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Nursing Exam Study - Rasmussen > mom - baby : powerpoint study > Flashcards

mom - baby : powerpoint study Flashcards

1
Q

when is conception possible

A

2-2 days before ovulation and 1 day after ovulation

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2
Q

what do pap smears test for?

A

assess for abnormal cervical cells
recommended every 3 years in 20s and 30s and every 5 years in 30s - 60s
annually if there is a history of abnormal paps

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3
Q

what is used to test for HSV 1 and 2

A

a viral culture

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4
Q

what is used to test for gonorrhea and chlamydia

A

NAAT culture tests

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5
Q

What is used to test for HIV

A

ELISA serum tests

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6
Q

What is the benefit of folic acid?

A

prevents neural tube defects in the fetus

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7
Q

what are the presumptive signs of pregnancy

A

amenorrhea, n/v, urinary frequency, quickening uterine enlargement, pigmentation changes

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8
Q

what are the probable signs of pregnancy

A

goodells, hegars, and Chadwicks sign, ballottement, braxton hicks, positive pregnancy test

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9
Q

what are the positive signs of pregnancy

A

fetal heart sounds, outline and movement on ultrasound

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10
Q

risks for post-term fetus

A

LGA, passing meconium, risk of still birth if born over 41 weeks.

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11
Q

what is an omphalocele

A

a birth defect that causes infants intestines, liver, or other organs to be outside of the belly button

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12
Q

when do moms feel the first fetal movement

A

primigravida, 16-18 weeks, multipara 12-14 weeks

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13
Q

what is the function of amniotic fluid

A

amniotic fluid surrounds the growing fetus in the womb and protects the fetus from injury and temp changes, also allows for freedom of fetal movement and promotes musculoskeletal development
poly = too much fluid
oligo = too little fluid

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14
Q

normal weight gain in pregnancy

A

average 25 - 35 lbs, obese women will likely gain less than 15 lbs

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15
Q

effects of smoking on the growing fetus

A

SGA, risk of still birth and placental abruption increase

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16
Q

labs in early pregnancy

A

NOB tests, ABO, CBC, hep B, HIV, RPR, Gc/Cl, rubella, AFP less than 15 weeks

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17
Q

what does MSAFP test for

A

neural tub defects, trisomy 21, and trisomy 18

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18
Q

What is surfactant

A

Surfactant is released from the lung cells and spreads across the tissue that surrounds the alveoli. This substance lowers the surface tension which keeps the alveoli from collapsing after exhalation and makes breathing easy

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19
Q

how is the fetus oxygenated while in utero

A

the placental 2 areteries and 1 umbillical vein

20
Q

fetal development stages

A

embryonic 5th-10th week
fetal 11th week until birth

21
Q

what is the appropriate fundal height for 12 weeks of gestation

A

12 or just above the pubic bone

22
Q

36-38 weeks appropriate fundal height

A

fundus is usually right up under sternum 36-38

23
Q

fundal height for 40 weeks gestation

A

fundus drops below 38 week level as presenting part drops down into pelvis

24
Q

what is the normal fetal heart rate range

A

110-160

25
Q

what is a biophysical profile

A

measures fetal breathing movements, body movement, fetal tone, reactive fetal heart rate, qualitative amniotic fluid volume

26
Q

what conditions will amniocentesis detect

A

down syndrome, cystic fibrosis, and spina bifida

27
Q

intrauterine resuscitation

A

steps: O2, no Pitocin, position changes
baby needs oxygen and support if FHT does not stabilize a c-section would be called

28
Q

vegetarian and vegan diets in pregnancy need what supplementation

A

b12 and iron supplement, do not have dairy 2 hours before or 2 hours after iron

29
Q

what is the first line of management for GERD in pregnancy

A

lifestyle modification, small frequent meals

30
Q

what is hyperemesis gravidarium

A

uncontrollable n/v, goals are basically nutrition via IV and slowly returning to PO

31
Q

what maternal positions will facilitate fetal oxygenation

A

left side lying

32
Q

the first action in placenta previa

A

oxygen and FHT

33
Q

what is the purpose of RhoGAM

A

prevents sensitization in the Rh negative mom who have Rh positive baby given at 28 weeks
given 72 hrs postpartum to mom with rh positive baby
given in pregnancies that end early via abortion

34
Q

considerations for patients on magnesium sulfate

A

fall risk, seizure precautions, have calcium gluconate on hand

35
Q

what intervention would you expect to provide the patient in preterm labor

A

trying to stop, give terbutaline and if you cant steroids are given to try to mature the baby lungs (betamethasone)

36
Q

testing with preterm labor

A

fetal fibronectin to predict if ptl will result in labor

37
Q

what are tocolytic medications used for

A

used to slow down contractions, mag sulfate, indomethacin, and nifedipine

38
Q

what is gestational hypertension

A

when bp is higher than 140/90

39
Q

what are goals and interventions for a patient with preeclampsia

A

make sure their BP and bile acids stay low enough to not progress into eclamptic seizures

40
Q

what is HELLP syndrome

A

a serious complication of high blood pressure during pregnancy
hemolysis, elevated liver enzymes, low platelet count
usually develops in the 37th week of pregnancy but can occur shortly after delivery
symptoms include n/v, headache, belly pain, swelling

41
Q

what is a contraindication for an epidural

A

low platelets, HELLP syndrome, hypotension

42
Q

what is given to patient prior to an epidural

A

a fluid bolus to help with low bp

43
Q

what is not a phase of the menstrual cycle

A

retroflexion

44
Q

for COC what suppresses FSH and LH to suppress ovulation

A

estrogen

45
Q

what acronym represents a type of infection that can cross the placenta and effect the fetus

A

TORCH

46
Q

What does untreated chlamydia cause

A

ectopic pregnancy and infertility

47
Q

a baby was born to a mother with untreated chlamydia, what is the newborn at risk for?

A

conjunctivitis, blindness, pnuemonia

Nursing Exam Study - Rasmussen (11 decks)

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