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NCLEX > OB > Flashcards

OB Flashcards

1
Q

Gravida

A

Gravida- # of times a woman has been pregnant including current pregnancy

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2
Q

Term

A

number of pregnancies after 37 weeks
(twins and triplets count as one)

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3
Q

Preterm

A

number of pregnancies between 20-36 weeks
(twins and triplets count as one)

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4
Q

Abortions

A

number of loses before 20 weeks
(twins and triplets count as one)

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5
Q

Living

A

number of living children

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6
Q

What is the best treatment for morning sickness?

A

High protein snack before getting out of bed
- drink fluids before or after meals

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7
Q

Foods to avoid for heartburn

A

Chocolate, peppermint, and caffeine

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8
Q

Rubella vaccine

A

if no past rubella vaccine has been given do not give during pregnancy, wait until after birth

wait 1 month before getting pregnant after getting

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9
Q

Herpes with active lesions treatment and delivery

A

treat with acyclovir- antiviral therapy
need c section

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10
Q

ectopic pregnancy

A

egg implants outside uterus, most common in Fallopian tube

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11
Q

ectopic pregnancy risks

A
  • recurrent STIs (Chlamydia)
  • PID
    -IUD
  • Tubal damage
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12
Q

ectopic pregnancy diagnostics

A

positive HCG and empty uterus upon ultrasound

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13
Q

ectopic pregnancy s/s

A
  • red spotting
  • 1 sided lower abdominal pain
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14
Q

Ruptured ectopic pregnancy

A

causes shock and peritonitis
- early sign sudden, severe or sharp shoulder pain
low bp, hr, dizziness
- rigid abdomen, tenderness, fever

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15
Q

Preeclampsia and s/s

A

high bp causing organ damage starting around 20 weeks
s/s: - bp over 140
- bp 15 higher than last visit
- proteinuria
- abd pain and body swelling
- weight gain
- seizures (eclampsia)
- headache and blurred vision

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16
Q

HELLP and critical signs

A

Hemolysis Elevated Liver enzymes Low Platelets
Critical Signs:
-3rd trimester with right upper quadrant pain
- nausea & vomiting
headache blurred vision

17
Q

Treatment for HELLP and Preeclampsia

A

Magnesium Sulfate (Mellows the body)- Prevents seizures
Therapeutic range: 4 - 7 mEq/L
- assess hr, rr, reflexes, and UO all decrease when toxic
- beta blockers
- calcium channel blockers- nifidepine and cardiazem
- vasodilators- hydralizine

18
Q

Placenta abruption, s/s and treatment

A

placenta detaches for the uterine wall causing hemorrhage and no oxygen to baby
s/s: dark red bleeding, painful rigid abdomen, uterine tenderness
treat: IV fluid and blood for shock and emergency c section

19
Q

Placenta Previa, s/s, and treatment

A

placenta is over the cervix making vaginally delivery not possible
s/s: painless bright red bleeding, low h and h
- no sex, douching or vaginal exams
- bedrest
- give blood and count pads

20
Q

Preterm labor risk factors and treatment

A

distended uterus, short cervical length, periodontal disease, history of preterm births
cerclage- sutures in the cervix to keep it closed removed before delivery
education: bedrest, no sex

21
Q

Forceps and vacuum use

A

never apply fundal pressure when using= causes uterine rupture

22
Q

Uterine inversion

A

placenta fails to detach from the uterine wall and pulls uterus inside out
s/s: abd pain, bleeding
treatment: Relax the uterus: (Tocolytic) Terbutaline
Magnesium sulfate
2. Provider repositions the uterus
3. AFTER the uterus is repositioned Oxytocin
4. IV fluids & blood products

23
Q

PROM Complication and Treatment

A

Premature rupture of membranes before 34 weeks
give antibiotics to prevent GBS infection if rupture is over 18hrs ago
best rest
Corticosteroids to help develop the fetus’s lungs.
Antibiotics to prevent infection and prolong the pregnancy.
Tocolytics (medication to stop labor).
Magnesium sulfate to help the fetus’s brain
test fluid : ph blue or greater than 6 is amniotic fluid

24
Q

AROM Complication

A

Artificial rupture of membranes
risk for cord prolapse

25
Q

overterm baby

A

crackled dry, peeling skin

26
Q

crackles immediately after birth

A

normal

27
Q

crackles hours after birth

A

report

28
Q

sacral dimples

A

not normal spina bifida or myelomenigoele- paralysis

29
Q

no bowel sounds after birth

A

normal will increase with feeding

30
Q

Meds given after birth

A

erythromycin ointment
vitamin K and hep b in vastus lateralis

31
Q

Vital signs for newborns
hr, rr, bp, glucose

A

hr- 110- 160
rr- 30-60
glucose 40 or more
temp- 99.5
bp 77/55

32
Q

Naegele rule

A

last day of menstrual period
+ 7 days
- 3 months

33
Q

total estimated weight gain during pregnancy

A

25-31 pounds

34
Q

Week gain during first trimester

A

1 pound per month
3lbs total

35
Q

Weight gain during 2nd and third trimester

A

1lb per week

36
Q

Ideal weight gain for specific pregnancy week

A

number of weeks plus 9
if within 1-2 lbs fine
+/- 3 assess
+/- 4 trouble perform bpp

NCLEX (20 decks)

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