Final Study Flashcards
0
Q
Creatinine level
A
0.5-1.1
1
Q
Severe preeclampsia
A
> 160/110 Urine < 400mL/24hr Proteinuria 3+4+ > 5g proteinuria Epigastric pain Nv Blurred vision Clonus
2
Q
Hypermagnesia
A
> 8 Mg
Decreased DTR
Sweating/Flushing
3
Q
Preeclampsia pregnancy complications
A
Sga baby
Abruptio
seizures
4
Q
Non stress test reactive
A
Reactive with 2 accells of 15 and fetal movement
5
Q
Contraction stress test negative
A
No late decels
6
Q
Contraction stress test positive
A
Fetal compromise and frequent late decels
7
Q
Biophysical profile
A
Ultrasound
Non invasive
Requires full bladder
8
Q
BPP assess and how
A
Non stress test: Fetal Hr
Ultrasound: Breathing
Movement
Tone
Amniotic volume
9
Q
Insulin and pregnancy
A
First trimester decrease
Gradual tolerance from hpl, placenta, estrogen and pro
10
Q
Ectopic causes
A
Pid
Pill
11
Q
Ectopic risk factors
A
Sti Partner Iud Pill Pid
12
Q
Ectopic confirmed by
A
Ultrasound
Culdocentisis
13
Q
Prolapsed cord risk factors
A
-2 station
Lbw
Membrane rupture
Breech
14
Q
Folic acid
A
>600ûg Leafy greens Strawberries Oranges Beans seeds Lentils
15
Q
Probable signs
A
Growing abdomen
Pregnancy mask
16
Q
Positive signs
A
Fhr
Fetal movement by trained
Ultrasound
17
Q
Presumptive signs
A
Subjective Amenorrhea Nv Fatigue Polyuria Breast changes
18
Q
Chorionic villi sampling
A
8-10 weeks
Catheter in vagina
Empties bladder
19
Q
Amniocentesis
A
14-16 weeks
<20 weeks full bladder
>20 weeks empty
20
Q
Quickening
A
14-20 weeks
After requires investigation
21
Q
AFP
A
Elevated suggests neural defects
Low indicate dS
22
Q
Leopolds
A
Empty bladder
Supine with head elevated slightly
23
Q
Chloasma
A
Mask of pregnancy caused by elevated P and E
24
Fundus height
12 weeks over symphysis
20 weeks @ umbilicus
36 weeks @ xiphoid
+1cm per week after
25
BF contraindicated diseases
```
Herpes
Breast cancer
Tb
Hep BC
HIV
Active varicella
```
26
No stress test
Fetus moves, 15 beat increase for 15 seconds
10-20 minutes
Reactive is good
27
Stress test
Nipple rub for contraction
3 40 second contractions/10 min
Positive is bad!
28
Adolescent pregnancy complications
```
Preg induced HT
Iron Anemia
Preterm
Cephalic disproportion
Hemorrhaging
```
29
Taking in
First 3 days
| Nurse performs care
30
Taking hold
Initiation but insecure
| Nurse offers demonstrations
31
Letting Go
Defined as mother
32
1st trimester emotional
Accept pregnancy
Ambivalent
Sad
Angry
33
2nd semester emotions
Accepting baby
Separate baby from self
Quickening
Assess how well she follows instructions
34
3rd trimester emotions
Preparation
Nesting
Birthing education peaks
35
Prelabor
Lightening
Activity
Braxton Hicks
Cervix ripens
36
True labor
Lower back to abdomen contractions
Consistent and increasing
ROM
Show
37
Diagonal conjugate
Spine to symphysis
38
Transverse diameter
Hip to hip
39
Baby movement during birth
```
Descent/Engagement
Flexion
Internal rotation
Extension
External rotation
Expulsion
```
40
Latent phase
20-40 sec
6 hours
0-3 cm
Encourage walking and non pharm relief
41
Active phase
```
40-60 seconds
4-7 cm
2 hours
Rom
Secretions
```
42
Transition phase
```
60-90 seconds
8-10 cm
Full dilatation and effacement
Nv
Pushing urge
```
43
Second stage
1 hour
Crowning
Expulsion
44
Third stage
5 min
Placental delivery
300-500mL blood loss
45
Placental release observations
Cord lengthens
Blood gush
Uterus shape change
Firm contraction
46
Maternal Labor danger symptoms
```
Pulse > 100
Bp > 140/90
Contractions > 70 sec
Meconium fluid
Uterine ring
Bladder distended
```
47
Baby labor danger signs
> 160 and < 110
Meconium staining
Hyperactive
O2 not between 40-70
48
Newborn physical measurements
Head 34-35
Chest 32-33
Weight 5.5-10
Length 18-22
49
Newborn vs
HR 110-170
Rr 30-60
Temp 97.7-98.9
50
Eclampsia
Seizure
20% fatality mom/baby
Abruptio
51
Preeclampsia labs/signs
Renal values
HCT rise
Weight
I&O
52
Cold stress cycle
```
Get cold
Kick and cry to increase metabolism
Increase RR
Decrease GLU
Increased acid
```
53
SIDS prevention strategies
```
Pacifier
fan
breastfeeding
staying cool
avoiding smoke
empty crib
```
54
Aids risk factors
```
Vlbw
preterm
adolescent
substance abuse
being sick
pulmonary edema
```
55
Coc contraindications
```
Thromboembolic disease
CvA or cardiovascular accidents
Smoking/over 40 increases clotting risks
Cancer
Pregnant/Breastfeeding/< 6 weeks postpartum
Hypertension
Hyperlipidemia
Liver problems
Diabetes
```
56
Implant contraindications
Cancer
57
IUD contraindications
Adolescent/never pregnant
Abnormal uterus
HX of ectopic, dysmenorrhea, menorrhagia, carditis, anemia
Multiple partners
58
Toxoplasmosis causes
Undercooked meat and cats
59
Rubella
Mild to mom
Anything in the head problems
Can't be immunized while preg
60
Herpes and pregnancy
Cmv is droplet precaution
| Genital causes abortion if contracted
61
Estrogen during pregnancy
Mammary development
| Uterine enlargement
62
Progesterone during pregnancy
Maintains lining
| Prevents labor
63
Hydramnios
>2000 mL amniotic fluid
64
First month development
Spinal cord
| Simple heart
65
2 month fetal development
```
Organs complete
Heartbeat
Limbs
External sex
Intestines bulge
```
66
Month 3 fetal development
Bone ossified
| HB through Doppler
67
Month 4 fetal development
Hr stethoscope
Lanugo
Ultrasound sex determination
68
Month 5 fetal development
Quickening
Upper Meconium
Brown fat
Vernix
69
Month 6 fetal formation
Surfactant
Eyes open
Viability
Hearing
70
Month 7 fetal development
Alveoli mature
Testes descend
O2 therapy dangerous to retina
71
Month 8/9 fetal development
SubQ fat
Nutrient storage
Lanugo diminish
Lightening
72
Inversion therapies
```
Iv
O2
VS
CPR
Meds
Doc replaces uterus
Antibiotics
C section for future
```
73
Sharp lower back pain
Caused by LOP
| Apply pressure to sacrum
74
Breathing through the stages
Deep chest for latent
Slow
Shallow chest during peak contraction
Rapid pant during transition
75
Late decel procedure
Stop oxytocin
Reposition
Fluid/O2
Prepare
76
Early decel
Rarely < 100
Normal if late
Possible CPD if early
77
Epidural administration
Side lying
| Monitor for drop > 20 in 20 min
78
Epidural overdose procedure
Raise legs
O2/Iv
Ephedrine or vasoconstrictor
79
Abruptio
Sharp pain
Heavy bleeding-maybe hidden
Shock
Board like uterus
80
Abruptio therapy
Iv/O2
Fhr
Vitals Q5-15
No palpating
81
Previa therapy
Side lying bed rest
Never palpate
Vs Q5-15
Iv/O2 prn
82
Menses return
6-10 with bottle
| 12-16 breast feeding
83
Normal weight loss achieved at
6 weeks
