Exam 2 Power Point

Question 1

What can affect protein , ketones and specific gravity in urine ?

Answer 1

Dehydration/ warm climate/caffeine

Teach moms to stay hydrated

Question 2

Softening of consistency of uterus

Answer 2

Hegars sign

Question 3

Bluish color of cervix, vagina , labia from increased blood flow

Answer 3

Chadwick’s sign

Question 4

Four most important vitamins in pregnancy

Answer 4

Protein
Calcium
Folic acid
Iron

Question 5

How many calories to increase in pregnancy?

Answer 5

300

Question 6

What foods should pregnant patients not eat?

Answer 6

Undercooked foods 
Fish
Sushi 
Unwashed fruits and veggies 
Unpasteurized dairy

Question 7

Protein sources?
Calcium ?
Iron?
Folic acid?

Answer 7

Meat , eggs
Cheese, oj, yogurt , beans
Liver , meat, cereals, bread
Leafy greens , asparagus, (tea interferes) broccoli, citrus fruits

Question 8

TPALM *

Answer 8

Term infants born
Preterm infants born 
Aborted infants 
Living children
Multiple births

Question 9

Primigravida

Nulligravida

Multi Gravita

Answer 9

Someone who has been pregnant once

Never preganant

Multiple preganancys

Question 10

How to treat heart burn

Answer 10

Milk, tums, calcium based antacid

Question 11

With implantation often comes what?

Answer 11

Spotting

Question 12

Fhr is detectable with a Doppler at weeks

Answer 12

10-12

Question 13

After week ?, blood through the placenta to fetus is established

Answer 13

Four

Question 14

Bladder is where in relation to uterus ?

Answer 14

Below cervix and uterus

Crammed by baby head and puts pressure on bladder

Question 15

When is implantation?

Answer 15

First week after fertilization

Question 16

Movement of Low concentration to high concentrations

Transfusion of particles

Spontaneous passive transport

• fetal circulation works by these ?

Answer 16

Osmosis

Diffusion

Facilitated transport

Question 17

When is circulation of blood to fetus established?

Answer 17

4th week of pregnancy

Question 18

Advantages of birthing centers ?

Disadvantages

Answer 18

Lower cost
More say in care
Less c sections and forceps use
Anyone can attend

D- 
Screening of who is eligible 
May need transportation to hospital if complications occur 
No pediatrician 
No rest - early discharge

Question 19

Advantages of hospital birth

Disadvantage

Answer 19

Safest
Have all equipment if needed c section
Around the clock help for mother/baby

Disadvantages- 
Less privacy
Less say in care
Increase risk of c section and forceps birth 
Illness occurs there 
Impersonal 
Routine separation with mother 
Not much rest 
Rules / policies

Question 20

Miscarriage symptoms

Answer 20

Fluids, blood, tissue passing from vagina , pain in belly or lower back , feeling sad , grief

Question 21

Macrosomnia complications

Answer 21

Labor problems (wedged) 
Genital lacerations 
Bleeding after delivery 
Large new born 90 percentile 
Decreased bs
Respiratory distress syndrome

Question 22

Types of miscarriage?

Threatened -

Inevitable-

Compete-

Incomplete-

Missed-

Answer 22

Threatened - little bleeding but stops

Inevitable - dilation of cervix, bleeding, cramping

Complete - delivers fetus and placenta

Incomplete - just fetus delivery and not placenta

Missed- baby dies in utero

Question 23

What is a boggy uterus ?

Reasons for it ?

Answer 23

Not firm (soft) massage to contract

Uterine atony and adenomyosis (grows into uterine wall)

Question 24

Deviated uterus

Reasons ?

Answer 24

Cut in half

Genetic , labor , pelvic surgery

Question 25

Fundus assessment

Answer 25

One hour after delivery to check if it is firm I

Question 26

A condition in which one or both tested fail to descend ?

Answer 26

Cryptorchidism

Question 27

Stages of labor ? Early labor : Active: Transitional:

Answer 27

- Time of onset of labor until 3cm - 3cm-7cm - 7cm till 10cm

Question 28

Post op care for hernia ?

Answer 28

Don’t shower for 2 days Keep wound dry Sponge bath Need of sutures or staples

Question 29

Post op care or appendectomy?

Answer 29

``` Vital signs Manage pain Monitor GI status S&S of infection Antibiotics Mobility ```

Question 30

A buildup of fluid in cavities deep within the brain causing the headache and in large to head Precautions to take ?

Answer 30

Hydrocephalus Keep head and neck safe, safety equipment, helmets, surgery for shunt to drain fluid

Question 31

S/S of respiratory distress?

Answer 31

Severe SOB, unable to breathe on own with out ventilator

Question 32

Treatment for heart burn

Answer 32

Milk, tums

Question 33

Priority assessment before epidural?

Answer 33

Bp, bladder scan

Question 34

Prenatal teaching about contractions ?

Answer 34

May have them through out pregnancy . May not even notice

Question 35

What can cause IGUr?

Answer 35

Smoking

Question 36

What to report to dr.?

Answer 36

WT gain, ruptured membrane , vision changes, headache, contractions become regular or painful , diarrhea, lack of fetal movement after rest for 1 hour

Question 37

Gestational diabetes increased risk of ?

Answer 37

Polyhydrinos (too much amniotic fluid) Still born Macrosomnia Immature fetal lungs Respiratory problems

Question 38

Painful dark red bleeding | Board like abs - may need emergency c- section

Answer 38

Abruption of placenta

Question 39

Thinning of cervix

Answer 39

Effacement

Question 40

Preterm is considered before ? Post term?

Answer 40

37 weeks After 42 weeks

Question 41

If infant has high pulse in womb do what?

Answer 41

Turn mom on left side and call nurse

Question 42

TACO

Answer 42

Time amount color Oder

Question 43

Pitocin contractions should be closer than how long?

Answer 43

Two to 3 min

Question 44

Bubblehe

Answer 44

Breasts/ feeding Uterus - midnline of abs Bladder - empty Bowel - move for dc Lochia- vag discharge after delivery Rubra- 3 days red Serosa- pink mucus 10 days Alba- colorless clear 10-21 days after Episiotomy- incision to make vag bigger Homans sign - don’t do Emotional support - depression assessment

Question 45

Vegetarian and Vegas should eat more what?

Answer 45

Foods in vit b such as cereal and bread

Question 46

How many calories needed for breast feeding ?

Answer 46

200-400

Question 47

What to assess in baby?

Answer 47

``` Palate Moving Extremities Penis Vagina Hip checks Tone Nemo thorax ```

Question 48

Extrophogy of bladder

Answer 48

On outside

Question 49

When does appetite decrease and slower growth

Answer 49

School age

Question 50

Therapeutic nursing tip

Answer 50

Don’t tell something they are not asking