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NPS - patient assessment > NPS-patient assessment > Flashcards

NPS-patient assessment Flashcards

(51 cards)

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1
Q

What are the 4 critical life functions?

A

Ventilation
Oxygenation
Circulation
Perfusion

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2
Q

What is the most important life function?

A

Ventilation

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3
Q

What life function is the biggest problem in neonates and peds?

A

Oxygenation

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4
Q

What is FAS

A

Fetal Alcohol Syndrome

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5
Q

Gravida (G)

A

Any pregnancy, regardless of how long, & including current pregnancy

I am G2

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6
Q

Para (P)

A

Birth after 20 weeks gestation regardless if the infant survives or not

I am G2, P2

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7
Q

Define Primigravida

A

Refers to a woman’s first pregnancy

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8
Q

Mother’s obstetrical history is described as G2, P1

A

This is moms second pregnancy, but the first pregnancy was carries passed at 20 weeks.

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9
Q

Define Macrosomia

A

An infant that is > 400g (8 lbs.)

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10
Q

Mother’s with Pregestational Diabetes Mellitus have an increased risk of what?

A

Pre-clampsia, hypertension, hypo & hyperglycemia, and more like to require a C- section

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11
Q

Define Toxoplasmosis

A

Route of maternal infection caused by protozoa, raw meats, cat feces, soil, etc.

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12
Q

Perinatal Maternal infection happens when?

A

Happens during or after delivery?

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13
Q

What is the most common perinatal infection? And how do you tx. mom and baby?

A

Group B Steptococcus Infection
Resembles IRDS, febrile, hypotensive, septic —> suspect if so !!
If mom has an infection assume baby has this
Determine if mom was tx’d with antibiotics prior to delivery

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14
Q

If newborn is febrile, hypotensive, septic, and has respiratory distress & mom has an infection…what should you suspect?

A

Group B Streptococcal Pneumonia

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15
Q

Define PIH

A

Pregnancy Induced Hypertension (PIH)- elevated blood pressure after 20th week of gestation (did not have prior to pregnancy) (140/90)

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16
Q

Define Pre-eclampsia

A

Maternal hypertension accompanied by proteinuria (protein in urine) and edema (pitting edema)

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17
Q

Eclampsia

A

Maternal hypertension accompanied by seizures and coma

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18
Q

What happens when Pre-eclampsia is not treated ?

A

Eclampsia occurs which means mom is at high risk for seizures and/or coma.

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19
Q

How is Maternal Hypertension tx’d?

A

Treat symptoms with balanced diet, bed rest, antihypertensive agents

Magnesium Sulfate may be used to lower BP and delay preterm delivery

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20
Q

When is Magnesium Sulfate used?

A

To lower BP in moms with maternal hypertension and delay preterm delivery of baby

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21
Q

2 ways to estimate gestational age

Study These Flashcards
A
  1. Nageles Rule - DOB= first day of moms last period, subtract 3 months and add 7 days
  2. Fetal US- Diameter of fetal head or length of fetal femur
22
Q

What is BPP and what does it measure/evaluate?

Study These Flashcards
A 
Biophysical Profile (BPP)
Evaluates placental function and fetal well-being
23
Q

What are the 5 variables to BPP?

Study These Flashcards
A 
Fetal breathing movements
Fetal Movements
Fetal Tone 
Reactive fetal HR
Amniotic fluid volume
24
Q

Interpret results of BPP (Biophysical Profile)

Study These Flashcards
A

8-10 = normal

6= repeat in 24 hours

< or equal to 4= repeat test same day if < 32 wks and then deliver if BPP is <6. Induce if older than 32 weeks.

25
What procedure involves a needle being inserted through the mother's abdominal wall into the amniotic sac in order to withdraw a sample of amniotic fluid.
Amnniocentesis
26
AFI (Amniotic Fluid Index) is used to do what?
Quantify amniotic fluid volume
27
AFI between 8-18 indicates what?
normal amount of amniotic fluid
28
AFI 5-6 indicates what?
amniotic fluid is low- oligohydramnios
29
AFI 20-24 is considered what?
amniotic fluid is high
30
What does oligohydramnios mean?
Low amount of amniotic fluid
31
What does polyhydramnios mean?
High amount of amniotic fluid
32
What is IUGR and what is it most common with?
Inuterine Growth Retardation | Common in Oliohydraminos (reduced amount of amniotic fluid)
33
Potter's syndrome is common in what scenario? & what is it?
Common in Oligohydramnios and is a renal malformation
34
What is erythroblastosis?
When moms WBC's attack babies RBC
35
How is L/S ratio measured?
From amniotic fluid during amniocentesis
36
L/S ration 2:1 or higher indicates what?
Low risk of RDS and lung maturity
37
L/S ration less then 2:1 indicates what?
High risk of RDS
38
Explain S/A Ratio
Surfactant/Albumin Ratio - Newer and helpful in diabetic moms - Less expensive and more accurate - Levels > 55 mg/g indicate lung maturity ( high levels =good)
39
S/A ratio of 55 is ???
Good! indicates lung maturity.
40
What does the Coombs test evaluate?
Evaluates Blood type incompatibility
41
What medications are utilized to induce labor?
Oxytocin (Pitocin or Syntocinon)
42
Why are Tocolytic Agents used? What is one commonly used Tocolytic Agent?
They are used to inhibit uterine contractions by relaxing smooth muscle in the uterine wall Magensium Sulfate - Terbutaline
43
Fetal HR less than 110 indicates?
Bradycardia/ fetal distress
44
Fetal HR greater than 160 indicates what?
Tachycardia
45
What is normal fetal HR?
110-160/min.
46
Explain late decelerations (Type II)
They start after the contraction begins & cont after it ends and/or may show no change in HR with contractions. This may result in neonatal distress, infections, asphyxia Maternal 02 is administered Considered a high risk delivery
47
Explain variable deceleration's (Type III)
Random Indicates umbillical cord compression/ occlusion of fetal acidemia. Considered a high risk delivery
48
Normal fetal scalp pH (while in utero)
>7.25
49
FSp02 & what is normal?
Fetal Oxygen Saturation 40-70% = stable <20% = hypoxemia and need for immediate delivery
50
When are Maternal Steriod Administration given?
Corticosteriods are given to the mother intravenously before birth to stimulate surfactant production (enhance lung maturity) Must be administered at least 24 hours prior to delivery
51
Explain Placental Previa
Abnormally low implantation of the placenta in uterus Dx w/ ultrasound and possible bleeding of mom Tx w/ bedrest, monitoring, fetal HR monitoring, and possible c-section

NPS - patient assessment (9 decks)

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