Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nursing 2nd Spring Semester > Antepartum- EXAM 1 > Flashcards

Antepartum- EXAM 1 Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

Nursing priorities during pregnancy

A

Address self care and discomforts
Perform ongoing assessments to ensure health and safety of women and fetus
Prepare women and family for childbirth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Antepartum

A

before birth
prenatal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Intrapartum

A

during birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Postpartum

A

after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Prenatal health history

A

First day of last period
Contraceptive, meds used
Medical and surgical hx
Woman & partner family hx
Both woman and partners hx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Routine assessments at each visit

A

vital signs
urinalysis
Leopold meanuvers
fundal height
blood glucose
fetal heart rate
nutrition intake
any discomforts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

objective of physical examination

A

Evaluate the woman’s general health
Determining baseline weight and VS
Evaluating nutritional status
Identifying current physical and social problems
Determining EDD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

miscarriage time frame

A

before 24 week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

abortion time frame

A

before 20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

gravida

A

has been pregnant before

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Nulligravida

A

never been pregnant before

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

primigravida

A

first time pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

multigravida

A

more then 1 pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

para

A

delivered before 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

primipara

A

had a pregnancy over 20+ weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

GTPAL

A

Gravida
Term: 37+ weeks
Preterm
Abortions
Living children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Nägele’s rule

A

Determining the estimated date of delivery
Identify first day of LNMP
Count backwards 3 month
Add 7 days
Update year if need be

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

FIRST TRIMESTER common discomforts

A

N&V: estrogen and HcG
Urinary frequency:pressure on the bladder
Fatigue: hormones,stress
Brest tenderness
Increased vaginal discharge
Nasal stiffness and epistaxis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

SECOND & THIRD TRIMESTER common discomforts

A

heartburn
hemorrhoids
leg cramps
flatulence
backache
ankle edema
varicose veins
constipation
faintness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Pregnancies at risk include those who

A

Are under16 years or above 35 years
Have maternal history of stillbirth
Have had prior preterm birth
Have chronic illnesses: HTN, GDM, PC, HD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

When does maternal assessment typically begin

A

28 weeks gestation

22
Q

every 4 weeks visits

A

From conception to 28 weeks

22
Q

every 2 to 3 weeks visits

A

From 29-36 weeks

23
Q

weekly visits

A

From 37 weeks to birth

24
Q

How long does pregnancy last and how is it divided

A

Lastas an average of 40 weeks plus or minus 2 weeks
Divided into 3 13 week parts

25
Q

Reasons for prenatal tests

A

determine gestational age
evaluate fetal growth
detect congenital anomalies
assess fetal status
diagnose cardiac problems
assess fetal lung maturity
determine fetal presentation

26
Q

Ultrasound and its types

A

noninvasive, painless and non radiating
helps visualize fetus and growth
Transabdominal and Transvaginal

27
Q

Transabdominal ultrasound

A

moved across abdomen
full bladder needed to examine structures in relation to bladder

28
Q

Transvaginal ultrasound

A

Probe inserted into vagina
Produces clearer, more defined image
Can be done with empty bladder
Detection of fetal anomalies

29
Q

Nonstress test
Procedure & results

A

Evaluates fetal status aka oxygenation by looking at FHR reaction to movement, women must be still got 20 min
Px is semi Fowler, monitor placed on stomach

reactive: >2 accelerations of FHR at 15 beats/min
Desired
Nonreactive: reactive criteria not met
unsatisfactory: data cannot be interpreted or inadequate fetal movement
IF ANY DECELERATIONS, PROVIDER NOTIFIED ASAP

30
Q

Contraction stress test

A

Done if NST results are non-reassuring
Used to identify risk for asphyxia
Evaluates respiratory function of placenta

31
Q

Amniocentesis and the process

A

Amniotic fluid analysis
Done in third trimester, for fetal abnormalities
Ultrasound is used to identify fetal placental placement to insert the needle to withdraw amniotic fluid without puncturing fetus

32
Q

Chronic Villus Sampling

A

Small sample of chronic villi is obtained from placenta
Performed at 10-12 weeks gestation, NOT done before 10 weeks due to possible association with birth defect
Does quadruple screen

33
Q

Quadruple Screen

A

Blood test for Down syndrome, trisomy 18 and neural tube defect, but cannot detect early in pregnancy

34
Q

First trimester Nutritional requirement for pregnant women

A

Increase by 300 kcal/day
Up to 4.4 pound weight gain

35
Q

Second trimester Nutritional requirement for pregnant women

A

Increase by 40 to 340 kcal/day
1 pound a week during rest of pregnancy

36
Q

Third trimester Nutritional requirement for pregnant women

A

Increase by 110 to 450 kcal/day
1 pound a week during rest of pregnancy

37
Q

Ideal weight gain pattern

A

25-30 pounds in normal weight
15-25 in overweight women
11-20 in obese women
37-54 in multifetal carriers (4-6 in first trimester and 1.5 per week in 2 and 3 trimester)

38
Q

iron defeciency anemia most common concern in who

A

Pica patients

39
Q

Lacto-ovo-vegeterian

A

eat milk, dairy products and eggs
should eat 4 servings of B12 food daily

40
Q

Lactovegeterians

A

eat dairy products, no eggs

41
Q

Vegan

A

eat no food from any animal sources
should eat 4 servings of B12 food daily

42
Q

Folic Acid

A

Assists in normal growth, reproduction and lactation
Prevents microcytic, megablastic anemia of pregnancy
No intake=fetal neuraltube defects
400 mcg daily

43
Q

Artificial sweetener

A

Saccharin, aspartame safe if taken within guideline
Splenda, Truvia, safe for pregnant, lactating women

44
Q

Mercury in fish

A

can be beneficial but can threaten developing nervous system of fetus and young child

45
Q

Who has an increased risk for complications- higher incidences of fetal anomalies

A

obese women

46
Q

height of fundus

A

10 and 12 ar low pelvis
16 between belly button and lower pelvis
20 at belly button
26 at wait
32
36 at sternum, top

47
Q

important factors to assess in pregnant adolescents

A

low prepregant weight
low weight gain during pregnancy
smoking
excessive weight
unhealthy lifestyle

48
Q

Prenatal exercises

A

pelvic tilt
abdominal exercise
perineal
inner thigh stretch

49
Q

Environmental hazards

A

Bioterrorism
3: A-can be easily transmitted from person to person
b-can be oread via food and water
c-can be spread via manufactured weapons designed to spread disease
Substance abuse and alcohol

50
Q

Key time frames
Abortion
Miscarriage
Preterm
Full term
Max weeks

A

Before 20 weeks
Before 24 weeks
Before 36 weeks
37 weeks and over
40 weeks max

Nursing 2nd Spring Semester (42 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions