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OB > OB ch 18 &19 > Flashcards

OB ch 18 &19 Flashcards

1
Q

what are nursing measure specific to care for a stillborn infant

A

emotional support, let parents see/hold baby if want, take foot prints

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2
Q

what hormone is commonly used to increase uterine contractions

A

oxytocin

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3
Q

what is cephalopelvic disproportion

A

head is too big - pelvis is too small (failure to progress)

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4
Q

what intervention is most commonly used with cephalopelvic disproportion

A

c-section

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5
Q

what is a post-term pregnancy

A

after 42 weeks

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6
Q

what are main complications of a post-term pregnancy

A

too big to fit

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7
Q

the condition of an unusually large infant is called

A

macrosomia

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8
Q

how is the amount of amniotic fluid measured in a post term mother

A

ultrasound - 25 mmHg

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9
Q

what defines preterm labor

A

before 38 weeks

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10
Q

what is the goal treatment of a woman with preterm contractions and bleeding

A

keep baby in without infection

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11
Q

what is the class of meds given to stop uterine contractions

A

tocolytic

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12
Q

what are some specific assessments when a woman is receiving magnesium sulfate

A

reflexes, respiration, urine output

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13
Q

what are some treatment options for a breech presentation

A

external version - turn body from outside - vaginal delivery

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14
Q

what is the name of a specific instrument designed to assist in the delivery of a breech baby

A

piper forceps

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15
Q

what are some treatment options for a transverse presentation

A

external version - c-section

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16
Q

what is the main concern for PROM

A

infection

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17
Q

what is pelvic rest

A

nothing is put in vagina because of risk for infection

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18
Q

What is inadequate uterine contractions called

A

hypotonic

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19
Q

what is an abnormally fast birth called

A

precipitous labor

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20
Q

what is back labor caused by

A

occiput posterior position

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21
Q

what are treatments for back labor

A

counter pressure, hand/knees potition

22
Q

what is shoulder dystocia

A

shoulder gets stuck

23
Q

what are common treatments for shoulder dystocia

A

mcroberts maneuver

suprapubic pressure

24
Q

what is meconium staining

A

baby poops in utero because of distress

25
Q

why is meconium staining a problem

A

aspiration of meconium

26
Q

what is an amniotic fluid embolism

A

amniotic fluid enters maternal blood stream

27
Q

what are symptoms of an amniotic fluid embolism

A

acute respiratory distress, cyanosis, hypotension

28
Q

what treatments are used for amniotic fluid embolism

A

treat like a code - intubate - O2

29
Q

what is a DVT

A

deep vein thrombosis

clots in deep veins of legs

30
Q

what is the treatment for DVT

A

anticoagulants, heat , bed rest, analgesics

31
Q

what are symptoms of uterine rupture

A

abdominal pain, back pain, shoulder pain increased HR, decreased BP

32
Q

when is a cord prolapse most likely to occur

A

premature rupture of membranes

33
Q

what are symptoms of cord prolapse

A

decreased FHR

34
Q

what are symptoms of PP depression

A

sadness, irritability, fatigue, lack of interest, sleeping problems

35
Q

what are symptoms of pot-partum psychosis

A

delusions, hallucinations, hyperactivity, poor judgement

36
Q

what are symptoms of non-attachment

A

calls baby “it”, no eye contact, ignores crying, doesn’t want to hold baby

37
Q

what is nursing care for a woman putting her baby up for adoption

A

support, personal care, comfort, non-judgemental

38
Q

what is a major problem with PP uterine atony

A

bleeding

39
Q

what are treatments for uterine atony

A

fundal massage - oxytocin

40
Q

what are characteristics of a normal PP uterus

A

above belly button, firm, grapefruit size

41
Q

what can cause the uterus to deviate to the right or left side

A

bladder is full

42
Q

what are common causes for lacerations of the genital tract

A

big baby, operative vaginal delivery, precipitous delivery

43
Q

what are symptoms of hypovolemic shock

A

rapid pulse, decreased BP, cool, clammy, decreased LOC

44
Q

what are the parameters of blood loss that would indicate a dx of PP hemorrhage

A

blood loss greater than 1,000 mL

45
Q

what is the most common cause of late PP hemorrhage

A

uterine subinvolution - uterus returns to pre-pregnant state a lot slower than normal

46
Q

what is the progression that normal lochia should take

A

rubra (red) - serosa(pink) - alba(white/yellow)

47
Q

what are symptoms of mastitis

A

fever 101 >, tender, heavy, erythema, warm

48
Q

what are treatments or mastitis

A

supportive care, antibiotics

49
Q

what are symptoms of a UTI

A

burning, pain, urgency, frequency

50
Q

what are symptoms of infection

A

fever 100.4 or >, 2 consecutive times

51
Q

what is the most common cause of post-partum infection

A

streptococcal & anaerobic organisms

52
Q

what are instructions the nurse can give when teaching about proper perineal care

A

wipe front to back - wash hands frequently

OB (9 decks)

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