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maternal child health RN > Other Stuff Test 1 > Flashcards

Other Stuff Test 1 Flashcards

1
Q

Fetal well being is assessed how?

A

Heart tones and fundal height

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2
Q

Quickening starts when

A

16-20 weeks

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3
Q

Regular movement of fetus is noted when

Non-stress yest starts

A

28th week

3rd trimester

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4
Q

Why we do non stress tests?

How often?

For who?

A

To determine fetal response to periods of rest and activity

Determines complications to fetus and mom

Tracks baby’s movement, heartbeat, and contractions. Makes sure they are getting enough oxygen.

Monitor for 90 minutes- Press response button every time baby moves

Weekly for high risk pregnancy patients

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5
Q

Proper weight gain is how much the first trimester? And after?

A

2 lbs

1lbs per week until delivery after that

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6
Q

Pregnancy begins with what?

A

Fusion of the egg and sperm that takes place in the ample of Fallopian tube

Small amount of blood excretes (spotting)

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7
Q

Most important organ for growth of fetus

A

Placenta

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8
Q

What ensures gas exchange to fetus

A

Placenta through the chronic villi

o2, nutrients carbon dioxide and waste products

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9
Q

Mothers Blood does not come into contact with fetus

A

True

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10
Q

The placenta relationally on what?

A

Perfusion, everything the mother eats, and just, or in the Hills has the potential to cross the placenta and affect the baby and the baby can be adversely affected such as decreased growth or malformations

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11
Q

Always Listen to patient and assess first

A

True

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12
Q

Depression with pregnancy

A

Observe patient and have open discussion with her with progress in pregnancy

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13
Q

Type 1 DM is insulin dependent

What issues may occur with insulin and fetus?

A

Cardiac , CNS, and skeletal anomalies

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14
Q

If only sugar is passing to the baby what may happen?

A

Large baby (microsomal) large in truncal area

May cause birth injuries and resp issues

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15
Q

What to always monitor in fetus

A

Growth and movement

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16
Q

Ovary is controlled by what hormones ?

What may mess with the system and may change mensural cycle?

A

Hypothalamus and pituitary gland

Stress, nutrition, meds, drugs

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17
Q

Redness on palms of hands

A

Palmar erythema

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18
Q

Line on belly button dark

A

Linea nigra

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19
Q

Chloasma

A

Dark pigmentation on face

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20
Q

Stretch March on belly scars

A

Striae gravidarium

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21
Q

Who to call if mother is apprehensive about baby

A

Social services

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22
Q

Bad edema and swelling in pregnancy

A

Ankles
Face
Neck

Wt loss of 10% or more is dangerous

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23
Q

If 37 weeks preg or less for preterm labor so what?

A

Drink fluids
Lay on left side
Rest

If cramps go away in an hour your ok

If not go to hosp

24
Q

If fundus is not changing what may it indicate?

A

Baby is not changing correctly

25
Q

If absence of fetal movement do what

A

Eat something sugary , cold water , nutrition , for stimulation , lay down and rest

26
Q

OP - baby is posterior faced

Do what?

A

Women sit on hands and knees when pushing

27
Q

What to do for baby if unresponsive at birth?

What may mean more mucus in infant ?

A

Give oxygen

Stimulate - tap chest

Suction via NG

C-section

28
Q

Omega 3 does what

A

Prevent preterm birth prevent heart disease and lower bp

29
Q

What can abdominal pain indicate in pregnancy?

A

Threatened abortion/miscarriage (spotting)

Ectopic pregnancy outside uterus

Abrupto placenta

30
Q

What does incompetent cervix mean and how is it corrected

A

Spontaneous abortion

Performing McDonald’s cerclage it shirodkar procedure to close the cervix

31
Q

Complications of diabetes in pregnancy

A

CHD

Polyhydramnios (excess amniotic fluid)

Premature

Respiratory distress

Low BS

32
Q

Preeclampsia s/s

How to treat?

A

Protein in urine

Facial edema

High bp

High sodium

Epigastric pain

Blurred vision

Bed rest with low sodium diet
Give Magnesium sulfate

33
Q

Preterm labor is treated with?

Decrease contractions

A

Hypnotics or sedatives such as

Brethine (terulrataline sulfate)

Magnesium sulfate

34
Q

Stages of labor

A

Stage one - closed cervix - 10 cm

Stage 2- complete dilation to delivery

Stage 3- delivery of baby to delivery of placenta

Stage 4-delivery of placenta until completion of recovery period

35
Q

APGAR score

A

0-2 score in each category (0 is absent) done at 1 and 5 min

Appearance-pink torso and extremities

Pulse (normal 110-160)

Grimace-vigorously crying or limited

Activity- actively moving

Respiratory- strong loud cry

36
Q

Normal newborn measurements

A

6-10pounds

18-22inches length

Chest and head 33

37
Q

Medication that prevents hemorrhage

A

Vitamin k

38
Q

Prevents newborn eye infections

A

Erythromycin

39
Q

Infant immunization at birth

A

Hep b

40
Q

PKU level should what

A

Less than 24 following first feeding

41
Q

Discharge of blood on female genitalia at birth is normal

A

True

42
Q

Hypoxia s/s in. Newborn

A

Fines

Feeding difficulty 
Inpiratory strider 
Nare flares 
Expiratory grunting 
Sternal reactions
43
Q

WBC

Hgb

Hct

PLT

A

9-30

14-21

35-63%

150-300k

44
Q

Preeclampsia

Help syndrome

A

Hemolysis

Elevated

Liver enzymes

Low

Platelet count

45
Q

What to do for preterm labor

A

Bed rest

Monitor FHR and uterine activity

Give toxolytics:

Terbuterline, nifedipine, magnesium sulfate

Give corticosteroids:betamethasone or dexamethasone

46
Q

Calcium range

A

7-11

47
Q

AST-

ALT

A

20-160

5-10

48
Q

Alb

A

2.8-5.4

49
Q

Alk-

A

40-300

50
Q

T billi-

A

1-12

51
Q

Number of times a female as given birth to a baby

A

Parity

52
Q

Dark green poop first poop of newborn

A

Meconium

53
Q

Common rash on infant

A

Erythema toxicum

54
Q

Braxton Hicks and flu like symptoms start at this time

A

38 weeks

55
Q

Wha stimulates uttering growth

A

Estrogen

maternal child health RN (15 decks)

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