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406 3 Flashcards

1
Q

Psychosocial: Whether pregnancy is planned or unplanned, ____ is normal in the First trimester

A

ambivalence

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2
Q

Some men experience pregnancy-like symptoms, such as nausea, weight gain, and other physical symptoms; this is known as ____ syndrome

A

couvade

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3
Q

____ phase, the period of adjustment to the reality of pregnancy

A

Moratorium

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4
Q

Gravida

A

the number of times one has been pregnant (regardless of the outcome)

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5
Q

Para

A

the number of pregnancies that have reached 20 weeks or greater of gestation and before birth

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6
Q

Any pregnancy loss occurring before 20 weeks is counted as an

A

abortion (whether spontaneous or elective termination)

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7
Q

only only count for a client’s gravidity, not parity.

A

abortion

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8
Q

When calculating parity, multiple births count as

A

1

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9
Q

GTPAL

A 
Gravidity, 
Term Births, 
Pre- term Births, 
Abortions and Miscarriages, 
Living Children
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10
Q

number of pregnancies

A

Gravidity

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11
Q

Term

A

term births or pregnancies delivered

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12
Q

Preterm

A

pregnancy that has reached 20
weeks of gestation but ends before comple-
tion of 37 weeks of gestation

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13
Q

Abortions and Miscarriages

A

pregnancy that does not reach 20 weeks of gestation.

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14
Q

Antepartum: BP should rise no more than __ points systolic from previous baseline normal

A

30

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15
Q

Antepartum: BP should rise no more than __ points diastolic from previous baseline normal

A

15

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16
Q

Antepartum: Average respiration is

A

16 to 24 breaths per minute

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17
Q

At approx 28 to 32 weeks, plasma volume

A

increases by 25 to 40%, resulting in normal hemodilution.

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18
Q

At approx 28 to 32 weeks, plasma volume increases by 25 to 40%, resulting in normal hemodilution. Therefore high Hct values

A

are actually a bad thing and indicate gestational HTN

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19
Q

Check urine: normal albumin level is

A

trace

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20
Q

preeclampsia

A

pregnancy HTN

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21
Q

Glucose: no more than __ in a normal finding

A

1+

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22
Q

Check urine: normal protein level is

A

trace

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23
Q

how much weight gain in the first trimester is

recommended

A

2 to 4 lb

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24
Q

how much weight gain after the first trimester is

recommended

A

1 lb weekly

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25
Q

After the 1st trimester: if mother is gaining more than 1 lb weekly, watch out for

A

preclampsia

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26
Q

12 to 13 weeks: Fundus rises above

A

symphysis

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27
Q

From gestational weeks 18 to 32, the height of the fundus, measured in centimeters and with an empty bladder, is approximately

A

the same as the number of weeks of gestation

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28
Q

As pregnancy advances, the uterus presses on abd vessels. To relieve supine hypotension and increase perfusion to the uterus/fetus

A

teach the woman to lie on her side

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29
Q

Check fetal heart rate: 10 to 12 weeks: detectable by using

A

Doppler

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30
Q

Check fetal heart rate: 15 to 20 weeks: detectable by using

A

fetoscope

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31
Q

Check fetal heart rate: normal range

A

110 to 160 bpm

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32
Q

the first and most important indicator of compromised blood flow to the fetus

A

FHR

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33
Q

Discomforts such as nausea, fatigue, and urinary frequency subside after

A

13 weeks

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34
Q

Exercise is fine as long as woman is able to

A

converse easily while exercising. If not, she should slow down.

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35
Q

Bathing is acceptable until

A 
membranes rupture
(usually within hours of delivery).
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36
Q

maternal gum hypertrophy

A

is common

37
Q

round-ligament pain

A

is normal

38
Q

Instruct client to come to hospital when contractions

A

are occurring regularly 5 minutes apart.

39
Q

Discharge from vagina (anything other than normal leukorrhea)

A

report immediately

40
Q

Cracked lips can be a symptom of

A

malnutrition

41
Q

You should increase protein by

A

30 g/day.

42
Q

Drink a total of ___ glasses of fluid per day

A

8 to 10

43
Q

prenatal vitamins can only be prescribed by

A

the provider

44
Q

in order to get enough calcium and to help alleviate leg cramps, she should eat

A

3 cups of milk or yogurt daily

45
Q

Maternal risk factors: Age

A

under 17 or over 34

46
Q

Maternal risk factors: High parity

A

greater than 5

47
Q

dystocia

A

shoulders can’t fit through the birth canal

48
Q

Maternal risk factors: height

A

under 5 ft tall

49
Q

in some states. screening for neural tube defects (AFP testing) is

A

mandated by law

50
Q

US preparation: instruct the client to drink

A

3 to 4 glasses of water and don’t urinate

51
Q

US preparation: Position the woman with pillows

A

under neck and knees to keep pressure off bladder

52
Q

US preparation: late in the third trimester, place wedge under

A

right hip to displace uterus to the left.

53
Q

US Complications

A

none. US can be done routinely

54
Q

Gestational age is best determined by an early

A

sonogram rather than a late one

55
Q

Chorionic Villi Sampling (CVS) cannot replace

A

amniocentesis completely because no sample of amniotic fluid can be obtained for AFP or Rh disease testing

56
Q

Chorionic Villi Sampling (CVS): Removal of a small piece of villi during the period between

A

8 and 12 weeks

57
Q

Chorionic Villi Sampling (CVS): Warn of slight sharp pain upon

A

catheter insertion

58
Q

Chorionic Villi Sampling (CVS) complication that occurs 5% of the time

A

Spontaneous abortion

59
Q

Fetal lung maturity is determined by which test

A

Amniocentesis

60
Q

Amniocentesis: Performed only when uterus rises above the

A

symphysis (between 12 and 13 weeks)

61
Q

the best predictor of extrauterine survival

A

Lung maturity

62
Q

Meconium in amniotic fluid may indicate

A

fetal distress

63
Q

Amniocentesis position

A

supine with hands across chest

64
Q

bilirubin test: protect the samples from

A

light

65
Q

Amniocentesis: for 1 hour after the procedure monitor

A

FHR

66
Q

Amniocentesis: bladder, late verse early

A

in an early Amniocentesis, the bladder should be full for the test.
Late it should be empty

67
Q

Within a contraction, the FHR slows at the very beginning:

A

this is a harmless thing; it’s because the head is compressed a little

68
Q

Fetal anemia causes what change in FHR

A

increased rate

69
Q

Nursing actions for variable decelerations: Discontinue ___ if infusing.

A

oxytocin

70
Q

Nursing actions for variable decelerations: Administer oxygen at ___ by tight face mask.

A

10 L

71
Q

Nursing actions for variable decelerations: Perform a vaginal examination to check for

A

cord prolapse

72
Q

___ decelerations are a potentially disastrous sign

A

Late

73
Q

Nursing actions for decelerations: position patient

A

on her left side

74
Q

early decelerations (caused by head compression) usually happen between _ and _ cm

A

4 and 7 cm

75
Q

if cord prolapse is detected,

A

put her in knee to chest position or push the cord until they can do a c-section

76
Q

deceleration is especially ominous when when combined with

A

decreased variability or tachycardia

77
Q

a decrease in uterus perfusion results in __ deceleration

A

late deceleration

78
Q

Cord compression results in a pattern of ___ decelerations

A

variable

79
Q

A healthy fetus will usually respond to its own movement by means of an FHR acceleration of

A

15 beats

80
Q

Nonstress test: The fetus that responds with the ___ accelera- tion is considered “reactive” and healthy

A

15/15 (15 beat increase for 15 second)

81
Q

The fetus is challenged with the stress of labor by the induction of uterine contractions, and the fetal response to physiologically decreased oxygen supply during uterine contractions is noted

A

stress test

82
Q

stress test: Contractions can be induced by nipple stimulation or by infusing a dilute solution of

A

oxytocin (because you’re simulation labor)

83
Q

stress test contraindication:

A

twins

84
Q

stress test: To assess for fetal well-being, a recording of at least ___ contractions in 10 minutes must be obtained.

A

three

85
Q

stress test: the danger of nipple stimulation is

A

you don’t know how much oxytocin will be released from the pituitary

86
Q

Ultrasonography is used to evaluate fetal health by assessing five variables:

(1) Fetal breathing movements (FBM)
(2) Gross body movements (FM)
(3) Fetal tone (FT)
(4) Reactive FHR (nonstress test)
(5) Qualitative amniotic fluid volume (AFV)

A

Biophysical profile (BPP)

87
Q

Fetal pH Blood Sampling: This technique is performed only in the ___
period

A

intrapartum

88
Q

Fetal pH Blood Sampling: This technique is performed only in the intrapartum
period when the fetal blood from the presenting part

A

(breech or scalp) can be taken

(i.e., when membranes have ruptured and the cervix is dilated 2 to 3

89
Q

The test is used to determine true acidosis when non- reassuring FHR is noted

A

Fetal pH Blood Sampling

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