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Maternity HESI Flashcards

(45 cards)

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1
Q

What should the breasts be like on the first day post-partum?

A

breasts should be filling and secreting colostrum

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2
Q

Acrocyanosis - after birth

A

normal & expected after birth, This is blue mouth, hands & feet and occurse from peripheral vasomotor instability. Continue monitoring newborn for changes in skin color, respirations & heart rate throughout the newborn phase.

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3
Q

What is the nurses role in the transition phase of labor?

A

assist in maintaining control

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4
Q

What is Phytonadione given for?

A

To prevent hemorrhage shock

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5
Q

What does good hydration urine look like

A

Straw colored urine

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6
Q

What is something important in terms of nutrition that a breastfeeding mother should know?

A

Continue prenatal vitamins if breastfeeding

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7
Q

Why dose a pregnant mother undergo numeroud ultasounds?

A

monitors fetal growth

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8
Q

TORCH

A

Tests for toxoplasmosis

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9
Q

What can anmio tell you?

A

lung maturity

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10
Q

What should a nurse do if her client starts delivering the baby while in bathroom?

A

call for help

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11
Q

What is something to consider about pregnent mothers who are not from USA or new to country?

A

lack of support

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12
Q

Painless blood in the 3r trimester may indicate what?

A

Placent previa

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13
Q

What should the nurse do if the (mother or baby?) if experiencing respiratory distress?

A

administer betamethasone

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14
Q

How is a child delivered if they have active herpes?

A

C-section

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15
Q

Why are iron supplements given at night time to a mother?

A

To avoid n/v

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16
Q

What should a nurse teach a mother who is vegetarian and breastfeeding?

A

Keep taking prenatals, esp. B12

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17
Q

How can a nurse promote mother bonding?

A

Encourage to room in

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18
Q

Patient receiving magnesium sulfate post-partum - risk

A

risk for injury related to uterine atony due to mag sulfate being CNS depressant & muscle relaxer.

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19
Q

Infant hypothermic: management

Study These Flashcards
A

gradual warm in radiant heat source

20
Q

When is post-partum early discharge considered

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A

when a client’s hospital stay is long enough to identify common postpartum complications and to ensure that the mother is ready to care for the infant.

21
Q

Uterine atony: what are the greatest risk for post-partum hemorrhage?

Study These Flashcards
A

multiparous and large for gestational age (LGA)

22
Q

rH isoimmunization: a positive fetal hemoglobin indicates what?

Study These Flashcards
A

the presence of fetal hemoglobin in the mother’s blood related to maternal abdominal trauma which causes leakage of fetal cells into the maternal circulation and is a warning sign of a possible placental tear or abruption.

23
Q

Uterine atony: What is the greatest risk for postpartum hemorrhage?

Study These Flashcards
A

Multiparous and large for gestational age (LGA)

24
Q

What should the nurse assess if a mother has a ruptured membrane?

Study These Flashcards
A

Clients can be at risk for infection if ruptured too long or an unknown amount of time. Take temperature to establish baseline then continue to monitor. Keeping a pad count is indicated if amniotic fluid is initially scant or copious.

25
What does an elevated alpha-fetoprotein level indicate?
indicates the need for follow up evaluation with a sonogram to provide visual evidence of fetal age and presence of neural tube defects.
26
Boggy uterus or boggy fundal assessment finding
indicates the uterus is not contracting adequately, which means that the uterine sinuses are not closed, resulting in intrauterine blood clots. Once the fundus has been supported/anchored to prevent uterine inversion, retained clots should be expressed through fundal massage to prevent hemorrhage. Boggy=massage
27
When would a nurse administer Betamethasone?
Respiratory distress syndrome is common in preterm infants who have immature lungs. The incidence and severity of RDS has been found to be reduced if glucocorticoids (Betamethasone) are administered 24-48 hours before birth to a woman who is less than 34 weeks gestation.
28
What can a positive group beta strep (GBS) result cause? How should nurse go about this diagnosis
significant morbidity and mortality to a newborn. Treat mom with antibiotics such as ampicillin or Pen G during labor to help prevent transmission to the newborn.
29
Why are insulin requirements for an insulin dependent breastfeeding mother lower than prior to pregnancy or during pregnancy?
Because lactation uses maternal glucose so insulin requirements for an insulin dependent breastfeeding mother are lower
30
When does a placenta start to decompensate?
after 40 weeks gestation
31
How should a nurse care for a post-term infant?
monitor blood sugars - hypoglycemia is common due to them compensating in utero for placenta decompensating not delivering adequate amount of nutrition.
32
What is common in a magnesium sulfate toxicity, and what should the nurse expect to do next if this occurs?
Absent patellar reflexes - The nurse should understand that the antidote calcium gluconate will be required to reverse the effects of magnesium sulfate.
33
What happens during the transition labor phase? How can a nurse help a client in this phase?
Difficult and exhausting, patient can lose control and give up. Assisting her to maintain control the the primary concern at this time.
34
What are signs and symptoms of placenta previa?
painless bright red bleeding, can occur in 3rd trimester.
35
OB client prioritization (specific question)
The multipara with contractions every 2-3 minutes is first to be seen to determine is delivery is impending
36
What is IUGR?
Intrauterine growth restriction- Gestational weeks 18-32 the height of the fundus in centimeters is approximately the same as the numbers of weeks of gestation. If the measurement is smaller or larger- Ultrasounds are done to evaluate fetal growth.
37
False labor - how to confirm or deny?
If a client is not in labor the braxton hicks contractions will decrease with walking and if she is in labor the contraction will continue to increase regardless of the ambulation
38
What should the nurse include in the post-partum assessment?
assess vagina for hematoma Hematoma s/s include pain, swelling and discoloration. If constant vaginal pressure assess for hematoma.
39
What would warrant immediate intervention by the nurse in the second trimester?
No fetal movement, fetal heart rate of less than 100 BPM
40
Late deceleration definition
a decreased fetal HR after the peak of a contraction is an ominous sign and indicates fetal distress and requires immediate attention
41
What does eclampsia put someone at risk of? what should the nurse do to ensure safety?
seizures = have airway at bedside, seizure precautions
42
What is erythromycin 5%? Why is it administered? how is it administered?
Newborn eye medication to prevent blindness from STD/I's such as Chlamydia and Gonorrhea. Place the drops ribbon from inner eye to outer eye conjunctiva.
43
What should the nurse do if a client in labor wants to bear down?
Complete a vaginal exam to assess dilation. This will protect the child. I am assuming that this would not be recommended if the client was dilated significantly.
44
What should should happen is an infant scores a 3 on APGAR at 1 minute?
resuscitative efforts should have been started already i.e. as soon as delivered, measures must continue until the infant improves.
45
What phase is a mother in if she is dilated 3-4 cm. Would an epidural be indicated here? Why or why not?
Dilation 3-4 cm = Latent phase. Epidural would slow the process

Maternity (1 decks)

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