Final Flashcards
(135 cards)
1
Q
Heparin rescue
A
Protamine sulfate
2
Q
More after pains happen when?
A
With big babies
3
Q
What should you give for after pains?
A
Motrin
4
Q
What do you give for mastitis?
A
Antibiotics
5
Q
Is it ok to breastfeed with mastitis?
A
yes
6
Q
When is the best time to breastfeed baby?
A
When baby is awake
7
Q
Rescue for Mag
A
Calcium gluconate
8
Q
How far apart should contractions be before discontinuing pit?
A
90 seconds
9
Q
What does the patient experience when bladder is distended?
A
Uterine atony
10
Q
Where will the full bladder lie?
A
Off to the side
11
Q
What should you have patients do after C-Section?
A
Turn, cough, deep breathe
12
Q
Should you push before dilation is complete?
A
NO!
13
Q
What is amniotomy?
A
Artificial Rupture of membranes (AROM)
14
Q
What should you assess after AROM?
A
Fetal heart tones and mom’s temp
*nothing in vagina
15
Q
Why do you give a bolus before an epidural?
A
To avoid hypotension
16
Q
What do early decels indicate?
A
Head compression
17
Q
What do variable decels indicate?
A
Cord issues
*Prolapsed cord
18
Q
What should you do if baby has late decels?
A
Put mom on left side with O2.
19
Q
What is methergine used for?
A
Bleeding control
20
Q
What medication is used for induction?
A
Pit
21
Q
What is erythema toxicum?
A
Flea bite looking rash on newborn. Reaction to atmosphere.
22
Q
What does it mean if AFP is low?
A
Down syndrome
23
Q
What could it mean if AFP is high?
A
Neural tube defects
24
Q
Is flaring and grunting normal or abnormal in newborn?
A
abnormal
25
What is an SGA (small for gestational age) baby at risk for?
Asphyxia, hypoglycemia, hypothermia, and hypocalcemia
26
What is macrosomia?
LGA (large for gestational age) baby
27
What is an LGA baby at risk for?
Polycythemia=bruising and jaundice
28
What is considered term?
38 weeks
29
What is premature?
20 weeks-37 weeks +6 days.
30
What can happen if baby is VERY jaundice?
brain cells could die.
31
What is gavage feeding?
breastmilk or formula goes directly to baby's stomach via NG tube.
32
What is asphyxia?
Hypoxia, hypercapnia and acidosis occurring in the uterus, during or after birth.
33
Common risk factors of asphyxia
Cord compression
Anesthesia
Abruption=no circulation
34
What is the treatment for asphyxia?
CPR
35
What is TTN?
Transient tachypnea of newborn
Delayed reabsorption of lung fluids
36
When does TTN happen?
When baby doesn't get a good squeeze!
| Usually in C-Section babies
37
Treatment for TTN
O2 and possible ventilation
38
What is the prenatal Rh incompatibility test called?
Indirect coombs
39
Where do you get the sample for Direct coombs testing?
Cord blood
40
What is the normal temp range for newborns in Albuquerque?
97.7-99.5
41
What happens to baby's temp when septic?
It decreases
42
What type of babies get cold fast?
Premies
43
What type of defect can low set ears be?
Chromosomal defect
44
What is normal CBG for newborn?
Above 40
45
When does mom get checked for GBS?
36 weeks
46
What hormone does pregnancy test for?
HCG
47
What are signs of PIH?
Increased B/P=140/90
Edema
2+ protein
Rapid weight gain
48
If mom is HIV +, when would baby be tested?
at 6 months of age
49
If mom is HIV +, does that mean baby is also?
NO.
50
S/S of threatened abortion
Spotting and cramping
51
Is HCG low or high in molar pregnancies?
HIGH
52
Gestational diabetic moms have _____ babies
large
53
When will a mom with gestational diabetes go back to normal?
within 24 hours postpartum
54
How does a mom with gestational diabetes manage?
Diet and exercise
*Will need a snack
55
Increased CBGs are normal because of what?
placental lactogen
56
If baby has low CBG, what should you do?
Feed baby, wait 20 minutes.
| If no change, call doctor!
57
Should mom that is experiencing bleeding be "checked"?
No!
58
What vital goes first when in shock?
Heart rate
59
What vital goes last when in shock?
B/P
60
When is a CVS done?
8-12 weeks
61
When is an amniocentesis done?
14 weeks
62
What is para?
Number of deliveries
63
An amniocentesis increases Rh baby's chance of having what?
Jaundice
64
What should you tell mom to do after amniocentesis?
Rest
65
When are xrays ok for mom?
After 36 weeks
66
Babies with low CBG
Overdue babies
Premies
Stressed babies
67
S/S of low CBG in baby
Jittery
68
What does cold stress effect?
Glucose
69
What happens with moro reflex?
Babies arms go out
70
What is caput?
Edema on baby's head
71
What type of formula do premies need to be on?
High calorie formula.
| 24 cal formula
72
What problems can shoulder dystocia lead to?
Clavical injury and brachial plexus problems
73
What assessment is done to rule out coarctation of aorta?
Blood pressure in all 4 limbs
74
Can coarctation of aorta be fixed?
Yes, with surgery
75
What is RDS?
Respiratory Distress Syndrome
76
Signs of RDS
Grunting and nasal flaring
77
What causes RDS?
low surfactant
78
How do we give surfactant?
Endotracheal
79
What is TEF?
Tracheoesophageal fistula
80
What are the interventions for TEF?
NG tube
No feeds
Surgery
81
What is Necrotizing Enterocolitis (NEC)?
when part of the bowel dies
*listen to bowel sounds
82
S/S of NEC
No stools for a while
When stools do pass, they will be bloody
Belly will get bigger
83
What are asymmetrical folds in legs a sign of?
Hip dysplagia or congenital hips
84
Treatment for hip dysplagia or congenital hips?
braces
85
What is an overdue baby at risk for?
meconium aspiration
86
If a baby is meconium stained, what should you do first?
Check before stimulating
87
What are sunset eyes a sign of?
Increased intracranial cranial pressure (ICP)
88
What medication is given to baby in withdrawal?
Phenobarbital or morphine
89
Baby narcan is for when mom's are given what med?
Demerol
90
What is meningomyelocele?
| What should you do for it?
Bump on the back
| Wrap in plastic
91
Erythroblastosis is caused by what?
Rh incompatability
92
What can happen to baby with erythroblastosis?
CHF
93
S/S fetal alcohol syndrome
- physical abnormalities
- facial anomalies
- heart defects
- skeletal defects
- low apgars
- easily overstimulated
- decreased tone
94
Are soft, mobile lumps usually cancerous?
NO. Hard, immovable lumps usually are.
95
On what side of body should you do B/P or blood draw on woman with mastectomy?
Opposite side of mastectomy! Never on the same side!
96
What is the only way to diagnose cancer?
Biopsy
97
What is breast, ovarian, and uterine related to?
Estrogen
98
Patient with breast cancer is at ______ risk of ovarian cancer
higher
99
S/S ectopic pregnancy
- Regular S/S of pregnancy, uterus does not enlarge
- Lower quadrant pain
- Vaginal bleeding (maybe)
- Pain in shoulder
- Hypovolemic shock
- Cullin's sign (blue inside belly button)
100
What is important with severe preeclampsia?
Seizure prevention. Low stimulation
101
What medication are ectopic pregnancies treated with?
Methotrexate
102
If baby has low heart rate in utero, what should you check?
Mom's heart rate to make sure it's not mom's instead.
103
If baby is tachy, what should you check?
Mom's temperature
104
Is sickle cell dangerous to mom or baby?
Both. Mom and baby!
105
When is a heart patient most at risk?
5 minutes after placental delivery
106
Signs of abruption
What should you check?
Pain
Board belly
Check fetal heart tones
107
Signs of previa
What should you check?
Light bleeding
Check fetal heart tones
108
How can mom get endometritis?
Prolonged ROM (rupture of membranes)
109
How do you know mom has endometritis?
Smells like dead chicken
110
What medications do you give mom with postpartum hemorrhage?
Pit
| Methergine
111
When should you not give mom methergine?
If she had any type of B/P issues
112
When should you give mom mag?
For high B/P
To stop labor
(Mag slows labor)
113
What type of exercise should you do if you have osteoporosis?
Walking
114
Do lab tests diagnose cancer?
No, they screen for cancer.
Biopsies diagnose.
115
What are leiomyomas?
Fibroids of the uterus
116
S/S of HPV
warts
117
What can HPV lead to?
Cervical cancer
118
What does white curd indicate?
Yeast infection
119
What does "radical" mean when it comes to surgery for cancer?
Taking nodes
120
What is a PC for fetal demise?
DIC
121
Signs of DIC
Bleeding at IV site, urine, stool.
122
Who is at risk for bleeding?
Post op patients
123
What is the purpose of mammograms?
Screening for cancer
124
What is radiation used for?
Discrete tumors
125
What type of infection is Toxic Shock Syndrome (TSS)?
Staph infection
126
Weight loss should be within __%.
If more, what should you do?
10
Call doctor!
127
Asphyxia (Blessed Virgin Mary)
Bag
Vent
Mask
128
Mag sulfate toxicity signs
Slurred speech
Muscle weakness
Reflex decrease
129
What are possible reasons for fundal height to be increased by 2cm?
Multiple babies
| Polyhydramnios
130
GTPAL
G-number of pregnancies
T-term births
P-premature births
A-abortions
L-living children
131
What is one of the most important characteristics of FHR that indicates well-being?
Variability
132
HELLP is worse than preeclampsia because it involves the _____ and _________.
liver; platelets
133
What is a sign of diaphoramic hernia?
Scaphoid abdomen-when the belly sinks in.
134
What can an ultrasound detect?
Neural tube defects
135
When does a pregnant mom get an ultrasound?
18-20 weeks.
