Pregnancy

Question 1

PREGNANCY

A.) Human chorionic gonadotropin (HCG) is the hormone responsible for ___

pregnancy.
B.) Probable Signs- ____________________________________________
C.) Positive Signs- _____________________________________________
D.) Naegele’s Rule-
add _________ days
subtract __________months
add __________ year

Example: LMP was April 14, 2000 Estimated due date: _____________

Answer 1

PREGNANCY

A.) Human chorionic gonadotropin (HCG) is the hormone responsible for - keeping the pregnancy viable until the placenta is formed
pregnancy.
B.) Probable Signs- __all blood and urine test
C.) Positive Signs- X-ray, ultrasound, Doppler
D.) Naegele’s Rule-
add __7days
subtract _______3months
add ______1year

Example: LMP was April 14, 2000 Estimated due date: _______1/21/2001

Question 2

Doctor’s Visits:
up to 28 weeks- __
28-36 weeks- __
36-42 weeks- __

After 42 weeks

Answer 2

Doctor’s Visits:
up to 28 weeks- monthly __
28-36 weeks- ___every 2weeks
36-42 weeks- _____every week

After 42 weeks induce labor or do a c-section.

Question 3

gravidity-_________________________________________________

Answer 3

The number of pregnancy a woman has had

Question 4

parity-___________________________________________________

Answer 4

The number of pregnancy that has been carried to term or resulted in a live birth

Question 5

Pregnancy and ………

1) Morning sickness-
2) Backache-
3) Leg cramps-
4) Diet-
5) Anemia-
6) Kegel’s exercises-

Answer 5

Pregnancy and ………
1) Morning sickness- eat dry carbs

2) Backache- use good posture , low heel shoes, pelvic rocking technique

3) Leg cramps-
Take their big toe and point it to the ground and then up to the ceiling ( plantar and dorsiflexion)

4) Diet- prenatal vitamin , which will contain folic acid which will prevent nerotube defects and high protein for the baby and mother
5) Anemia- it is normal for pregnant women to be slightly anemic because it take extra red blood cells to help that baby develope. The homo and hemocrit will drop plasma level will be elevated
6) Kegel’s exercises- they help to prevent urinary incontinence because the uterus expands it puts pressure on the bladder

Question 6

The Danger Signs of pregnancy

Sherry blueberry pen stains and inks every notepad

Answer 6

Danger Signs

1. ) sudden abdominal pain
2. ) abrupt flow of vaginal fluid
3. ) vaginal bleeding
4. ) puffiness in face and hands

Sudden gush of vaginal fluid 
Bleeding
Persistent vomiting
Severe headache
Abdominal pain 
Increased temps 
Edema
No fetal movement

Question 7

Complications of Pregnancy

1.) Preterm Labor-
Medications to stop premature labor
If you Give: Terbutaline
If you Give: Magnesium Sulfate

Watch for:  
 Watch for:   2.) Pre-eclampsia-  

The 3 defining characteristics are
1_________________________
2_________________________________ 3__________________________

                    Treatment:  

______? And ; _________?

Only cure is to _____________ the __________________.

Answer 7

Complications of Pregnancy

1.) Preterm Labor- any labor before the baby is ready to come out right before 37 weeks

Medications to stop premature labor
If you Give: Terbutaline Watch for: tachycardia and the mom and baby

If you Give: Magnesium Sulfate Watch for: A decrease in reflexes, respirations, urinary output
! Normal urinary output 30ml hr

 Watch for:   2.) Pre-eclampsia-  The hypertensive state seen pregnancy

The 3 defining characteristics are
1_hypertension
2.)edema
3.)Proteinuria or protein in the urine. There should never be protein in the urine

Treatment: bed rest and magnesium sulfate

Only cure is to deliver the _baby

Question 8

5 Nursing care for preeclampsia

Answer 8

1. )Bed rest
2. ) place them in the left lateral position
3. ) Monitor the diet(low sodium/fluid restrictions
4. ) Monitor for eclampsia
5. )seizure 6 precautions
   
   1. Low lighting
   2. Low stimuli
   3. put the bed in the lowest position
   4. pad the top of the side rails
   5. Have oxygen and suction at the bedside
   6. time seizure

Question 9

What is the difference from preeclampsia and eclampsia

Answer 9

With Eclampsia the patient is now starting to have seizure

Question 10

G.) Labor-
1) If you want to help labor along give?

2)Stop when?

Answer 10

G.) Labor-
The onset of regular contraction that increase Strength, frequency, duration

1) If you want to help labor along give? Pitocin/oxytocin

2)Stop when?
Contractions are two minutes apart and last for 60 seconds

Question 11

Stages of labor 
Stage 1
Latent
\_\_\_\_ cm
Active 
\_\_\_ cm
Transition 
\_\_\_\_\_cm
Stage 2
 \_\_\_\_\_cm ( complete) delivery 
Stage 3
\_\_\_\_\_\_\_\_\_
Stage 4th 
\_\_\_\_\_\_\_
The goal is 10 but if you're in transition and your eight or nine this is not the stage will you stop pushing. Don't start pushing into the second stage of labor

Answer 11

Stages of labor 
Stage 1
Latent
0-3 cm
Active 
4-7 cm
Transition 
8-10 cm
Stage 2 Pushing/Birth-
 10 cm ( complete) delivery 
Stage 3 Deliver Placenta-
Delivery of the baby expulsion of the placenta 
Stage 4 Recovery Recovery-The most critical. After the baby has been delivered and placenta. 1-4hrs

Hourly vital signs
Temperature
Extremities
1-4 hrs after birth 
I 
The goal is 10 but if you're in transition and your eight or nine this is not the stage will you stop pushing. Don't start pushing into the second stage of labor

Question 12

2) Second Stage-

- Pushing/Birth- __________________________________________________

Answer 12

2) Second Stage-

- Pushing/Birth- pushing into the baby comes out

Question 13

3) Third Stage-

- Deliver Placenta-

Answer 13

3) Third Stage-
- Deliver Placenta- The placenta comes out in one whole piece ! Put your patient at risk for infection and bleeding if the piece does not come out not

Question 14

4) Fourth Stage-Recovery-

Answer 14

4) Fourth Stage-Recovery-The most critical. After the baby has been delivered and placenta. 1-4hrs

Hourly vital signs
Temperature
Extremities

Question 15

Fetal Heart Response to Labor

Reassuring ( good things)

Answer 15

Fetal Heart Response to Labor
Reassuring 
1) high fetal heart rate 
2.)high baseline variability 
3.)early deceleration

Question 16

B.)Non-reassuring

Answer 16

B.)Non-reassuring

1. ) Low fetal heart rate
2. ) Low baseline variability
3. ) Low Deccleration-not getting enough oxygen
4. ) variable deceleration-The babies cord is compress

Question 17

If you see any of the bad signs treat with LION

Answer 17

LION
1.)L= put the patient on the left Lateral
side
2.) I=initiate or address the IV FLUIDS
3.) O=oxygen with mask. not a nasal cannula
4.) N=notify the doctor

Question 18

Biggest risk for post-partum complications is

What is engorgement ? How do you treat engorgement

Answer 18

Within the 1st 24 hrs

B= breast know the advantages of breastfeeding vs bottle feeding. Engorgement is The painful overfilling of the breast with milk
Cool cabbage leaves for engorement wear supportive bras.
U= uterus,. Should be midline and firm! If it feel boggy then massage it
B= bladder. Void b4 uterus assessment
B= bowel expect a be absent 1-3 days post op
L= lochia = the post partum discharge
Rubra= 1-3 days red
Serosa= 4-10days pink
Alba = 11-21 days white
No foul Odor
E= please treat pain

H= Homan sign or hemorrhage

E= extremities .Measure the circumference of the Muscle

W

Question 19

What is the best way to prevent post partum moms from having blood clots

Answer 19

Get up walk

Question 20

Mastitis

Answer 20

Inflammation of the breast tissue typically caused by staff infection of the mothers
breast tissue or the babies mouth

She must take anabiotic’s and breast-feed to promote healing

Question 21

Liquid diet

Is To prevent ____ and ____output
Clear and full

Clear
1
2
3
4

Full
1
2
3

Answer 21

To prevent dehydration and less output
Clear and full

Clear

1. Water
2. Jell-O
3. Popsicles
4. Liquid bra

Full

1. Milk
2. Pudding
3. Ice cream

Question 22

Soft diet

For some 1 who has problems ____

No _____no ____

Answer 22

For some 1 who has problems chewing

No nuts no seeds

Question 23

Bland diet

_______ problems

No ______ or _____ foods

Answer 23

Gastro problems

No fried or spicy foods

Question 24

Low protein diet

Is for ____ patients
It creates ______

Avoid ___and ;_____ meat

Answer 24

Is for renal patients
It creates urea

Avoid redmeat and organ meat

Question 25

Low sodium diets For ______ problems No cans ______ or ______ meats

Answer 25

For heart problems No cans foods or preserve meats

Question 26

High fiber To prevent _______ Any client on _____ because ______ leads to constipation

Answer 26

To prevent constipation Any client on bedrest because immobility leads to constipation

Question 27

Low purine Use treat _____ - _______ is form of arthritis The build up of ______ in the joints which is ____ So avoid _____ meats and _____ foods

Answer 27

Use treat gout - gout is form of arthritis The build up of uric acid in the joints which is painful So avoid organ meats and fishy foods

Question 28

High protein 1. ) 2. ) 3. )

Answer 28

1. )For burn victims and 2. )elders and 3. )pregnant women!

Question 29

Diabetic diet A _____ diet ____ free Most of their calories should be _____

Answer 29

A regular diet Sugar free Most of their calories should be carbs

Question 30

Celiac’s diet _____ free products ______ is a ______ found in most grains No _____

Answer 30

Gluten free products Gluten is protein found in most grains No brow

Question 31

Positive Signs of Pregnancy: ( diagnostics) 1.)Fetal heartbeat: Doppler→ __weeks Fetal heart tones can be detected by ___ weeks gestation. Fetal sex may be determined on ultrasound as early as the end of ___weeks gestation. 2. )Fetoscope→ _______ weeks 3. )__________? 4.)__________? Quickening, the awareness of fetal movements, occurs around 18-20 weeks gestation in primigravidas and at 14-16 weeks in multigravidas. 5.)___________?

Answer 31

1.)Fetal heartbeat: Doppler→ 10 - 12wks Fetal heart tones can be detected by 7 weeks gestation. Fetal sex may be determined on ultrasound as early as the end of 12 weeks gestation. 2.)Fetoscope→ __17-_ - _20_____ weeks 3.)Fetal movement Quickening, the awareness of fetal movements, occurs around 18-20 weeks gestation in primigravidas and at 14-16 weeks in multigravidas. 4. )Ultrasound 5. )Maternity