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Flashcards in Final Study Deck (84):
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Severe preeclampsia

> 160/110
Urine < 400mL/24hr
Proteinuria 3+4+
> 5g proteinuria
Epigastric pain
Nv
Blurred vision
Clonus

1

Creatinine level

0.5-1.1

2

Hypermagnesia

>8 Mg
Decreased DTR
Sweating/Flushing

3

Preeclampsia pregnancy complications

Sga baby
Abruptio
seizures

4

Non stress test reactive

Reactive with 2 accells of 15 and fetal movement

5

Contraction stress test negative

No late decels

6

Contraction stress test positive

Fetal compromise and frequent late decels

7

Biophysical profile

Ultrasound
Non invasive
Requires full bladder

8

BPP assess and how

Non stress test: Fetal Hr

Ultrasound: Breathing
Movement
Tone
Amniotic volume

9

Insulin and pregnancy

First trimester decrease
Gradual tolerance from hpl, placenta, estrogen and pro

10

Ectopic causes

Pid
Pill

11

Ectopic risk factors

Sti
Partner
Iud
Pill
Pid

12

Ectopic confirmed by

Ultrasound
Culdocentisis

13

Prolapsed cord risk factors

-2 station
Lbw
Membrane rupture
Breech

14

Folic acid

>600ûg
Leafy greens
Strawberries
Oranges
Beans seeds
Lentils

15

Probable signs

Growing abdomen
Pregnancy mask

16

Positive signs

Fhr
Fetal movement by trained
Ultrasound

17

Presumptive signs

Subjective
Amenorrhea
Nv
Fatigue
Polyuria
Breast changes

18

Chorionic villi sampling

8-10 weeks
Catheter in vagina
Empties bladder

19

Amniocentesis

14-16 weeks
<20 weeks full bladder
>20 weeks empty

20

Quickening

14-20 weeks
After requires investigation

21

AFP

Elevated suggests neural defects
Low indicate dS

22

Leopolds

Empty bladder
Supine with head elevated slightly

23

Chloasma

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