Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Maternity Hesi > Gblandy > Flashcards

Gblandy Flashcards

study (80 cards)

Start Studying
1
Q

Palpate for spongy, full feeling over symphysis

A

check urge to void when bladder is palpated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Kegel exercise

A

promote retoning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Should avoid within 4 hours of delivery

A

suspect retention if voiding is frequent and less than 100 mL per voiding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Deficient in vitamin B12

A

take supplements, multivitmains or drink milk 2-3 times a day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

If iron protein and calcium is low

A

eat beans, fruit, dark greens, eggs and dairy, juice, ceral, yogurt and tufu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Cleansing breath

A

is a relaxed deep breath in through the nose and deep breath out through the mouth. Used at the beginning and end at each contraction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Slow paced breathing

A

is initaiated when woman can no longer walk or talk through contractions SWALLOW AND FAST BREATHING

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

An unhealthy fetus

A

will develop no reassuring FHR patterns in response to uterine contractions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Late deceleration are indicative of

A

UPI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

To assess for fetal well-being a

A

recording of at least three contractions in 10 minutes must be obtained

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Cytotec Misoprostol

A

Is a drug that stimulates uterine pregnancy and manages postpartum hemorrhage.
Repeat until 3 or more contractions in 10 minutes/Bishop score of 8 or higher

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Exercise to prepare for labor

A

teach the woman to do pelvic tilt exercise, pelvic rocking exercise and breathing exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Considerations for cytotec

A

maintain supine or side lying position for 30-40 minutes after insertion, intitates oxytocin for labor no sooner than 4 hours after last dose of misoprostol.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

False labor

A

often stops when walking or changing positions, can be felt in the back or abdomen above the navel (no lower back pain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Kick counts

A

instruct the client to notify HCP if there are fewer than 10 counts in two consecutive 2 hours period (fewer than 3 movements in one hour). Fetal movements that stop for 12 hours. Severely disturbed fetus, impeding fetal death and immediate delivery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Placenta previa

A

painless bright red
possible signs of shock (decreased BP, weak and rapid pulse, cool and clammy skin, colored ashen or gray). monitor blood loss (weigh pads). ***clients with placenta abruption and previa should undergo no abdominal or vaginal manipulation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Pregnancy test hormone

A

HcG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

STD Pregnancy what you shouldn’t do

A

Do not breast feed if a woman has HIV, CMV, Gonorrhea (untreated) and Syphilis (untreated)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Sulfa Drugs

A

are used cautiously in lactating mothers because they cab be transferred to the infant in breast milk.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Syphilis

A

leads to spontaneous abortions and if visible lesions present in client with genital herpes C-section is recommended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Chlamydia

A

preterm labor, rupture of membrane, low birth weight and can be treated with Doxycycline or Azithromycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Gonorrhea

A

miscarriage, amniotic infection fluid, chorioamnionitis, preterm birth and IUGR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Strep B

A

UTI, choriamnioitis, preterm birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

HPV

A

Dystocia from lesion and excess bleeding from lesions and cauliflower like warts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Syphilis
miscarriage, preterm birth, IUGR, stillbirth preterm birth and can be treated with penicillin
26
PID
POS, chandler sign, vaginal discharge, risk for ectopic pregnancy
27
HIV
treated with Zidovudine and HEP B shot
28
Terbutaline
Preterm GBS Tachycardia is the major side effects of tocolytics (stop labor drugs. with hold meds if the pulse is greater that 120 can cause hypokalemia and hyperglycemia. Check K and glucose level before giving it. Notify HCP if signs of pulmonary edema and FHR greater than 180 bpm. Antidote: Propanolol
29
Third trimester-dysuria
Discomfort/ burn/ pain when urinating | Contact HCP for dysuria because it could be a STD or UTI
30
Food in labor
Ice chips and clear liquids only oral intake during labor
31
Meconium stain
decreases FHR yellow-green or gold yellow and it can decreased FHR may indicate fetal stress Fetal distress sign: decrease or absent fetal activity, unusual or extreme fetal activity
32
Pitocin
tachysystolic contractions. The uterus is the most sensitive to becoming tetanic at the beginning of infusion. the client must always be attended and contractions monitored. contractions should last no longer than 90 seconds to prevent fetal hypoxia
33
Pitocin has the potential of causing tetanic contraction
contractions coming so frequently that they merge into one sustained contraction which can result in premature separation of the placenta, uterine rupture, cervical tearing, excessive bleeding postpartum, as well as severely restricting oxygen supply to the fetus.
34
Preeclampsia
women with chronic hypertension may acquire preeclampsia or eclampsia Hypertension develops after 20wks fo gestation in previously normotensive women Reduced kidney perfusion
35
HELLP
Hemolysis (HCT 34-45), Elevated, Liver enzymes (AST 5-43), Low, Platelet count (150-400k)
36
After birth
tendency to have boggy uterus with heavy flow
37
Methergine
use it with caution in client with hypertension or preeclampsia because it causes vasoconstriction
38
Prolapsed cord
Place in Trendelenburg or knee chest position
39
if cord prolapse is detected
the examiner should position the mother to relieve pressure on the cord or push the presenting part off the cord until immediate C-section is done
40
Intervention of cord prolapse
Do not attempt to push the cord into the uterus. Monitor the FHR. Assess the fetus for hypoxia. Administer face mask oxygen and prepare for emergency C-section.
41
Prostaglandin gel
softens cervix to induce labor contraindication for clients with asthma (can cause bronchospasm, wheezing), check temperature every 1-2 hours and never give when woman is in labor or before delivery of the placenta
42
First stage of Labor
Take temperature every 4 hours until the membrane ruptures, then every hour 100.4 temperature is normal
43
Transition-Labor
is the third phase of labor 8-10 cm cervical dilation changed behavior sudden nausea contraction severe 11/2 minutes apart, 60-90 seconds duration assess FHR every 15 minutes in transition stage Stop continuous infusion of anesthesia at the end of stage 1 or during transition to increase effectiveness of pushing
44
Variable decelerations
tachycardia caused mainly by cord compression change in maternal position (knee chest or left side) stimulate fetus if indicated Discontinue oxytocin if infusing administer oxygen at 10mL by tight face mask elevate legs increase IV rate
45
Bethamethasone
RDS in new born stimulates fetal lung maturity, prevent/ reduce severity of respiratory depression transient decrease in breathing (72hours) Assess blood glucose in mom
46
Five signs of respiratory Distress
``` Tachypnea cyanosis flaring nares expiratory grunt retractions ```
47
Cephalhematoma
1st action newborn problem corrects itself as hematoma resolves, hemolysis of RBCs occurs and jaundice can result (hyper bilirubin) Report yellow tinge
48
Cold stress
new born first step and number one priority in managing the new born is to prevent heat loss keep baby under radiant warmer or in isolette and skin to skin with mother with blanket if an infant is cold stressed, warm slowly over 2-4 hours because rapid warming may produce apnea
49
Signs infant is cold
prolonged acrocyanosis skin mottling tachycardia tachypnea
50
Neonate produce heat by nonshivering thermogenesis
which involves the burning of brown fat
51
Neonate is easily stressed
by hypothermia and develops acidosis as a result of hypoxia (increased RR). If neonate needs glucose, feed them.
52
Congenital heart defects
``` infant mom may have epilepsy mom may have rubella if the mom titer is low she should receive the rubella vaccine after delivery and be instructed no to get pregnant within 3 months Breast feeding moms can get vaccines ```
53
Signs of infant with congenital heart defect
weak cry, cyanosis worsening with crying lethargy, hypotonia and flaccidity persistent bradycardia or tachycardia tachypnea or other signs of respiratory distress Decreased or absent femoral or pedal pulses Transfer to NICU limit stimulus (no pacifier)
54
Hypoglycemia
LGA-new born can occur with cold stress or because mom had gestational diabetes the nurse should assess for hypoglycemia perform heel stick Normal glucose is 40-80 sign of hypoglycemia: high pitched cry, jitterness
55
Positive Ortolani sign
clicking with abduction
56
Apgar score
``` Acrocyanosis =1 point 7-10 good 4-6 needs moderate resuscitative efforts 0-3 severe need for resuscitation Vital signs and FHR assess vital signs every 30 mins for 2 hours, then every 1 hours for 4 hours or until stabilized ```
57
Circumcision
If yellow excaudate occurs don't not wipe it off, because it is normal but if redness, swelling, discharge, odor occurs, it is a sign of infection
58
New born spit up
Vomiting is a common sign of digoxin toxicity. This symptom is often overlooked because infant commonly spit up.
59
New born temperature
97. 7-99.4 | hypothermia: warmer and with mom in blanket
60
Petechiae at birth
Petechiae all over body indicates low platelet count and infection On face, neck, body baby had face presentation at birth
61
Boggy Uterus
First, perform fundal massage observe for amount and size of expelled clots, then have the client empty their bladder. Recheck fundus every 15 minutes for 1 hours then every 30 minutes for 2 hours prevent hemorrhage if it does not become firm, sign of bleeding from uterine atony sign of sub involution (uterus doesn't not go back to normal size)
62
Hemorrhage
postpartum BP | hypotension
63
Full bladder
is one of the most common reason for uterine atony or hemorrhage in the first 24 hours after delivery
64
Increased RR
hemorrhage, more than one saturated pad every 15 minutes
65
What immediate action should the nurse take when post partum hemorrhage is detected?
perform fundal massage notify HCP if the fundus does not become firm with massage count pads to estimate blood loss Increase IV fluids Administer oxytocin infusion as prescribed
66
Postpartum assess
``` assess fundal height and firmness assess perineal integrity check for signs and symptoms of thromboembolism assess pulse, respiration and BP monitor VS every 4 hours for 24 hours ```
67
Lochia
Lochia rubra-blood-tinged discharge 2-3 days Lochia serosa-pale pinkish to brownish discharge lasting 1 week lochia alba-thick, whitish-yellowish discharged with leukocytes and degenerated cells, last 4 weeks
68
Postpartum hematoma
sign of hematoma developing in perineum intense perineal pain swelling and blue-black discoloration on perineum pallor, tachycardia and hypotension (great blood loss), feeling of pressure in vagina, urethra and bladder possible urinary retention, uterine displacement
69
Postpartum hematoma interventions
prepare client for surgical incision if hematoma is large apply ice pack to perineum to decrease swelling and pain hypovolemia and anemia can occur without overt signs Diet high in iron (because of blood loss)
70
RhoGAM refusal
Blood product Jehovah witness
71
Spinal Headache
Blood patch | leakage of cerebrospinal fluid into extradural space during placement of spinal anesthesia
72
intrapartum herpes
can breast feed (if lesion on breast NO) and take Zovirax cannot have Pitocin or take acyclovir lesion-C-section no lesion vaginally
73
Antepartum amniocentesis
gestational DM | used in diagnosing fetal defects
74
Genetic counseling
provide an opportunity to teach and encourage women about healthy lifestyle during pregnancy
75
Antepartum weight gain
Weight gain 1st trimester average weight gain is 1-2 kg there after the recommended weight gain increases to about 0.5 kg per wk for under weight woman and 0.4 kg a week for a woman of normal weight. The recommended weekly weight gain for overweight women during the 2 and 3rd trimester is 0.3 kg and 0.2 or obese women.
76
Involution
the return of he uterus to a non pregnant state
77
new born cocaine exposure
Withdrawal if cocaine addicted, position to avoid eye contact swaddle the infant use vertical rocking techniques us a pacifier to counter poor organizational response to stimuli if cocaine crosses the placenta and is found in breast milk cocaine is a recognized cause of placental abruption premature, small baby, hypersensitivity to noise
78
Emergency delivery action
women who experience emergency child birth are more likely to have high anxiety
79
PP depression
difficult to fall asleep loss of appetite rejection of infant irritability if depression is identified, ask if the mother has thought about hurting herself or baby use screen tools to assess whether the depressive symptom have progressed fro PP blues to PP depression
80
Fundal height: Twins
woman should have empty bladder before and laying in supine with knee flexed upper border of pubis symphysis to upper border of fundus provides a gross estimate of the duration of pregnancy the height of fundus in cm is approx. same number of weeks in gestation 12 weeks, fundal height may be around 20 cm (in a twin pregnancy, your uterus grows much faster)

Maternity Hesi (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions