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mark klimek > lecture 11 labor/delivery continued > Flashcards

lecture 11 labor/delivery continued Flashcards

1
Q

normal fetal HR is

A

120-160 (metro/sizzle)

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2
Q

what do if fetal HR is low (under 110 bpm)

A

P LION

pitocin stop
lie on left side
IV
oxygen
notify HCP

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3
Q

what to do if fetal HR is high (over 160)

A

document acceleration
take mother temp

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4
Q

is a high fetal HR a bad thing

A

no baby is WNL

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5
Q

what to do if there is low baseline variability

A

P LION

pitocin stop

Lie on left side
IV
oxygen
notify HCP

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6
Q

what acronym to call for bad fetal monitor tracing

A

P LION

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7
Q

what to do if there is high baseline varibility

A

document finding

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8
Q

is high baseline variability good

A

yes

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9
Q

are accelerations good or bad

A

good

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10
Q

what causes variable decelerations (VEAL CHOP)

A

cord compression/prolapse

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11
Q

what causes early delerations (VEAL CHOP)

A

head compression

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12
Q

accelerations are? (VEAL CHOP)

A

okay

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13
Q

what causes late decelerations (VEAL CHOP)

A

placental insufficiency

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14
Q

if baby has variable decelerations

A

push baby head of cord and put preg pt in knee chest (finger pt in back shot postion)

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15
Q

what to do if baby has early deceleration

A

nothing just document

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16
Q

if the fetal HR tracing starts with L it is

A

bad and u should do lion

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17
Q

if the fetal HR has variable deceleration it is

A

very bad

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18
Q

variable deceleration equals

A

very bad

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19
Q

when should the mother stop pushing

A

when the head is out (the baby has a brain of its own so stop pushing)

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20
Q

should u suction the mouth or nose first

A

mouth (ABC)

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21
Q

what should u make sure the baby has before it leaves the delivery area

A

ID band

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22
Q

what should u see in cord

A

2 arteries and 1 vein

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23
Q

what should assess/do every 15 mins when mother is recovering

A

-vital signs
-fundus
-peri pads
-roll pt to check for bleeding underneath her

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24
Q

when should u assess post partum pt

A

every 4-8 hrs

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25
Q

what should u assess for in post partum pt (BUBBLE HEAD)

A

-breasts
-uterine fundus
-bladder
-bowel
-lochia
-episiotomy
-hemoglobin/hematocrit
-extremities
-affect
-discomforts

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26
Q

where should the fundus be after delivery

A

umbillicus

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27
Q

how much does the fundus shrink per day after delivery

A

2 cm

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28
Q

where should the fundus be after delivery

A

midline

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29
Q

what to do if fundus is boggy and not midline

A

catheterize pt

30
Q

what is a moderate amount of lochia

A

4-6 inches on pad in an hr

31
Q

what is an excessive amount of lochia

A

saturated pad in an 15 mins

32
Q

how to tell if pt has thrombophlebitis

A

measure calves

33
Q

is milia on newborn normal

A

yes

34
Q

when will milia dissapear

A

after a few weeks of bathing

35
Q

are epstein pearls normal

A

yes

36
Q

is a mongolian spot (blue discoloration on top of butt) normal

A

yes

37
Q

who is more likely to have a mongolian spot

A

african americans

38
Q

are erythema toxicum neoratorum normal and when do they appear and disappear

A

yes, 24-48 hrs and dissapear in a few days

39
Q

is hemangioma normal

A

yes

40
Q

when does physiological jaundice in newborns

A

24 hrs after birth

41
Q

when does physiological jaundice disappear in newborns

A

1 week

42
Q

when does pathologic jaundice appear

A

1st 24 hrs

43
Q

which type of newborn jaundice appears in the 1st day of birth

A

pathologic

44
Q

which type of newborn jaundice appears the next day

A

physiological

45
Q

is jaundice normal in a new born

A

yes

46
Q

is acrocyanosis normal in newborns

A

yes

47
Q

what is acrocyanosis

A

blue discoloration of hands and feet of newborn within 1st few days

48
Q

is blue discoloration of hands and feet of a newborn normal

A

yes

49
Q

why would u give terbutaline

A

to stop premature labor

50
Q

what is a side effect of terbutaline

A

tachycardia

51
Q

who would u not give terbutaline to

A

pts with heart problems

52
Q

why would u give preg pt magnesium sulfate

A

to stop labor and contractions

53
Q

magnesium sulfate side effect

A

hypermagnesemia

54
Q

what happens to everything in hypermagnesemia

A

everything goes down

55
Q

what should u do if pt who got mag sulfate has a low RR

A

decrease dose

56
Q

what do if pt has decreased reflexes with mag sulfate

A

decrease dose

57
Q

what to do if reflexes are increased w mag sulfate

A

increase dose

58
Q

mag sulfase does goes the same as what

A

reflexes (if reflexes are low then decrease etc)

59
Q

magnesium sulfate pt has 4+ reflexes what should u do w dose

A

increase it

60
Q

magnesium sulfate pt has 2+ reflexes what should u do w dose

A

nothing its normal

61
Q

mag sulfate pt has 1+ reflexes what should u do

A

decrease it

62
Q

what does pitocin do

A

stimulates and strengthens labor

63
Q

pitocin is the same as

A

oxytocin (love hormone)

64
Q

methergine is the same as

A

oxytocin (love hormone)

65
Q

what is a side effect of methergine

A

HTN

66
Q

when can u give betamethasone

A

before birth

67
Q

what is a side effect of betamethasone

A

increased glucose

68
Q

why would u give betamethasone

A

for baby’s lungs

69
Q

when is surfactant given

A

after birth

70
Q

what is surfactant for

A

the baby’s lungs

71
Q
A

mark klimek (11 decks)

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