done on women aged __-__ years old and done every __ years
50-74years
Every 2 years
119
Testicular cancer screenings are ____recommended
NOT recommended
120
Coronary heart disease screening is ____ recommended
NOT recommended
121
Chlamydia screening is recommended in girls aged ____ and ____ if sexually active
24 years and younger
*gonorrhea also tested with this
122
Depression screening is recommended for ____ adults
ALL adults
*pregnant woman especially
*need accurate diagnosis and proper follow-up
123
Diabetes mellitus screening should be done in persons aged ___-__ years old when they are _____ and ______
40-70yrs
obese & overweight
124
Obesity screening should be done in persons aged __-__years and in ___ adults
6-18 yrs
all adults
125
Osteoporosis screening should be done in ____ aged ___ and older, or younger women if they have hx of fractures
women aged 65+
126
Folic acid is recommended for ____women and they need to take ____ --____ mg daily
all women planning/able to become pregnant
0.4-0.8mg daily
127
Rh incompatibility must be screened at the____visit, and the Rhogam shot should be given at ____weeks for prophylaxis, if mom is _____ and baby is _____ at birth, she will get another Rhogam shot after birth.
First visit
28 weeks
Rh negative, + baby
128
Gestational diabetes should be screened for ___ pregnant women at ___ weeks
ALL
24 weeks
129
Alcohol misuse screenings should be done on all adults aged ___ and over
18+
