Flashcards in Final Deck (135):
More after pains happen when?
With big babies
What should you give for after pains?
What do you give for mastitis?
Is it ok to breastfeed with mastitis?
When is the best time to breastfeed baby?
When baby is awake
Rescue for Mag
How far apart should contractions be before discontinuing pit?
What does the patient experience when bladder is distended?
Where will the full bladder lie?
Off to the side
What should you have patients do after C-Section?
Turn, cough, deep breathe
Should you push before dilation is complete?
What is amniotomy?
Artificial Rupture of membranes (AROM)
What should you assess after AROM?
Fetal heart tones and mom's temp
*nothing in vagina
Why do you give a bolus before an epidural?
To avoid hypotension
What do early decels indicate?
What do variable decels indicate?
What should you do if baby has late decels?
Put mom on left side with O2.
What is methergine used for?
What medication is used for induction?
What is erythema toxicum?
Flea bite looking rash on newborn. Reaction to atmosphere.
What does it mean if AFP is low?
What could it mean if AFP is high?
Neural tube defects
Is flaring and grunting normal or abnormal in newborn?
What is an SGA (small for gestational age) baby at risk for?
Asphyxia, hypoglycemia, hypothermia, and hypocalcemia
What is macrosomia?
LGA (large for gestational age) baby
What is an LGA baby at risk for?
Polycythemia=bruising and jaundice
What is considered term?
What is premature?
20 weeks-37 weeks +6 days.
What can happen if baby is VERY jaundice?
brain cells could die.
What is gavage feeding?
breastmilk or formula goes directly to baby's stomach via NG tube.
What is asphyxia?
Hypoxia, hypercapnia and acidosis occurring in the uterus, during or after birth.
Common risk factors of asphyxia
What is the treatment for asphyxia?
What is TTN?
Transient tachypnea of newborn
Delayed reabsorption of lung fluids
When does TTN happen?
When baby doesn't get a good squeeze!
Usually in C-Section babies
Treatment for TTN
O2 and possible ventilation
What is the prenatal Rh incompatibility test called?
Where do you get the sample for Direct coombs testing?
What is the normal temp range for newborns in Albuquerque?
What happens to baby's temp when septic?
What type of babies get cold fast?
What type of defect can low set ears be?
What is normal CBG for newborn?
When does mom get checked for GBS?
What hormone does pregnancy test for?
What are signs of PIH?
Rapid weight gain
If mom is HIV +, when would baby be tested?
at 6 months of age
If mom is HIV +, does that mean baby is also?
S/S of threatened abortion
Spotting and cramping
Is HCG low or high in molar pregnancies?
Gestational diabetic moms have _____ babies
When will a mom with gestational diabetes go back to normal?
within 24 hours postpartum
How does a mom with gestational diabetes manage?
Diet and exercise
*Will need a snack
Increased CBGs are normal because of what?
If baby has low CBG, what should you do?
Feed baby, wait 20 minutes.
If no change, call doctor!
Should mom that is experiencing bleeding be "checked"?
What vital goes first when in shock?
What vital goes last when in shock?
When is a CVS done?
When is an amniocentesis done?
What is para?
Number of deliveries
An amniocentesis increases Rh baby's chance of having what?
What should you tell mom to do after amniocentesis?
When are xrays ok for mom?
After 36 weeks
Babies with low CBG
S/S of low CBG in baby
What does cold stress effect?
What happens with moro reflex?
Babies arms go out
What is caput?
Edema on baby's head
What type of formula do premies need to be on?
High calorie formula.
24 cal formula
What problems can shoulder dystocia lead to?
Clavical injury and brachial plexus problems
What assessment is done to rule out coarctation of aorta?
Blood pressure in all 4 limbs
Can coarctation of aorta be fixed?
Yes, with surgery
What is RDS?
Respiratory Distress Syndrome
Signs of RDS
Grunting and nasal flaring
What causes RDS?
How do we give surfactant?
What is TEF?
What are the interventions for TEF?
What is Necrotizing Enterocolitis (NEC)?
when part of the bowel dies
*listen to bowel sounds
S/S of NEC
No stools for a while
When stools do pass, they will be bloody
Belly will get bigger
What are asymmetrical folds in legs a sign of?
Hip dysplagia or congenital hips
Treatment for hip dysplagia or congenital hips?
What is an overdue baby at risk for?
If a baby is meconium stained, what should you do first?
Check before stimulating
What are sunset eyes a sign of?
Increased intracranial cranial pressure (ICP)
What medication is given to baby in withdrawal?
Phenobarbital or morphine
Baby narcan is for when mom's are given what med?
What is meningomyelocele?
What should you do for it?
Bump on the back
Wrap in plastic
Erythroblastosis is caused by what?
What can happen to baby with erythroblastosis?
S/S fetal alcohol syndrome
Are soft, mobile lumps usually cancerous?
NO. Hard, immovable lumps usually are.
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!
What is the only way to diagnose cancer?
What is breast, ovarian, and uterine related to?
Patient with breast cancer is at ______ risk of ovarian cancer
S/S ectopic pregnancy
-Regular S/S of pregnancy, uterus does not enlarge
-Lower quadrant pain
-Vaginal bleeding (maybe)
-Pain in shoulder
-Cullin's sign (blue inside belly button)
What is important with severe preeclampsia?
Seizure prevention. Low stimulation
What medication are ectopic pregnancies treated with?
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.
If baby is tachy, what should you check?
Is sickle cell dangerous to mom or baby?
Both. Mom and baby!
When is a heart patient most at risk?
5 minutes after placental delivery
Signs of abruption
What should you check?
Check fetal heart tones
Signs of previa
What should you check?
Check fetal heart tones
How can mom get endometritis?
Prolonged ROM (rupture of membranes)
How do you know mom has endometritis?
Smells like dead chicken
What medications do you give mom with postpartum hemorrhage?
When should you not give mom methergine?
If she had any type of B/P issues
When should you give mom mag?
For high B/P
To stop labor
(Mag slows labor)
What type of exercise should you do if you have osteoporosis?
Do lab tests diagnose cancer?
No, they screen for cancer.
What are leiomyomas?
Fibroids of the uterus
S/S of HPV
What can HPV lead to?
What does white curd indicate?
What does "radical" mean when it comes to surgery for cancer?
What is a PC for fetal demise?
Signs of DIC
Bleeding at IV site, urine, stool.
Who is at risk for bleeding?
Post op patients
What is the purpose of mammograms?
Screening for cancer
What is radiation used for?
What type of infection is Toxic Shock Syndrome (TSS)?
Weight loss should be within __%.
If more, what should you do?
Asphyxia (Blessed Virgin Mary)
Mag sulfate toxicity signs
What are possible reasons for fundal height to be increased by 2cm?
G-number of pregnancies
What is one of the most important characteristics of FHR that indicates well-being?
HELLP is worse than preeclampsia because it involves the _____ and _________.
What is a sign of diaphoramic hernia?
Scaphoid abdomen-when the belly sinks in.
What can an ultrasound detect?
Neural tube defects