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Maternal > Antepartal Care > Flashcards

Antepartal Care Flashcards

1
Q

maternal blood begins to collect in the intervillous space of the uterine endometrium

A

12th day of pregnancy

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2
Q

O2 and other nutrients (glucose, amino acids, fatty acids, minerals, vitamins and water OSMOSES from maternal blood through CHORIONIC VILLI into the VILLI CAPILLARIES. From there, nutrients are transported to embryo

A

3rd week

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3
Q

uteroplacental blood flow

A

50 ml/minute in 10 weeks

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4
Q

Braxton Hicks contractions – _____ week – maintains ___________

A

12th; pressure

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5
Q

Functions of the Placenta:

A
  1. Oxygen
  2. Nutrition
  3. Excretion
  4. Regulate Hormones
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6
Q

compression on the vena cava when the client is in the supine position

A

Vena Cava Syndrome

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7
Q

leads to very low maternal blood pressure and low uterine contraction

A

Vena Cava Syndrome

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8
Q

reduced placental circulation

A

Vena Cava Syndrome

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9
Q

keep the patient in the ____________ position

A

LEFT lateral

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10
Q
  • fetal side
  • smooth and shiny
A

Schultz

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11
Q
  • attached to the maternal side
  • dirty, rough and dull
  • cotyledon
A

Duncan

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12
Q

Normal Amniotic Fluid:

A

800 ml – 1200 ml

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13
Q

Polyhydramnios:

A

> 2000 ml

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14
Q

Oligohydramnios:

A

< 500 ml

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15
Q

UMBILICAL CORD
- ___cm and ____ thick – TERM

A

53 ; 2 cm

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16
Q

a loose loop of cord around the neck

A

Nuchal cord

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17
Q

is a complication that occurs when the umbilical cord wraps around the fetus’ neck

A

Nuchal cord

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18
Q

Can interrupt normal blood, nutrient and oxygen exchange, resulting in the baby sustaining serious injuries such as HIE (hypoxicischemic encephalopathy) and cerebral palsy

A

Nuchal cord

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19
Q
  • gelatinous
  • monopolysaccharides
  • cord’s body and prevents pressure
A

WHARTON’S JELLY

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20
Q

associated with maternal HPN

A

Hypocoiling

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21
Q

associated with FETAL RESPIRATORY DISTRESS

A

Hypercoiling

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22
Q

Hypocoiling is associated with

A

maternal HPN

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23
Q

Hypercoiling associated with

A

FETAL RESPIRATORY DISTRESS

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24
Q

3 weeks LMP

A

5 – 50 mIU/ml

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25
Q

4 weeks LMP

A

5 – 426 mIU/ml

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26
Q

5 weeks LMP

A

18 – 7,340 mIU/ml

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27
Q

6 weeks LMP

A

1,080 – 56,500 mIU/ml

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28
Q

7 -8 weeks LMP

A

7,650 – 229,000 mIU/ml

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29
Q

9 – 12 weeks LMP

A

25,700 – 288,000 mIU/ml

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30
Q

13 – 16 weeks LMP

A

13,300 – 254,000 mIU/ml

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31
Q

17 – 24 weeks LMP

A

4,060 - 165,400 mIU/ml

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32
Q

25 – 40 weeks LMP

A

3,640 – 117, 000 mIU/ml

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33
Q

Non-pregnant

A

55 – 200 ng/ml

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34
Q

presence of gram-negative bacteria

A

nitrites

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35
Q

detects the presence of nitrate-reducing bacteria (ie, gram-negative bacteria)

A

Nitrites (Nitrite test)

36
Q

is a condition in which you have high levels of white blood cells (leukocytes) or pus in your urine (pee)

A

Pyuria

37
Q

Blood Serum Tests

A
  • CBC
  • serology test for syphilis
  • blood type and Rh
  • MSAFP (Maternal Serum Alpha-Fetoprotein)
  • Hepatitis B and C
  • Rubella Varicella
  • HIVA
  • PAPP-A (Pregnancy Associated Plasma Protein A)
38
Q

Purified protein derivative

A

Tuberculosis Screening (Mantoux Test)

39
Q

the tool used to measure the sound waves from the embryo/fetus

A

Ultrasound

40
Q

Ultrasound is __ weeks initial diagnose

A

6

41
Q

Ultrasound can confirm the _________________________ (of fetus)

A

presence, size and location

42
Q

Ultrasound establish the fetus’ ________________________________________

A

health, sex, presentation, position

43
Q

before the ultrasound examination, ensure the client is ______________________ at the time of the procedure.

A

full bladder

44
Q

A combination of UTZ and non-stress test done during 26-28 weeks of gestation

A

Antepartum: Biophysical Profile

45
Q

A combination of UTZ and non-stress test done during _________________________

A

26-28 weeks of gestation

45
Q

Stress test - to be done at

A

32 weeks

46
Q

AMNIOCENTESISCOLOR

A

Clear, Pale Yellow

47
Q

98% predictive of fetal lung activity

A

LECITHIN/SPHINGOMYELIN RATIO: 2:1

48
Q

predictors of fetal lung maturity

A

Phosphatidyl glycerol and Desaturated Phosphatidylcholine

49
Q

determines abnormal RBC breakdown or may have only a very mild anemia by checking the optical density of amniotic fluid

A

BILIRUBIN determination

50
Q

helps predict the likelihood of premature delivery within the next 7-14 days

A

Fetal Fibronectin

51
Q

Fetal Fibronectin helps predict the likelihood of premature delivery within the next ____________

A

7-14 days

52
Q

Inborn Errors of Metabolism

A

Down Syndrome
Cystic Fibrosis
Tay Sachs Disease

53
Q

The test checks the baby’s risk for having certain genetic problems and birth defects.

A

Alpha-Fetoprotein

54
Q

Alpha-Fetoprotein is usually done between _________________ of pregnancy

A

15 and 20 weeks

55
Q

is a protein that a developing baby makes

A

Alpha-Fetoprotein

56
Q

Complications of Amniocentesis

A

cramping
bleeding or leaking of amniotic fluid from the needle puncture site or vagina
infection
miscarriage
preterm labor

57
Q

Checks for fetal heart’s acceleration

A

NON-STRESS TEST

58
Q

NON-STRESS TEST is done at

A

26-28 weeks

59
Q

Checks for fetal heart deceleration

A

STRESS TEST

60
Q

STRESS TEST is done _______________ – near delivery

A

32 weeks

61
Q

Chorionic Villus Sampling at

A

9-14 weeks

62
Q

Amniocentesis at

A

14-16 weeks

63
Q

TERATOGENS

A
  1. Radiation
  2. Syphilis and Toxoplasmosis
  3. Lead and Mercury
  4. Rubella
  5. Live Vaccines
  6. Herbal Supplements
  7. Drugs
  8. Alcohol and Tobacco
64
Q

leads to serious fetal defects or death

A

Radiation

65
Q

causes abnormalities in organs

A

Syphilis and Toxoplasmosis

66
Q

causes nerve damage

A

Lead and Mercury

67
Q

hearing impairment, cognitive and motor difficulty, cataracts, cardiac problem (PDA and pulmonary stenosis), IUGR, thrombocytopenia, purpura, facial defects – cleft lip/palate

A

Rubella

68
Q

causes severe vasoconstriction, compromised placental flow

A

Cocaine

69
Q

Vitamin B deficiency, neurological damage

A

Alcohol and Tobacco

70
Q

stillbirth, low birthweights

A

Tobacco

71
Q

Adequate and wellcontrolled studies in pregnant women have failed to demonstrate a risk to the fetus in the first trimester of pregnancy.

A

Category A

72
Q

Category A Drug Examples

A

Doxylamine
Folic acid
Levothyroxine

73
Q

Animal reproduction studies have failed to demonstrate a risk to the fetus, and there are no adequate and wellcontrolled studies in pregnant women, or animal reproduction studies have shown adverse effects, but wellcontrolled studies in pregnant women have shown no adverse effects to the fetus

A

Category B

74
Q

Category B Drug Examples

A

Amoxicillin
Loratadine
Ondansetron

75
Q

Animal reproduction studies have shown an adverse effect on the fetus or there are no animal reproduction studies and no wellcontrolled studies in humans.

A

Category C

76
Q

Category C Drug Examples

A

Fluconazole
Metoprolol
Sertraline

77
Q

Positive evidence of fetal risk but benefits may outweigh risks.

A

Category D

78
Q

Category D Drug Examples

A

Lisinopril
Lithium
Phenytoin

79
Q

Positive evidence of fetal risk, and risks clearly outweigh any possible benefit.

A

Category X

80
Q

Category X Drug Examples

A

Methotrexate
Simvastatin
Warfarin

81
Q

increase sweating and increase of vaginal discharges - shower is recommended than tub baths

A

Bathing

82
Q

colostrum secretion begins

A

16 weeks

83
Q

alters pH of the vagina

A

Douching

84
Q

Shoes – moderate low heel to

A

minimize pelvic tilt

85
Q

Avoid tight jeans because it

A

compresses lower extremities circulation

86
Q

HEALTH PROMOTION

A
  1. Bathing
  2. Dental Care
  3. Breast Care
  4. Perineal Care
  5. Clothing
  6. Sexual Activity
  7. Exercise
  8. Sleep
  9. Nutrition

Maternal (12 decks)

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