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OB > OB Ch 16 &17 > Flashcards

OB Ch 16 &17 Flashcards

1
Q

What is Type 1 Diabetes

A

hereditary

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2
Q

what is type 2 diabetes

A

glucose intolerance

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3
Q

what is gestational diabetes

A

caused by pregnancy - glucose intolerance

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4
Q

if a pregnant woman is found to have gestational diabetes, what should she do daily

A

multivitamins/ monitor glucose

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5
Q

what is the best way to reduce poor outcomes of diabetes

A

folic acid

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6
Q

what is the best way to control blood sugar

A

insulin, diet, exercise

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7
Q

what device delivers insulin frequently and accurately controls blood sugar

A

insulin pump

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8
Q

what is normal blood sugar level for a fasting glucose test

A

less than 90

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9
Q

what is normal bloo sugar for a non fasting glucose test

A

less than 120

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10
Q

what is the desired HbA1C level

A

less than 8.5

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11
Q

how does pregnancy affect insulin administration

A

body doesn’t produce

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12
Q

what should a person do after taking a short acting insulin injection

A

eat

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13
Q

what would necessitate a cesarean birth if the mom has genital herpes

A

active lesions 3rd trimester

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14
Q

if a baby has HIV antibodies at birth does that mean that the infant is HIV positive

A

NO

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15
Q

what puts a pregnant woman at risk for toxoplasmosis

A

cat feces, raw meat

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16
Q

how would the nurse establish a baseline in a mom with a cardiovascular condition

A

VS all the time

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17
Q

why are cardiovascular problems considered high risk in pregnancy

A

cause CHF, death in labor

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18
Q

what are symptoms of right sided heart failure

A

JVD, ascites, peripheral edema

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19
Q

what are symptoms of left sided heart failure

A

pink frothy sputum, crackles, pulmonary edema

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20
Q

what helsp iron absorption

A

vitamin C

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21
Q

what are some expected side effects of iron

A

constipation, black stools

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22
Q

what are some tips to avoid constipation

A

water, fiber, stool softeners

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23
Q

what symptoms indicate that asthma is not well controlled

A

preeclampsia, hemorrhage, preterm labor, respiratory failure

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24
Q

what is a common complication to an infant of a teen mom

A

low birth weight, anemia(low iron), higher infant mortality

25
Q

what is very important socially for a teen mom to increase a successful pregnancy and outcome

A

support

26
Q

what are symptoms of IPV

A

Anxiety, depression, unable to trust

placenta rips from uterus

27
Q

what are symptoms of preeclampsia

A

1+ protein in urine, edema, BP 140/90 or higher

28
Q

what are symptoms of eclampsia

A

seizures, coma, death

29
Q

what medication is commonly given for preeclamspia to relax smooth muscle

A

magnesium sulfate

30
Q

what is the antidote for magnesium sulfate

A

calcium gluconate

31
Q

what is the desired blood level of magnesium sulfate

A

4-8

32
Q

what symptoms would the nurse expect to see if MgSO4 is too high

A

respiratory depression, no reflexes

33
Q

what are symptoms of spontaneous abortion

A

cramping, spotting, frank bleeding, clots

34
Q

what is the most common fetal cause of spontaneous abortion

A

chromosomal abnormalities, incompatible with life

35
Q

what action does Misoprostol have

A

induce uterine contractions

36
Q

what can the nurse do to help with the grieving process

A

offer to view fetus, acknowledge loss, be there for parents

37
Q

what are symptoms of ectopic pregnancy

A

pelvic pain, vaginal spotting, shoulder pain

38
Q

what are risk factors for having an ectopic pregnancy

A

surgery, infection

39
Q

what is the treatment of a ruptured ectopic pregnancy

A

emergency surgery

40
Q

why is this considered an emergency

A

could bleed out

41
Q

what medication can be given if an ectopic pregnancy has not rupture and the goal is preserving the Fallopian tube

A

Methotrexate

42
Q

what is placenta previa

A

placenta is implanted close to or over cervix

43
Q

what should be avoided if a woman is suspected of having placenta previa

A

digital exam

44
Q

what is a priority with placenta previa

A

getting the baby out alive

45
Q

what is placental abruption

A

placenta prematurely ripped away from uterus

46
Q

what are symptoms of placental abruption

A

sudden constant pain, dark red vaginal bleeding, rigid abdomen, fetal distress

47
Q

what are main concerns with placental abruption

A

bleeding out and baby dying

48
Q

what is Rh incompatibility

A

if mom is - and baby is + blood won’t mix well and mom will fight off baby

49
Q

what is given to combat this and when is it given

A

rhogam shot - after every birth

50
Q

what is isoimmunization

A

produces antibodies to fight Rho(D)

51
Q

how many children can Rh- mothers have

A

as many as she wants with rhogam shot

52
Q

what is hydatiform mole

A

placenta develops into mass of cysts

53
Q

what are symptoms of hydatiform mole

A

vaginal bleeding - bright red, increased HcG

54
Q

why is it important to follow up with the practitioner after removing mole

A

monitor HcG watch for S&S of cancer

55
Q

how long should a woman wait to become pregnant again after having mole

A

6-12 months

56
Q

what is the treatment for incompetent cervix and what is the expected outcome

A

cerclage - ties uterus so baby can’t come out - untie when ready to birth

57
Q

what is twin to twin transfusion syndrome and when would you see this

A

1 baby is huge and 1 baby is tiny - only 1 placenta

58
Q

what is the most common complication with multiple pregnancy

A

preterm birth

OB (9 decks)

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