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mark klimek > lecture 10 maternity > Flashcards

lecture 10 maternity Flashcards

1
Q

nageles rule

A

add 7 days and subtract 3 months

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2
Q

how long is a trimester

A

12 weeks (3 months)

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3
Q

how many trimesters are there

A

3 trimesters (36 months)

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4
Q

how much weight should pt gain per month in the 1st trimester (12 weeks)

A

1 lb/month

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5
Q

how many lbs should the pt have gained in the 1st trimester

A

3 lbs

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6
Q

how many lbs should pt gain after 1st trimester

A

1 lb/week

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7
Q

what is the ideal weight gain during pregnancy

A

28 lbs

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8
Q

how to quickly tell ideal weight gain if they give u how many weeks preg

A

subtract 9 from the weeks preg

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9
Q

how many lbs within ideal weight is normal for preg pts

A

2 lbs

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10
Q

how many lbs within ideal weight should u assess the pt

A

3 lbs

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11
Q

how many lbs within ideal weight gain is concerning and u need to do a biophysical profile

A

4lbs or more

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12
Q

what should u do if pt is over or under 3 lbs over ideal weight

A

assess the pt

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13
Q

what should u do if pt is 2 lbs over/under ideal weight

A

nothing

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14
Q

what should u do if pt is 4 lbs over/under ideal weight

A

get biophysical profile on fetus

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15
Q

31 wk preg pt gained 15 lbs what should u do

A

get biophysical profile (they are 7 lbs underweight)
31-9=22 lbs
22 lbs- 15 lbs = 7 lbs

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16
Q

what week can fundal height be palpated

A

week 12

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17
Q

where is the fundus at week 12

A

midway between umbillicus and pubic symphysis

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18
Q

where is the fundus in the 1st trimester

A

under umbillicus by pubic symphysis

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19
Q

where is the pubic symphysis

A

between your pelvis

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20
Q

when can u palpate the fundus at the umbillicus

A

20-22 weeks

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21
Q

where is the fundus

A

on top of uterus (top head part of the pussy by the fallopian tubes)

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22
Q

why do u palpate the fundus

A

to tell how many weeks preg the pt is

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23
Q

what does it mean if a pts fundus is bigger than normal

A

a molar pregancy

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24
Q

when can fetal hr be heard first

A

8-12 weeks

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25
Q

what trimester can u hear fetal HR

A

1st trimester

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26
Q

when can quickening be felt

A

16-20 weeks

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27
Q

what trimester do u feel quickening

A

2nd trimester

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28
Q

what is quickening

A

baby movement

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29
Q

blue cervix is what preg sign

A

chadwicks

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30
Q

soft cervix is what preg sign

A

goodell

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31
Q

how many weeks of preg do pts go once a month for prenatal visits

A

until 28 weeks

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32
Q

how many weeks preg do pts go for prenatal visits every other week

A

28-36 weeks

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33
Q

what trimester do u have monthly prenatal visits

A

1st trimester until middle of 2nd

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34
Q

what trimester do u have every other week prenatal visits

A

middle of 2nd until 3rd trimester

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35
Q

when do u have weekly prenatal visits

A

3rd trimester until delivery

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36
Q

when is a 12 wk pregnant pts next prenatal visit

A

in a month

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37
Q

what happens to hemoglobin during pregnancy

A

it falls

38
Q

what hemoglobin is anemia in preg pts

A

anything under 9

39
Q

what trimester does morning sickness happen

A

1st trimester

40
Q

how do u treat morning sickness

A

dry carbs before the pt gets out of bed

41
Q

what trimester has urinary incontinence

A

1st and 3rd

42
Q

how do u treat urinary incontinence in pregnancy

A

urinate every 2 hrs until 6 weeks post partum

43
Q

when can u stop urinating every 2 hrs for urinary incontinence

A

6 weeks post partum

44
Q

when will preg pt have difficulty breathing

A

2nd and 3rd trimester

45
Q

how to treat difficulty breathing for preg pt

A

tripod position (leaning forward)

46
Q

when do pts have back pain during preg

A

2nd and 3rd trimester

47
Q

how to treat back pain during preg

A

pelvic tilt exercises

48
Q

thinning of the cervix is called

A

effacement

49
Q

opening of the cervix is called

A

dilation

50
Q

what to do if baby cant get past negative station numbers

A

do a c-section it cant go through vaginally

51
Q

what does oxytocin do to the uterus

A

makes it contract (love hormone)

52
Q

what does estrogen do to the uterus

A

makes it more sensative to oxytocin

53
Q

what do prostaglandins do

A

softens the cervix (opens that pussy up)

54
Q

what does relaxin do

A

relaces the cervix and allows baby to pass through pelvis

55
Q

traverse lie equals

A

trouble

56
Q

what to do if baby is traverse

A

c-section

57
Q

what to do if baby is vertical lie

A

nothing its good

58
Q

which is the most common baby presentation

A

right occiput anterior (ROA)

59
Q

what should u choose between right occiput anterior vs left occiput anterior

A

ROA before LOA

60
Q

0-4 cm dilated cervix is what phase of labor

A

latent (phase 1)

61
Q

contractions 5-30 mins apart that last 15-30 secs is what phase of labor

A

latent (phase I)

62
Q

mildly intensive contractions are what phase of labor

A

latent (phase I)

63
Q

5-7 cm dilated cervix is what phase of labor

A

active (phase 2)

64
Q

contractions 3-5 mins apart that last 30-60 secs are what phase of labor

A

active (phase 2)

65
Q

moderate intensity contractions are what phase of labor

A

active (phase 2)

66
Q

8-10 cm dilated cervix is what phase of labor

A

transition (phase 3)

67
Q

contractions that are 2-3 mins apart and last 60-9- secs are what phase of labor

A

transition (phase 3)

68
Q

strong contractions are what phase of labor

A

transition (phase 3)

69
Q

when does post partum begin

A

2 hrs after placenta delivery

70
Q

what is the priority of 2nd phase of labor (active phase)

A

pain management

71
Q

what is the priority of 2nd stage of labor (baby delivery)

A

clearing babys airway

72
Q

what is the priority of the 3 rd phase

A

checking cervical dilation

73
Q

what is the priority of 3rd stage

A

assess placenta and umbiical cord

74
Q

how should a normal placenta be

A

smooth and intact

75
Q

how should an umbilical cord be

A

3 veins

76
Q

uterine contractions should not be longer than

A

90 secs

77
Q

uterine contractions should not be closer than

A

2 mins

78
Q

what is a sign of uterine tetany

A

contraction longer than 90 secs

79
Q

what is tetany

A

muscle spasms

80
Q

what about uterine contractions would make u stop pitocin

A

contractions longer than 90 secs

81
Q

what is uterine hyperstimulation

A

contractions longer than 90 secs

82
Q

how to treat painful back pain during labor

A

counter pressure on sacrum while pt is in knee chest position (back shots)

83
Q

where is the sacrum

A

above the butt

84
Q

how to treat prolapsed cord

A

push baby head off cord and have preg pt in knee chest or trendelenburg

85
Q

how treat preg complications that arent prolapsed cord or back pain (P LION)

A

pitocin stopped
left side
IV
oxygen
notify HCP

86
Q

what to follow if theres a preg complication

A

P LION

87
Q

whats the first thing to stop during preg complication

A

pitocin

88
Q

when would u not give systemic pain med to labor pt

A

if baby will be born when med is at peak

89
Q

You have a primagravida at 5-cm dilated who wants her IV push pain med. What is the nursing intervention?

A

hold the pain meds because she will deliver in 15-30 mins

90
Q

when should u give pain meds for labor pt

A

in latent phase

91
Q
A

mark klimek (11 decks)

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