Lecture eleven- FETAL HEART TRACINGS

Question 1

VEAL CHOP

Answer 1

Variable Cord comp
Early Head comp
Accel Okay + O2
Late Placenta previa

Question 2

low FHR

Answer 2

<110 bad

Question 3

low FHR Ix

LION

Answer 3

Left side
Iv
O2
Notify dr

Question 4

high FHR

Answer 4

> 160

no big deal; document and take moms temp

Question 5

low baseline variability

Answer 5

when FHR stays the same; doesnt change=bad

Question 6

low baseline variability

LION

Answer 6

Left side
Iv
O2
Notify dr

Question 7

high baseline variability

Answer 7

FHR changing; good; document

Question 8

late decels

Answer 8

bad

LION

Question 9

early decels

Answer 9

okay; document

Question 10

variable decels

Answer 10

very bad; prolapsed cord; push, position

Question 11

delivery of baby

Answer 11

1. deliver head
2. suction mouth, nose
3. check nuchal cord
4. deliver shoulders and body
5. baby must have id band before leaving delivery area

Question 12

placenta ensure

Answer 12

its all there, assess vessles

Question 13

cord vessles

Answer 13

ava
2arteries
1vein

Question 14

recovery

Answer 14

do 4 things, 4x an hr, in the 4th stage

Question 15

recovery 4 things

Answer 15

1. vitals
2. fundus
3. weigh perineal pads; assess if pad is 100% sat in 15min
4. roll mom over; check for bleeds

Question 16

BUBBLEHEAD

Answer 16

Breasts
Uterus/fundus;firm & midline
Bladder
Bowel
Lochia
Episiotomy
Hemoglobin/hct
Extremities; thrombophlebitis assess calf circ
Affect
Discomforts

Question 17

lochia colors

Answer 17

1. rubia red
2. serosa pink
3. alba white/clear

Question 18

caputs succidano (c.s)

Answer 18

crosses sutures, symmetrical

Question 19

cephalohematoma

Answer 19

bruise on head

Question 20

tocolytic drugs

Answer 20

terbutaline

mg sulfate

Question 21

tocolytic drugs stop

Answer 21

preterm labor

Question 22

terbutaline increases

Answer 22

HR of mom

Question 23

mg sulfate can cause

Answer 23

decreased hr, bp, dtr, rr, and loc in mom

Question 24

mg sulfate antidote

Answer 24

calcium gluconate

Question 25

titrating mg sulfate

Answer 25

admin as long as rr >12 and +2 reflexes

Question 26

oxytotic drugs are

Answer 26

pitocin/oxytocin, methergine

Question 27

oxytotic drugs increase

Answer 27

labor

Question 28

pit can cause

Answer 28

uterine hyperstimulation

Question 29

methergine causes increased

Answer 29

BP

Question 30

fetal lung maturing drugs

Answer 30

betamethisone | surfactant

Question 31

betamethisone is given

Answer 31

to mom before birth

Question 32

betamethisone is contraindicated for

Answer 32

pts with asthma

Question 33

surfactant/cervanta is given to

Answer 33

baby via trans tracheal after birth

Question 34

only antipsychotic that can be given to pregnant women

Answer 34

haldol

Question 35

humulin 70/30 is

Answer 35

30% insulin R | 70% INR

Question 36

draw up mixed insulins clear to

Answer 36

clear to cloudy RNs reg first then n

Question 37

IM injections pick answer w

Answer 37

1s in both options

Question 38

Subq injection pick answer w

Answer 38

5 in both parts?

Question 39

heparin is administered via

Answer 39

IV or subq

Question 40

heparin works how fast

Answer 40

immediately

Question 41

heparin cannot be given

Answer 41

long term; greater than 3wks

Question 42

heparin antidote

Answer 42

protamine

Question 43

heparin lab to check

Answer 43

PTT count on ur fingers

Question 44

coumadin/warfarin is administered via

Answer 44

po

Question 45

coumadin takes how long to work

Answer 45

a week

Question 46

coumadin can be taken how long

Answer 46

for life

Question 47

coumadin/warfarin antidote

Answer 47

vit k

Question 48

coumadin/warfarin labs to check

Answer 48

PT/INR count on ur fingers

Question 49

which blood thinner can be given to pregnant moms

Answer 49

heparin

Question 50

any diuretic ending in "ex" wastes

Answer 50

K+

Question 51

baclofin is a

Answer 51

muscle relaxer | SE muscle weakness, fatigue

Question 52

piagets 1st stage

Answer 52

sensorimotor; 0-2yrs; present oriented teach as you do it verbally

Question 53

piagets 2nd stage

Answer 53

preoperational=preschooler;3-6yrs;fantasy & play

Question 54

piagets 3rd stage

Answer 54

concrete;7-11; 7/11s are made of concrete; rule oriented no abstract, can teach a day before w demonstration

Question 55

piagets 4th stage

Answer 55

formal operations; 12-15yrs; abstract and cause/effect | teach like adults

Question 56

psych pt tips; dos

Answer 56

do know your relationship do keep them talking do be empathetic

Question 57

psych pt tips; donts

Answer 57

dont accept gifts dont accept advice dont guarentee dont use slang