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Flashcards in Pregnancy Deck (31):
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: _____________

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

2

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

After 42 weeks

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.



3

gravidity-_________________________________________________

The number of pregnancy a woman has had

4

parity-___________________________________________________

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

5

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

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

6

The Danger Signs of pregnancy

Sherry blueberry pen stains and inks every notepad

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

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 __________________.

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

8

5 Nursing care for preeclampsia

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

9

What is the difference from preeclampsia and eclampsia

With Eclampsia the patient is now starting to have seizure

10

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

2)Stop when?

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

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

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

12

2) Second Stage-
-Pushing/Birth- __________________________________________________

2) Second Stage-
-Pushing/Birth- pushing into the baby comes out

13

3)Third Stage-
-Deliver Placenta-

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

14

4) Fourth Stage-Recovery-

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

Hourly vital signs
Temperature
Extremities

15

Fetal Heart Response to Labor
Reassuring ( good things)

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

16

B.)Non-reassuring

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

17

If you see any of the bad signs treat with LION

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

18

Biggest risk for post-partum complications is

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= 4-6 days pink
Alba = 7-14 days white
No foul Odor
E= please treat pain

H= Homan sign or hemorrhage

E= extremities .Measure the circumference of the Muscle

W

19

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

Get up walk

20

Mastitis

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

21

Liquid diet

Is To prevent ____ and ____output
Clear and full

Clear
1
2
3
4

Full
1
2
3

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

22

Soft diet

For some 1 who has problems ____

No _____no ____

For some 1 who has problems chewing

No nuts no seeds

23

Bland diet

_______ problems

No ______ or _____ foods

Gastro problems

No fried or spicy foods

24

Low protein diet


Is for ____ patients
It creates ______

Avoid ________ meat

Is for renal patients
It creates urea

Avoid redmeat & organ meat

25

Low sodium diets


For ______ problems

No cans ______ or ______ meats

For heart problems

No cans foods or preserve meats

26

High fiber


To prevent _______

Any client on _____ because ______ leads to constipation

To prevent constipation

Any client on bedrest because immobility leads to constipation

27

Low purine


Use treat _____ - _______ is form of arthritis
The build up of ______ in the joints which is ____

So avoid _____ meats and _____ foods

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

28

High protein

1.)

2.)

3.)

1.)For burn victims and

2.)elders and

3.)pregnant women!

29

Diabetic diet

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

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

30

Celiac’s diet

_____ free products
______ is a ______ found in most grains
No _____

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

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.)___________?

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



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