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im 6 test 1 > Antepartum > Flashcards

Antepartum Flashcards

1
Q

What does the hormone Human Chorionic Gonadotropin (HCG) do during pregnancy?

A

It is the hormone that is detected on pregnancy tests

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2
Q

What does the hormone progesterone do during pregnancy? (3)

A

Helps maintain the uterine lining,
Relaxes smooth muscle,
Help the uterus grow with the baby

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3
Q

What does the hormone oestrogen do during pregnancy? (3)

A

Helps increase blood supply
Stimulates uterine growth
Helps fetal organ development

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4
Q

What does the hormone prolactin do during pregnancy?

A

Enlarges the mammary glands

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5
Q

What does the hormone relaxin do during pregnancy? (2)

A

Softens and lengthens cervix and joints
Inhibits uterine activity that can cause premature labor

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6
Q

What does the hormone oxytocin do during pregnancy? (2)

A

Causes uterine contractions
Stimulates milk ejection

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7
Q

What is Hegar’s sign

A

Softening of the isthmus cervix

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8
Q

What is Goodwell sign

A

The softening of the cervix

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9
Q

What is Chadwick’s sign

A

Bluish purple color of vagina

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10
Q

Should pregnant people go in Hot tubs?

A

NO!!
Increases risk of neural tube defects

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11
Q

What are three interventions for N/V

A

Eating dry crackers before getting up for the day
Eating small frequent meals
Avoid fatty foods

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12
Q

what is normal weight gain in the 1st trimester?

A

2-4 lbs

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13
Q

What are three interventions to prevent UTI during pregnancy/

A

Fluid intake 3L/day
Void frequently -Q2
Wipe front to back

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14
Q

Where is the fundus at 16wks?

A

inbetween the symphysis and umbilicus

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15
Q

What is the quickening?

A

1st Perception of fetal movement

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16
Q

What is normal weight gain for the rest of the pregnancy (2nd and 3rd trimester)

A

1 lb per week

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17
Q

What can high levels of alpha-feto protein indicate?

A

Neural tube defect

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18
Q

what can low levels of alpha-feto protein indicate

A

Down syndrome

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19
Q

Where is the fundus at 20 weeks?

A

At the umbilicus

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20
Q

Where is the fundus at 24 weeks?

A

Above the umbilicus

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21
Q

Is a murmur normal in pregnancy ?

A

Yes, the heart is shifted up and laterally

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22
Q

How is BP affected during pregnancy?

A

Systolic remains same
Diastolic gradually increase

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23
Q

During a Glucose screening what BS is abnormal

A

140 or greater

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24
Q

If the pregy has a negative rH, what med is expected to be given during pregnancy

A

Rho(D) immune globulin

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25
Q

Where is the fundus at 28 weeks ?

A

Halfway between the umbilicus and the xiphoid

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26
Q

Where is fundus at 32 weeks ?

A

The xiphoid process

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27
Q

What are two interventions to help decrease edema

A

Elevate leg 1-2 times a day
Lay patient in Left lateral position

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28
Q

Where is the fundus at 36-40 weeks

A

Below xiphoid process ( baby drops)

29
Q

What should be done if Strep status is unknown?

A

Treat anyway

30
Q

What are the presumptive signs for pregnancy (6)

A

Amenorrhea
Fatigues
N/V
Linea Nigrea
Melasma
Urinary Frequency

31
Q

What are some probable sign for pregnancy (6)

A

Chadwick
Goodwell
Hegar
Ballottement
Braxton Hick
Positive pregnancy test

32
Q

What are some positive signs (3)

A

Fetal HR- 10-12 weeks
Fetal movement-
Ultrasound visualization-

33
Q

What medications can cause a inaccurate pregnancy test

A

Anticonvulsants, diuretics, tranqulizers,

34
Q

What does High levels of HCG indicate (3)

A

Multiple pregnancies
Ectopic pregnancy
Genetic issues

35
Q

What does low levels of HCG indicate

A

Miscarriage

36
Q

What is Leopold’s maneuver and what can you find with it?

A

External palpation of uterus to find the presentation of the baby and Point of maximum impulse

37
Q

What is Gravida

A

The number of pregnancies, including current pregnancy

38
Q

What is para?

A

The number of pregnancies that reached 20 minutes

39
Q

What is GTPALM

A

Gravida- number of pregnancies
Term- 38 weeks and up
Preterm 20-37 weeks
Abortions
Live Birth
Multiple births

40
Q

What does albumin in a UA indicate?

A

Preeclampsia

41
Q

What does glucose in UA indicate?

A

Gestational Diabetes

42
Q

How do you calculate EDD?

A

Day- 3 months+ 7 days

43
Q

How much folic acid should a pegs have each day?

A

600mcg

44
Q

What are some s/s of Preeclampsia (5)

A

Visual changes
Severe HA
Epigastric pain
Facial swelling
HTN

45
Q

Do you need a full bladder with a transvaginal ultrasound

A

NO!

46
Q

Do you need a full bladder for a transabdominal ultrasound?

A

Yes

47
Q

What does CVS check for?

A

Chromosomal, metabolic, and DNA testing

48
Q

What are some nursing interventions for CVS (3)

A

Obtain consents
Give Rho(D) immune globulin if needed
Place patient in lithotomy position

49
Q

What are some post op teaching for CVS (4)

A

Report cramping, heavy bleeding, clot to tissue passage, and leakage of fluid
Temp greater than 100.4
Rest for 24 hours
Avoid Exercise, heavy lifting, and sexual intercourse

50
Q

Should you have a full bladder with an amniocentesis with early pregnancy?

A

Yes, so you can position the uterus?

51
Q

Should you have a full bladder with an amniocentesis in late pregnancy?

A

No, so its will not be punctured

52
Q

What can amniocentesis test for?

A

Genetic testing
Hemolytic Diseases
Intrauterine infections
Down syndrome
Evaluating fetal lung maturity (2:1)

53
Q

What are some post op teaching for amniocentesis?

A

Rest for 24 hours, no exercise, heavy leaving, or sex
Report DFM
Report cramping, heaving bleeding, clots or tissue passage, leakage of fluid, or temps greater than 100.4

54
Q

What are some nursing interventions during amniocentesis ?

A

Obtain consents
Obtain VS and FHR
Administer RhoGAM
Monitor FHR for an hour

55
Q

Who are considered high risk pregnancies?
(6)

A

Hypertensive disorders
Diabetes
Multiple Gestations
Lupus
Renal or heart disease
Interruption of O2 pathways

56
Q

What does a normal fetal kick count

A

10 kicks in a 1-2 hours

57
Q

What does a NST check for

A

It checks for fetal heart rate with fetal movement

58
Q

What are some pre op nursing interventions for NST

A

Place ultrasound and tocodynamomter
Tell pt to push button when they feel the baby move
Monitor fetus for 20 minutes
Record fetal heart rate and uterine activity

59
Q

What does it mean for a reactive stress test

A

A FHR heart rate that increases 15 beats for 15 secs in 20 minutes (15x15)
Or 10x10

60
Q

What is a non reactive NST mean

A

Fewer than 2 accelerations during a 40 minute period
OR
Decelerating that persist for 1 min or longer

61
Q

What is a Contraction stress test (CST)

A

Checking FHR in response to contractions

62
Q

What are some nursing responsibilities for CST (3)

A

Obtain consent
Monitor VS, FHR, and UA for 20 minutes
Record at least 3 contractions in 10 minutes

63
Q

What does a negative CST

A

No late decelerations

64
Q

What does a positive CST

A

Late decelerations are present in at least half of the contractions

65
Q

What does a pegs want on the following test
NST
CST

A

Reactive
Negative

66
Q

What is a Biophysical profiles check?

A

The assessment of fetal biophysical characteristics
Fetal movement- moves 3 limbs
Fetal tone- a limb extension and returns to flexion
Fetal breathing
Amniotic fluid amount
NST- reactive

67
Q

What are good scores for BPP

A

8 or 10

68
Q

What does a BPP score of 2 mean

A

Immediate delivery

im 6 test 1 (4 decks)

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