QUESTIONS TO KNOW Flashcards by Arlene Sotelo

How do you measure the fundal height?

From pubic symphysis to fundus

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Mom is 28 weeks pregnant. What is her normal fundal height measurement?

29cm

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LMP at Feb 12 2018

Nov 19 2018

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What is the GTPAL?
Pregnant woman. 5 yr old at home. Her last gestation ended at 12 weeks. Had twins at 22 weeks.

G4
T1
P1
A1
L1

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When corpus luteum begins to degenerate after estrogen and progesterone fall and the blood supply is reduced is called what?

Ischemic phase

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What is the site of fertilization?

Fallopian tubes

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What structures are INTERNAL in the female reproductive organs? SATA.

a) Fallopian tubes
b) mons pubis
c) clitoris
d) labia majora
e) ovaries

Fallopian Tubes & Ovaries

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Where does LH come from?

Anterior Pituitary Gland

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Woman has opted to use fertility awareness method for contraception. She goes down there and looks at her cervix and sees thin and clear mucus/discharge. What does this indicate in regards to fertility?

Ovulation

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Mom comes into the clinic and is complaining of nausea, vomiting, and breast tenderness. What are these signs called?

PRESUMPTIVE signs

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Which of the below are hormonal methods of contraception? SATA.

a) vaginal sponge
b) depo-provera
c) birth control pills
d) diaphragm
e) vaginal ring

depo-provera
birth control pills
vaginal ring

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Which organs are the male INTERNAL organs? SATA.

a) urethra
b) scrotum
c) prostate
d) penis
e) epidydymus

urethra
prostate
epidydymus

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Male sexual response cycle in order:

desire
excitement
plateau
orgasm
resolution

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Client comes into the clinic and finds out she is pregnant. HCP calculates her estimated date of delivery (EDD) by using what date?

1st day of last menstrual cycle

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What is striae gravidarum?

stretch marks

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There are several lab tests that should be done. What labs do we do on the first prenatal visit? SATA.

a) CBC
b) HIV
c) liver enzymes
d) blood typing and Rh factor
e) varicella titer

CBC
HIV
Blood typing & Rh factor

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A client comes in and she’s craving things that people don’t normally eat. What is this called?

PICA

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Menopause is described as?

1 year without a period/menses

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A client comes in at 28 weeks and complains to the HCP of lower back pain. What could this be?

increased lordosis

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Male reproductive parts and their function. Where is sperm produced?

Testes

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A client comes into the clinic and complains of heavy bleeding on and off. What is the treatment for abnormal uterine bleeding? (AUB). SATA.

a) admin of oral iron
b) dilation & curettage (aka D&C)
c) blood transfusion
d) endometrial ablation
e) uterine artery embolization

dilation & curettage (D&C)
endometrial ablation
uterine artery embolization

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What are the procedures called to sterilize both male and female?

Vasectomy
Tubal ligation

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Mom’s LMP is Jan 4 2022. What is her EDD?

Oct 11 2022

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How do you describe fetal station?

How far baby is down in the pelvis

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A woman is going through amnioinfusion. Which statement is true regarding amnioinfusion? SATA. a) thinned out meconium b) for hydramnios c) help w/ variable deceleration d) the catheter will be inserted into the woman's cervix

-help w/ variable deceleration -catheter will be inserted into the woman's cervix

Nurse assesses the FHR and it shows a W. What does this mean?

Variable deceleration

Woman is in labor. What pain medications can we give her? SATA. a) nifedipine b) fentanyl c) butorphanol d) nalbuphine

fentanyl butorphanol nalbuphine

Mom is 6cm dilated. What is happening in the second stage of labor?

Mom is actively pushing

What are the 4 decelerations?

1. variable 2. early 3. late 4. prolonged

Nurse assesses postpartum mom. What is a possible postpartum complication?

101 temperature

What do the 4 decelerations mean?

Variable = cord compression Early = head compression Late = uteroplacental insufficiency Prolonged = prolonged cord compression/ decrease amount of O2 to the fetus

A woman is admitted to L&D and is noted with 2cm below the ischial spine. What is her fetal station?

When mom is having contractions, the nurse notes that her fundus feels like the bottom of the chin.

Moderate

Mom is 37 weeks and says that it's easier to breathe. What is the reason for this?

Lightening -when the baby drops lower

What are the signs of infection?

Increased temperature

Mom's fetal presentation is showing shoulder position. How is her baby going to be delivered?

C-section

The nurse is using effleurage to help with mom's pain. What does effleurage mean?

Light stroking with the fingers on mom's abdomen

Client comes into the clinic for her first prenatal check up. Mom is G3T1P1A0L1. Her cervical os would look like what?

Split like

Many hospitals don't perform vaginal after c-section (VBAC) for this reason. What is the main risk for VBAC?

uterine rupture

Client comes into the clinic and asks for induction. What are the indications for induction? SATA. a) prolonged gestation b) intrauterine fetal demise c) DM

a, b, c

Client is at 29 weeks and comes into the clinic w/ regular contractions that last 6-9 minutes apart. HCP orders betamethasone. What is this for?

Matures the fetus lungs

Client calls the clinic and says "I think my water just broke" What is an appropriate statement by the nurse to say to the client?

Come to the L&D clinic asap to be further evaluated.

Client is in labor and cervix effaces. What does that mean?

Thinning of the cervix.

Fetus goes through many positional changes as it travels through the passageway. What are these changes called?

cardinal movements

Mom just gave birth an hour ago and her fundus is noted to be on the right side. What does this mean?

Full bladder

What are the P's affecting labor and birth?

Passageway Passenger Powers Psyche Position

What is the analogy we used in class for interpreting FHR patterns with category 1-3 and what is happening in each category?

TRAFFIC LIGHT (look this up)

Mom is having late decelerations. Put the nursing interventions in order:

1. reposition 2. give O2 3. increase IV rate 4. discontinue oxytocin 5. call MD 6. prepare for c-section

Patent presents to L&D, decreased fetal movement, she's 30 weeks. What would you expect her NST to do?

10 x 10, twice in 20 minutes. She is under 32 weeks so 10x10

A pregnant woman at 32 weeks gestation, complains of dizziness and lightheadedness while she's doing her fundal height measurement while laying flat on her back. What should the nurse do?

Turn the woman on her left side.

Active phase of labor. What do you see?

Feels the urge to push, perineum bulges, and cervix dilated to 10 cm

Patient comes in, her water broke yesterday and is in labor. She's on a fetal monitor, you take her vital signs. Her VS are stable. What would be completed once her VS are done?

Perform a vaginal exam.

Fetal monitor shows this, what are those? Fill in

Late decelerations

With the strip above (late decels), what would be the priority interventions?

reposition the client apply oxygen start an IV Stop oxytocin Call md Prepare for c section

The client in labor is 6cm, experiences late decels, we deliver the baby via c-section and this is the APGAR. no cry = 0, some flexion of the arms and legs = 1, pulse 101 = 2 (anything over 100 is 2), pale and cyanotic all over =0, coughs while suctioning = 1 What is the APGAR total score?

What do you do for leg cramps?

Check for DVT

In a 12 week gestation, conception, she is rH negative, so what do we need to do?

Give Rhogam within 72 hrs

The chief function of progesterone is?

Preparation of the uterus to receive a fertilized egg

After the first 4 months of pregnancy the chief source of estrogen and progesterone is what?

Placenta

26 years old, muligravita, 14 weeks, AFP (alpha fetoprotein) what is it?

Neural tube defects and down syndrome

Pituitary hormone for milk?

Prolactin

Hyperemesis, graviera, excessive vomiting? What should we look out for on the patient?

electrolyte imbalance

Woman comes to the clinic, thinks she is pregnant, reports of a positive pregnancy test? What kind of sign is this?

Probable sign

HCP for a woman. She is 40 weeks, where is the placement of the external TOCO?

near the uterine fundus

Caring for a woman, during birth to a baby, the head's delivered, the head retracts back, can't get it out. What are we going to do?

Have the pt push, McRobert's maneuver, perform suprapubic pressure

What is Goodell's sign?

Softening of the cervix

What are we checking for in the vaginal exam?

dilation effacement station presenting position

What are the characteristics of amniotic fluid for the baby?

1. allows for fetal movement 2. can be used to measure fetal kidney function 3. surrounds, protects, and cushions the baby and cord

How many arteries and how many veins in the umbilical cord?

AVA 2 arteries, 1 vein

38 weeks gestation, FHR is 154 bpm. What is the priority nursing action?

Tell the client the FHR is normal.

What is the purpose of the placenta?

Baby receives oxygen and food from the placenta.

28 weeks gestation, what would be the fundal height?

29 cm

What are probable signs?

Chadwick's sign Abdominal enlargement Braxton hicks

When would be her due date, April 19, 2022?

January 26 2023

Abortion at 16 weeks, still born at 39 weeks, last pregnancy ended with a miscarriage. She has a 12 yr old son.... + more idk

G4 T1 P1 A2 L2

0,0,2,2 IDK....

Excessive bleeding. What do we do first?

Check BP, vital signs

Hormonal methods of birth control?

Depo provera birth control pills vaginal ring

Which are cardinal movements?

Extension & rotation Decent & engagement Flexion & explosion

New nurse orientation, baby's diaper has black sticky stool in it, what is the appropriate description?

Meconium stool & is normal for a newborn

The nurse places the crib AWAY from the wall that goes to the outside to minimize heat loss via?

RADIATION

When explaining how the newborn adapts to uterine life, which body system changes?

Respiratory and cardiovascular

Cleaning up after delivery, sees the left side of the labia is swollen, what is happening?

Hematoma on the labia

Nurse is discussing female blood screening, what is the test for?

Hypothyroidism Sickle cell disease Galactosemia

What statement is correct about cap succedaneum?

It does cross the suture lines

Vitamin K does what?

promotes blood clotting

Treats postpartum hemorrhage (medication)?

Carboprost

What is this? (lines)

variable decelerations

What procedure can be done to treat this pattern? (variable)

amnioinfusion

She might be pregnant, waiting on the pregnancy test, what are we measuring?

HCG (human chorionic gonadotropin)

Which action best describes the lung retain, expand after initiating of breathing?

mean role of surfactant

Ballard Score ? idk

testes located in scrotum in deep rugae covering the scrotum

Two assessments, why are they done?

Assess the maturity of the baby

The nurse stabilized the base of the uterus with one hand and palpates the top of the fundus with the other. Why is she doing this?

Stabilize the base of the uterus (so you do not invert the uterus)

APGAR score: crying vigorously = 2, HR 136 = 2, skin is pink w/ cyanosis of feet and hands = 1, slight gag with suction =1, arms and legs are moving slightly = 1. What is the total score?