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NUR 103A > Maternity 1 - Anterpartum Care > Flashcards

Maternity 1 - Anterpartum Care Flashcards

(51 cards)

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1
Q

Functions of the Placenta

A

Transport
Metabolic
Endocrine - hormones

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2
Q

When do we administer Rhogam IM

A

Mom is RH-
at 28 weeks

Trauma - MVA

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3
Q

If baby is Rh+
Mom is RH-

When do we give Rhogam to baby?

A

after 72 hours of deliver

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4
Q

Umbilical cord contains…

A

AVA

2 arteries
1 vein

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5
Q

Fetal circulation

what do arteries carry?

A

deoxygenated blood back to placenta

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6
Q

Fetal circulation

what does the vein carry?

A

oxygenated blood to baby

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7
Q

What substance surrounds the umbilical cord?

A

Wharton’s jelly

protects umbilical cord

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8
Q

What are the great adaptations in fetal circulation?

A
  1. Ductus Venosus - bypasses the liver
  2. Foramen Ovale - hole in atrium that diverts from lungs by passing through hole in right atrium to left atrium
  3. Ductus Arteriosus - in between aorta and pulmonary artery diverting blood from the lungs
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9
Q

Amniotic Fluid vital for fetal growth and development.

Provides:

A
  1. Barrier from infection
  2. Maintains temperature
  3. Provides cushion around baby
  4. Allows baby freedom of movement
  5. Cushions cord
  6. Prevents banding - getting stuck to he membrane
  7. lung development

entire volume replaces very 3 hours - mom hydrate!!

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10
Q

What are two abnormalities of amniotic FLuid?

A

Oligohydramnios - too liitle fluid <500 ml
r/t poor placental function

Polyhydramnios - too much fluid 1500-2000 ml

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11
Q

what are teratogens

A

drugs, radiation, infectious agents that can cause harm to fetus

worst in first 8 weeks

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12
Q

What are TORCH infections?

A

T - Toxoplasmosis -
undercooked meat,
pets, cats
O - other infections
varicella, HEP B
syphilis, HPV, HIV
R - Rubella
C - cytomegalovirus
H - herpes simplex virus
highest risk when mom has primary lesion

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13
Q

What to take to prevent neural tube defects?

A

Folic Acid

best 1 month before pregnancy

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14
Q

Quickening??

A

Fluttering in tummy. fetal movements - 20 weeks+

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15
Q

20 weeks baby has 3 things…

A
  1. Lanugo - hair - fuzzy
  2. Vernix caseosa - cream cheese
  3. brown fat - heat production
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16
Q

When can you get a fetal anatomy screen (ultrasound)?

A

14-20+ weeks
sex
developing properly

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17
Q

WHen is surfactant produced?

A

24 weeks

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18
Q

Baby viable?

A

24 weeks - surfactant

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19
Q

What can you give to help lungs with surfactant?

A

Betamethasolone

steroid

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20
Q

When is Late Preterm?

A

34-36 weeks

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21
Q

Term?

22
Q

At 40 weeks - what is avg weight?

Study These Flashcards
A

3000-3600 grams
6lb 10 oz - 7 lb 15 oz

23
Q

Estrogen

Study These Flashcards
A

uterine and breast development

Uterine growth and contractility

24
Q

Progesterone

Study These Flashcards
A

pro-pregancy

relaxation muscles
vasodilation

baby can get more nutrients

25
Uterus after 20 weeks - at the umbilicus measure and get close to gestation age - match
way to measure roughly age and fundus height - match
26
What is helpful for breasts during changes during pregnancy?
supportive bra ice, chilled cabbage leaves
27
Melasma -
mask of pregnancy pigmentation on face
28
Stria Gravidarum
stretch marks
29
Linea Nigra
line that divides abdomen horizontally pubic bone up above abdomen
30
Recommended weight gain during pregnancy
25-35 lb underweight = up to 40 overweight = 15 lb
31
Emotional and psychological changes: Rubin's Tasks --
1. acceptance pf pregnancy 2. acceptance of the infant by others 3. reordering relationships (partner to baby focus) 4. ensuring safe passage through pregnancy, labor and birth
32
First Trimester for Dad =
Announcement phase Couvade syndrome gain weight, n/v etc
33
Second trimester for Dad =
Moratorium phase - binding in attachment behaviors they want in themselves as dad
34
Third trimester for Dad =
Focusing Phase Anxiety about birth/labor
35
Goal of Prenatal Care
improve outcomes 1. recognize deviation from normal 2. EB/culture care 3. empower parents to be actively involved - classes etc.
36
Prenatal first visit for developing a risk profile and baseline to direct patient/family centered care includes 6 things:
1. health history 2. Edinburgh - psychological assessment 3. Obstetric hx EDD GTPAL Pregnancy confirmation 4. Screening IVP 5. Discussion about screenings and tests 6. Focused physical assessment
37
Pregnant?? Presumptive - subjective
subjective amenorrhea N/V Fatigue Urinary frequency Breast changes Quickening
38
Pregnant?? Probable Objective
Goodells and chadwicks sign enlargement of abdomen positive pregnancy test
39
Pregnant?? Diagnostic YES you are!
Attribute to fetus Fetal heartbeat 10-12 weeks Fetal movement Ultrasound of the fetus
40
IVP RADAR - stands for
Routinely screen all Ask directly w/o partner Document Findings Assess patient safety Review options & referral
41
GTPAL
G -# pregnancies T -Term (37+) P- Preterm (20-36) A - Abortion (<20) L - Living kids
42
Naegles Rule Due Date
LMP - beginning of last (LMP + 7 days) - 3 months ultrasound most accurate in 1st trimester
43
Primigravida
first pregnancy
44
Multgravida
2+ pregnancies
45
parity
Pregnancies carried over 20 weeks regardless of outcome
46
GP classification
Gravida #Pregnancies including current Para #deliveries (20+ weeks)
47
Schedule of prenatal visits
every : 4 weeks (28 weeks) 2 weeks until 36 weeks 1 week 36 weeks - birth
48
Leopold's maneuver
Fundal Height palpate abdomen to determine fetal position, station, and size part located in the fundus location of fetal back presenting part location of cephalic prominence
49
Normal amount to feel baby in 2 hours
10+ movements in 2 hours less is call to DR Lie down and make sure you have eaten and drank enough first
50
Factors that affect fetal movement?
1. baby's sleep-wake cycle 2. Sound 3. Smoking & drugs 4. MOM hypoglycemia weight - heavy harder to feel psychological factors - denial
51
When to seek care? Labor precautions?
1. Preterm labor -ctx, back ache 2. loss fo fluid 3. fever 100.4 + 4. Persistent headache (preeclampsia) 5. Visual disturbances (preeclampsia) 6. CONT N/V - dehydration 7. feels something is not right

NUR 103A (8 decks)

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