Maternity Flashcards Preview

NCLEX > Maternity > Flashcards

Flashcards in Maternity Deck (35):
1

Presumptive signs

ammenorhea, breast tenderness, frequency, novo

2

Probable signs

Goodall sign, Chadwicks sign, Hegar sign, uterine enlargement, braxton hicks, pigmentation of skin: lines nigra, facial chloasma, abdo striae

3

Definite signs

doppler (10-12 weeks), fetoscope (7-20 weeks), ultrasound

4

Goodall sign

softening of cervix, 2nd month

5

Chadwicks sign

bluish colour of vag mucosa and cervix, week 4

6

Hegar sign

softening of lower uterine segment: 2-3rd month

7

Nageles rule

+ 7 days -3 months + 1 year

8

Ado should increase calorie intake by how much

500 cal

9

danger signs

headache, no, sever abode pain, sudden gush of vaginal fluid, temp spike, edema, persistent vo

10

When see Dr

0-26: once a month
26-36: twice a month
36 and up:every week

11

fetal mouv which week

16-20

12

lightening

head in pelvis

13

enagagement

largest part of fetus in pelvic inlet

14

signs of labor

lightening, engagement, bloody show, diarrhea, sudden burst of energy, breathe easier, urinary frequency, softening cervix

15

non stress test

2 or more access with fetal move where the bp is 15 ppm more for 15 sec, goes back to baseline within 2 mins and is recorded in 20 min

16

negative stress test

no late decels, 3 or more contractions lasting 40-60 secs in 10 minute time frame

17

positive stress test

late decals more than half the time

18

major cx of epidural

hypota

19

after epidural, place

semi-fowler on side to prevent mean cava compression (dim venous return, CO, BP, placental perfusion)

20

oxytocin alert for

uterine rupture, fetal distress, hypertonic labor contractions

21

sx incomplete uterine rupture

faint, vo, internal bleeding, lose fetal heart tones, late decal, retard progress

22

discontinue oxytocin if contractions last

more than 90s

23

abdo post partum

diastisis recti

24

uterus few hours after birth

1 finger above umbilici

25

fondus boggy

massage until firm, check for bladder distension

26

lochia

rubia:3-4
serosa:4-10
alma:10-28

27

breast care

extra 500 cal, 8-10 8 ounce glasses of fluid per day

28

causes of late hemm

uterine atrophie, forceps, lacerations

29

patio jaundice

first 24h ABO/RH incompatibility

30

erythroblastosis fetalis

neuro damage, anemia, hyperbole, hydrous fettles, CHF

31

Miscarriage trx, what imp

bed rest, abstinence from sex, measure hug levels

32

abrupito placenta

sx: board like abdomen, pain, internal bleeding, difficult to palpate fetus
causes: MVA, domestic violence, premature membrane rupture associated with cocaine

33

Preeclampsia mild sx

headache, blurred vision, oedema face and hands, clonus, hyperreflexia

34

when giving Mg sulfate

check mg toxicity every 1-2h: BP, LOC, RR, UO, DTR

35

preeclampsia happens after

20th week