Flashcards in Intrapartum Care Deck (56)
What does TORCH stand for?
Toxoplasmosis. Other viruses like measles and HIV. Rubella. Cytomegalovirus. Herpes.
True or false.
TORCH can cross the placenta.
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?
What is transmitted from person to person through body fluids and is a common herpes virus that can be asymptomatic?
What disease may have mononucleosis-like symptoms such as fever, fatigue, and swollen glands?
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?
What is airborne, replicates in nasopharyngeal, spreads by direct contact w/ nasal or throat secretions and can be contracted through infected children?
If mom is immune to rubella when should you give the live virus vaccine?
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?
Bleeding that occurs in the 1st and 2nd trimester of pregnancy is known as what?
Spontaneous abortion, ectopic pregnancy
Bleeding that occurs in the 2nd half of pregnancy is known as what?
Placenta previa, placenta abruption
What is implanted in the fallopian tubes, has a stabbing pain, tenderness, and delayed/irregular menses w/ scant dark red or brown vaginal spotting?
What is done to savage the fallopian tubes if they have not already been ruptured?
What med is given in an ectopic pregnancy to inhibit cell division and embryo enlargement?
In an ectopic pregnancy if vaginal spotting is bright red what is this indicative of?
Ruptured fallopian tubes
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?
What placenta previa is when the placenta is attached in the lower segment but doesn't reach the cervical os?
Marginal low lying
What placenta previa only partially covers the cervical os?
What placenta previa completely covers the cervical os?
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)?
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?
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?
What uterine stimulant med stimulates the uterus to contract?
What uterine relaxant med is given if a pt. is in pre-term labor to slow down labor?
What uterine relaxant med cannot be used if pt. is after 48-72 hrs of labor?
What uterine relaxant med is a calcium channel blocker and should be monitored for HA?
Nifedipine (Procardia, adalat)
What uterine relaxant med is an NSAID and blocks the production of prostaglandins?
What uterine relaxant med is a glucocorticoid given via IM in 2 inj, 24hrs apart and enhances fetal lung maturity?
What is fetal tachycardia?