Intrapartum Care Flashcards Preview

NURSING Maternity Review > Intrapartum Care > Flashcards

Flashcards in Intrapartum Care Deck (56)
Loading flashcards...
1

What does TORCH stand for?

Toxoplasmosis. Other viruses like measles and HIV. Rubella. Cytomegalovirus. Herpes.

2

True or false.
TORCH can cross the placenta.

True

3

What is caused from the consumption of raw/under-cooked meat or the handling of cat feces that causes flu-like symptoms, fever and malaise?

Toxoplasmosis

4

What is transmitted from person to person through body fluids and is a common herpes virus that can be asymptomatic?

Cytomegalovirus (CMV)

5

What disease may have mononucleosis-like symptoms such as fever, fatigue, and swollen glands?

Cytomegalovirus (CMV)

6

When babies have yellow skin and eyes, purple skin splotches or a rash, are SGA, have an enlarged spleen and liver and may have pneumonia, seizures, hearing loss* or vision impairment, what may they be diagnosed with?

Congenitcal CMV

7

What is airborne, replicates in nasopharyngeal, spreads by direct contact w/ nasal or throat secretions and can be contracted through infected children?

Rubella

8

If mom is immune to rubella when should you give the live virus vaccine?

After birth

9

A newborn may present with a fever, rash, mild lymphedema, or joint muscle pain and a fetus if contracted in 1st 12 wks can have congenital abnormalities, a miscarriage or death if their mother has what?

Positive Rubella

10

Bleeding that occurs in the 1st and 2nd trimester of pregnancy is known as what?

Spontaneous abortion, ectopic pregnancy

11

Bleeding that occurs in the 2nd half of pregnancy is known as what?

Placenta previa, placenta abruption

12

What is implanted in the fallopian tubes, has a stabbing pain, tenderness, and delayed/irregular menses w/ scant dark red or brown vaginal spotting?

Ectopic pregnancy

13

What is done to savage the fallopian tubes if they have not already been ruptured?

Salpingostomy/salpingectomy

14

What med is given in an ectopic pregnancy to inhibit cell division and embryo enlargement?

Methotrexate

15

In an ectopic pregnancy if vaginal spotting is bright red what is this indicative of?

Ruptured fallopian tubes

16

What is it called when the placenta abnormally implants in the lower uterine segment, near or completely covering the cervix os; is painless w/ red vaginal bleeding and has 3 diff types?

Placenta previa

17

What placenta previa is when the placenta is attached in the lower segment but doesn't reach the cervical os?

Marginal low lying

18

What placenta previa only partially covers the cervical os?

Incomplete/partial

19

What placenta previa completely covers the cervical os?

Complete/total

20

What is it called when the placenta completely detaches from the uterus, is a sudden onset, has severely steady pain, bright red or dark vaginal bleeding, a board like abd, and a firm rigid uterus w/ c-section (ordered STAT)?

Placenta abruptio

21

When contractions get closer together (3-5min apart), last longer, and increase in intensity that do not stop w/ walking, discomfort in back and lower abd occurs and the cervix dilates, what is this indicative of?

TRUE labor

22

When contractions do not get closer together or increase in intensity, can be relieved w/ walking, discomfort is primarily in the lower abd and the cervix does not dilate, what is this indicative of?

FALSE labor

23

What uterine stimulant med stimulates the uterus to contract?

Oxytocin (Pitocin)

24

What uterine relaxant med is given if a pt. is in pre-term labor to slow down labor?

Ritodrine hydrochloride

25

What uterine relaxant med cannot be used if pt. is after 48-72 hrs of labor?

Terbutaline Sulfate

26

What uterine relaxant med is a calcium channel blocker and should be monitored for HA?

Nifedipine (Procardia, adalat)

27

What uterine relaxant med is an NSAID and blocks the production of prostaglandins?

Indomethacin (Indocin)

28

What uterine relaxant med is a glucocorticoid given via IM in 2 inj, 24hrs apart and enhances fetal lung maturity?

Betanethasone (Celestone)

29

What is fetal tachycardia?

>160-180

30

What is fetal bradycardia?

Less than 110