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Nursing Practice 2 > Maternal and Child Health Nursing. (Normal) > Flashcards

Maternal and Child Health Nursing. (Normal) Flashcards

OB Normals (103 cards)

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1
Q

Creation of organs

A

Organogenesis

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2
Q

Safe Drugs for Pregnancy

A

Category A (Paracetamol, Saline nasal spray)

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3
Q

Ectoderm

A

Brain

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4
Q

Mesoderm

A

Heart

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5
Q

Endoderm

A

Brain

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6
Q

opposing feelings in the 1st semester of pregnancy

A

Ambivalcence

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7
Q

easiest part of pregnancy where mother has adopted with increase LIBIDo

A

2nd sem

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8
Q

Feeling of unattractiveness, low self esteem

A

3rd sem give support system

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9
Q

Presumptive signs (Subjective cues)

BAUN sa QC

A

Breast Changes
Amenorrhea
Urinary Changes
Nausea and Vomiting

Quickening
Chloasma/Melasma

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10
Q

felt by the mother at the 5th month of pregnancy

A

Quickening (presumptive)

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11
Q

Mask pregnancy, discoloration of face and NECk

A

Chloasma and Melasma

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12
Q

Probable signs (Obj)

HCG BB

A

Hegars Sign - Thinning uterus
Chadwicks sign - Bluish Vagina
Goodells sign - Softening uterus

Braxton Hicks - False labor
Ballotement - Bouncing

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13
Q

How hard? goodells sign

A

Non preg - nose
Pregnant - Earlobe
Labor - Soft as butter

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14
Q

False labor relived by ambulation
Contractions are painless and irregular

A

Braxton HIcks Contraction

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15
Q

Positive signs (Confirmation)
UFM

A

UTZ
FHT
Movement felt by examiner

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16
Q

Transvaginal utz intervention?

A

Done at early pregnancy
Empty bladder

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17
Q

Abdominal UTZ intervention?

A

Late pregnancy
Drink 3-4 glass of water
Abdomen must be distended

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18
Q

Gland in the breast that lubricated during breastfeeding that prevents nipple drynessq

A

Montgomery’s tubercle

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19
Q

Blackish line midline of the abdomen

A

Linea nigra

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20
Q

Whitish line after pregnancy

A

Linea alba

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21
Q

High cardiac output causes diluted blood what type of anemia?

A

Physiologic Anemia

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22
Q

Cardiovascular Changes in Pregnancy

A

High CO
Temporary palpitations
Edema
Varicose Veins

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23
Q

peri orbital edema (anasarca) are generalized edema that can be caused by?

A

PIH

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24
Q

Bipedal edema in late stages of pregnancy are normal or not>

A

Normal

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25
Dorsiflexion of the foot causes pain in the calf Called? Intervention? Complication?`
Homan's Sign Don't Massage; ELEVATE ELEVATE DVT
26
Virchow's triad (3Vs) Interventions
DVT Venous Stasis Venous Wall damage Vlood Coagulation Intervention: Anti-embolic stocking and elevate
27
Gastrointestinal changes in Pregnancy: MHCHH
Morning Sickness Hyperemesis Gravidarum Constipation and Flatulence Hemorrhoids Heartburn
28
Hypoglycemia in the morning Interventions
Morning Sickness Offer simple CHO: Crackers, Dry toast
29
Caused by high HCG Interventions
Hyperemesis Gravidarum Diet: SFF
30
Inhibition of peristalsis due to gravid uterus
Constipation and Flatulence Inc fiber, OFI
31
Pressure int he perianal area can cause? Interventions
Hemorrhoids Internal: Painless, Asymp External: Painful
32
Interventions for External Hemorrhoids
Sitz bath with Astringent (Witch hazel)
33
Respiratory Changes in P Interventions
Shortness of Breath Left side lying position in the morning for 1 hour Dec urinary threshold
34
Pride of pregnancy, musculoskeletal change Interventions
Lordosis - Wear low heeled shoes to have a grip Leg cramps
35
high bmr cause high glucose production main root is?
High temp
36
Skin changes MLS
Melasma Linea nigra Striae gravidarum
37
stretch mark and its Interventions
Striae gravidarum - cocoa butter inc collagen
38
Vaginal secretion that prevents infection
Leukorrhea
39
infection that causes preterm labor
UTI
40
Weight Changes in pregnancy And recommendation of WHO
1st: 1.5-3lbs 2nd: 10-11 lbs 3rd: 10-11 lbs WHO: 25-35 lbs normal weight gain throughout entire pregnancy
41
Psychological tasks of the mother per semester
1st: Ambivalence 2nd: Fantasize 3rd: Responsibilities
42
Where fertilization and implantation happpens?
Ferti: Ampulla Impla: Uterus at Upper uterine segment
43
Ovum is to
Ovulation
44
Zygote is to
fertilization to implantation
45
Embryo is to
Implantation up to 8 weeks
46
Fetus
8 weeks to full term
47
Chorion membrane
Outer
48
Amnion
inner where amniotic fluid is
49
Amniotic fluid Normal Oligo and its complication Poly
Normal: 500-1000ml Oligohydramnios: Less than 500 - Renal problems Polyhydramnios - more than 1L (tracheoesophageal fistula) not fully develop
50
Purpose of amniotic fluid
Protection Temperature regualtion Supports growht Fetal movement
51
Umbilical cord normal?
2 arteries 1 vein
52
Umbilical cord abnormal?
2 veins 1 artery - Congenital heart defect
53
Protective covering of umbilical
Wharton's jelly
54
conception up to onset of labor is called?
Antepartum stage
55
Auscultation per month
3 mos: Doppler 4 mos: Fetoscope 5 mos: Stethoscope
56
Electronic fetal heart monitoring: Non stress test
rule of 15x15 15 beats inc by 15 sec duration in the fetal strip Good result: Reactive If bad (non-reactive): Proceed to stress test
57
Also called oxytocin challenge test
Stress test Invasive (needs consent) Nipple stimulation/Oxytocin Results: Good (negative) Bad (positive) - Notify!
58
Decelerations of Stress test
Early - Head compression Late - Uteroplacental insuff Variable - Cord compression
59
evaluates fetal maturity Determine certain defects by AFP
Alpha feto protein by AMNIOCENTESIS
60
Low AFP indicates?
Down syndrome
61
High AFP indicates?
Neural tube defects
62
direct visualization of fetus
fetoscope
63
4 maneuvers of Leopold FUPP
Fundal grip Umbilical grip Pawliks grip Pelvic grip
64
Determines position of the fetus
Cephalic, Breach, Rotling, Acromion 1st: Fundal grip
65
determines fetal lie position
Pelvic grip (4th)
66
Diagnostic procedures in pregnancy
UTZ Leopolds Maneuver Clean catch urine Pap smear
67
Class 1 pap smear
Normal
68
Class 2 PS
Inflammation no IE!
69
Class 3
Mild-moderate dysplasia No sex
70
Class 4
Probably malignant (difficu;t to recover)
71
Class 5
Possibly malignant (small chance of recovery)
72
Discomforts of Pregnancy
N/V Breast tenderness Ptyalism Ankle Edema Backache Constipation Heartburn Hemorrhoids SOB
73
Health teachings in nutrition
Calories Pregnant: +300 Breastfeeding: +500 calories
74
Smoking causes?
Low birth weight
75
Drinking alcohol causes?
Fetal withdrawal syndrome (wasted infant)
76
Sexual activity: rule of 6
6 weeks before delivery (x) 6 weeks after (/) 6 weeks normal involution
77
Travel in pregnancy
get 15-30 mins rest every 2-3 hrs
78
4Ps of components of Labor
Passenger Passsageway Power PSyche
79
Pelvis, Cervic, Vagina Prone in>
Passageway Cephalopelvic disproportion
80
Stronger uterine contraction
Primary
81
Secondary contraction intstruction
Bear down
82
Stages of Labor and Delivery (4) DFPR
Dilatation and effacement Fetal expulsion Placental stage Recovery and Post aprtum
83
Phases of Stage 1 LAT
Latent Active Transition
84
4-7 cm mother loses self control
Active phase
85
Latent phase
0-3 cm mother able to communicate DO HEALTH TEACHING HERE
86
8-10 cm fully dilated effaced
Transition TRANSFER MOTHER TO LABOR ROOM to DELIVERY
87
Expulsion Stage (Mechanisms of Labor) EDFIRE ERE
Engagement Descent Flexion Internal rotation Extrusion (crowning) External Rotation Expulsion
88
Lack of external rotation causes?
Shoulder dystocia
89
Signs of Placental Separation LSC
Lengthening of the cord Sudden gush of Blood Culkin's sign
90
Uterus becomes firm and globular
Culkin's sign
91
If soft and boggy uterus if massaging is ineffective give?
Oxytocin
92
If uterus is dislodged to the right?
Encourage to urinate or catheter
93
If oxytocin is given and still boggy,
Reclean the uterus and check for placental fragments
94
Uterus well contracted but with bleeding
Check perineum for perinieal lacerations
95
Types of Placents
Schultz: Shiny Duncan; Dirty
96
Higher risk of retained placental fragment?
Duncan CHECK FOR COTYLEDONS MUST BE 20-30
97
Recovery and Bonding Stage 4
1-4 hrs after delivery Most critical stage Caused by shock
98
reddish discharge
Rubra 0-3 days
99
Pinkish to brownish discahrge
4-9 days Serosa
100
Lochia Alba
Whitish 10 days max of 6 weeks
101
blood loss during delievry
NSD: 500ml CS: 800-1000 ml
102
Episiotomy care (4)
Ice pack (first 24 hrs) Sitz bath (After 24 hrs) Use cotton underwear Inc fiber and OFi
103
what position opens vena cava and increases circulation
Left sife lying position

Nursing Practice 2 (5 decks)

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