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Maternal Newborn > ATI > Flashcards

ATI Flashcards

1
Q

FHR
acceleration

A

Means baby is moving and healthy
The baby has an adequate oxygen supply

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2
Q

Gonorrhea?
characteristic

A

Usually no manifestation
if untreated cause infertility
reported to health department

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3
Q

Gonorrhea
expecting findings

A

lower abdominal pain
greenish charge
pain urination
Absence of condom used
(STIs)

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4
Q

Candidiasis?

A

Yeast infection
Not STIs
no report

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5
Q

Candidiasis
expecting findings

A

Thick, white, lumpy discharge
DM

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6
Q

Trichomoniasis?

A

most common STD
no report

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7
Q

Trichomoniasis
expecting findings

A

Greenish discharge
Pain in urination
Absence of condom use

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8
Q

Baby bathe

A

Head to toe
Clean to dirty
so the diaper area is last
Hair last

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9
Q

a) increase folic acid intake to?
b) fluid intake up to?
c) protein to?

A

a) 600mcg
b) 3L
c) 71g

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10
Q

Weight gain
weekly limit?

A

0.5 kg(1lb)per week is ideal

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11
Q

BUN normal level?

A

6 to 24 mg/dL
25mg/dL =hydration

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12
Q

urine ketones
should be positive or negative?

A

Should be negative which means no risk for hydration

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13
Q

Calcium gluconate
what used for?

A

reverse the toxicity of Magnesium sulfate

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14
Q

Oxytocin
contraindication

A

late decelerations
indicative of uteroplacental insufficiency

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15
Q

Misoprostol?
What used for?

A

induce contractions to begin labor

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16
Q

Misoprostol
administer?

A

can administer oxytocin no sooner than 4 hr
remain on the side position for 30 to 40 min after the insertion
should avoid administering aluminum hydroxide and magnesium coating antacids with this

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17
Q

1hr glucose test
normal range

A

should less than 140mg/dL

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18
Q

Hematocrit/ HCT
range

A

should be greater than 33%

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19
Q

Erythromycin

A

against ophthalmia neonatorum
Prevents gonorrhea and chlamydia in newborns

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20
Q

Don’t give a pacifier until

A

breastfeeding is established,
3-4 weeks

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21
Q

Facial swelling or generalized edema can be?

A

HTN or preeclampsia
Feet swelling is ok

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22
Q

a) Normal pregnancy weight gain?
b) Obese gain?

A

a) 25-35lbs or 11.3 to 15.9 kg
b) 15 to 20lb

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23
Q

Clean newborn’s ears with?

A

the corner of wet washcloth
No Q-tips

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24
Q

Leukorrhea is normal or abnormal?

A

Normal

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25
Q

Ca gluconate when to use?

A

magnesium sulfate toxicity

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26
Q

Terbutaline

A

smooth muscle relaxer to inhibit uterine contractions in premature labor

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27
Q

Indomethacin

A

Smooth muscle relaxer. Stops preterm labor

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28
Q

Bacterial vaginosis(BV)

A

most common vaginal infection. Treat with metronidazole or clindamycin cream.

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29
Q

HCG for?

A

positive pregnancy test

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30
Q

Nitric oxide

A

improve oxygenation for babies with respiratory distress syndrome.

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31
Q

Naloxone is for

A

opioid reversal

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32
Q

Protamine sulfate reverses?

A

the effects of heparin

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33
Q

Flumazenil reverses

A

the effects of benzodiazepines.

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34
Q

Do not use fetal scalp electrode when mom has what disease?

A

HIV
This increases the fetus’s exposure to HIV. Doppler, BPP, and NST are all safe

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35
Q

Methylergonovine

A

a uterotonic medication that causes sustained (持続)contractions.

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36
Q

magnesium sulfate toxicity

A

RR >12
muscle weakness
depressed deep-tendon reflexes

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37
Q

Oxytocin ADRs

A

Water intoxication 中毒
nurse should monitor urinary output.
HTN is also adverse effect, monitor BP.
Cardiac dysrhythmias are adverse effect, monitor pulse rate

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38
Q

PID increases the risk of
Pelvic inflammatory disease

A

ectopic pregnancy

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39
Q

Moro reflex should be gone by?

A

4 months of age.
Older than 4 months may indicate a neurological disorder

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40
Q

Amniotomy

A

known as artificial rupture of membranes
assess the FHR
Assess temp every TWO hours after rupture of the membranes
Limit vaginal exams to avoid infection

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41
Q

During latent stage
pain management

A

use counter pressure to the sacral area for pain management.

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42
Q

labor 1st stage
latent phase

A

0-3cm
5-30 mins
30-40secs

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43
Q

labor 1st stage
Active phase

A

4-7cm
3-5mins
40-70secs

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44
Q

labor 1st stage
Transition

A

8-10cm
2-3mins
45-90secs

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45
Q

Magnesium sulfate to for preeclampsia?

A

is lower BP and minimize risk of seizures

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46
Q

The McRoberts maneuver

A

done to resolve shoulder dystocia.

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47
Q

Central cyanosis

A

tachypnea, nasal flaring, retractions, and grunting.

48
Q

NST
healthy sing?

A

if it is reactive
If non-reactive further testing (BPP)

49
Q

Screening for chlamydia is doing during

A

pelvic exam, not amniocentesis

50
Q

Breech means

A

fetus is upright and presenting feet of buttocks

51
Q

Mentum

A

means fetus has fully extended the head and is presenting with the chin

52
Q

A rash during phototherapy for bilirubin

A

This is temporary and does not need treatment

53
Q

For hypotension
intervention

A

put the client in a lateral position Increase IV fluids
Admin O2 at 10-12 L/min via nonrebreather face mask

54
Q

Admin a vasopressor to?

A

increase BP

55
Q

hyperemesis gravidarum
expecting findings

A

ketonuria due to inadequate dietary intake
Hypokalemia is expected as well as weight loss and dehydration

56
Q

Sudden onset of abdominal pain in a laboring
client who had previous c-sections

A

a manifestation of uterine rupture. Do a c-section!

57
Q

occipital brow means

A

babies chin is untucked
can cause prolonged labor, forceps or vacuum assisted birth, or c-section.

58
Q

precipitous labor proceeds

A

abnormally fast, onset of labor to delivery is under 3 hours.

59
Q

Have the client drink WHAT before the NST test?

A

OJ
Should raise the client’s blood glucose level and help promote fetal movement.

60
Q

480 mL of urine in 24 hours is OK or
not? ok.

A

NOT ok
30mL/hour is acceptable = 720/24 hours.
Reduced urine is a priority for preeclampsia

61
Q

first visit
what test should be done?

A

Get a rubella titer
Get blood type and Rh factor

62
Q

Blurred vision

A

is not always normal
manifestation of hypertension or preeclampsia

63
Q

Platelets
low value indicated?

A

150,000 to 300,000
preeclampsia or HELLP syndrome

64
Q

increase BUN may indicate

A

BUN should be within 10 to 20 baby
Mom range is 6 to 24 mg/dL
preeclampsia or HRLLP syndrome

65
Q

acrocyanosis in 24hr ok?

A

Yes

66
Q

posterior fontanel larger than the anterior fontanel

A

NO!
anterior fontanel is larger

67
Q

folic acid intake
Fluid intake up to
protein
Lactation moms add ?? calories

A

600mcg.
3L,
71g
450 to 500 calories/day to their pregnancy diet

68
Q

1st trimesters gain
2nd and 3rd gain

A

4lb(1.8kg)
12lb(5.4kg) each

69
Q

38 weeks of gestation
weight gain of 2.2kg is OK?

A

NO!
is above the expected/ 0.5 kg per week is ideal

70
Q

Leopold maneuvers

A

-first, determine which fetal part is in the uterine fundus
-fetal butt should in the uterine fundus

71
Q

Hyperemesis gravidarum

A

A severe type of nausea and vomiting during pregnancy

72
Q

Oxytocin
contraindication

A

late decelerations are indicative of uteroplacental insufficiency

73
Q

Ectopic pregnancy

A

Lower abdominal pain on one side, virginal spotting, delayed period

74
Q

Cocaine used in labor

A

-Risk for abruption placenta

75
Q

Misoprostol

A
  • induce contractions to begin labor
    -The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol
    -should void before administered
    -they shou
76
Q

Ferrous sulfate
education

A

increase daily intake of fluid and fiber
-medication can cause constipation

77
Q

Circumcision
Monitor every?
Do not use?

A

every 4 hr for bleeding or infection
DO NOT use a baby wipe
DO NOT use soap water till after it heals
-clean with plain warm water to remove urine and feces.

78
Q

Exercise

A

check your pulse every 10 mins during exercise. If pulse greater than 140/min. then STOP!
-exercise for 30 min

79
Q

Probable sign

A

-means examiner can observe=objective
-Goodell’s sign
-Ballottement sign
-Chadwick’s sing
-Quickening sing

Pregnancy test
-test should be use the first morning void

80
Q

Vaginal birth 6 hr ago, heavy vaginal bleeding

A

massage the pt’s fundus BEFORE applying O2 face mask

81
Q

Amniotic fluid embolism

A

-when a pregnant person gets amniotic fluid into their bloodstream just before, during or immediately after childbirth

82
Q

Terbutaline
ADR

A

is hypokalemia so pt will have blood test to check

83
Q

Contraindication of oral contraceptive

A

Cholecystitis
-bladder disease is a contraindication
Hypertension
Migraine headaches

84
Q

Levonorgestrel

A

is emergency contraceptive take within 72hr after unprotected sex

85
Q

Fetal position

A

occiput anterior is best for deliver

86
Q

Iron intake

A

27 mg/day

87
Q

Oligohydramnios

A

requires further fetal assessment using electronic fetal monitoring

a disorder of amniotic fluid resulting in decreased amniotic fluid volume for gestational age.

88
Q

1hr glucose test greater than

A

140mg/dL is not normal
130-140 is positive

89
Q

Terbutaline ADRs?

A

increase HR
Relax muscle— bronchodilation
hypokalemia

90
Q

Magnesium sulfate cause NB to what?

A

Respiratory depression

91
Q

Oxygen therapy for premature?
what is a complication?

A

Retinopathy
blindness

92
Q

Oxytocic is given?

A

When pt had increased lochia rubra
boggy fundus to promote constrictions
Postpartum

93
Q

Pre-eclampsia
Common findings so not need STAT actions are?

A

High BP
1+ proteinuria

94
Q

Contraction that last for 60 seconds each with a 4 mins rest between contraction.
Means?

A

should measure interval from the beginning of one contraction to the beginning of the next one.
so this means contraction is 5 min apart

95
Q

A nurse is preparing to admin naloxone to a NB.
Why?

A

because the mom had IV narcotics admin during labor

96
Q

Oxytocin contraindication?

A

Active genital herpes
intrauterine growth restriction needs to Oxytocin

97
Q

IUD contraindication?

A

menorrhagia=Heavy periods
sever dysmenorrhea=Menstrual cramps
history of ectopic pregnancy

98
Q

isolette?

A

a clear plastic enclosed crib that maintains a warm environment for a new baby

99
Q

hydatatldiform mole

A

rare mass or growth tumor that forms inside the womb (uterus) at the beginning of a pregnancy
DO NOT become pregnant for at east 1 year

100
Q

admin Iron IM
using what method?

A

Z track

101
Q

betamethasone
does not affect the NB’s ability to maintain?
dose not affect?

Then what effect?

A

body temp
VS
Decrease blood glucose

102
Q

genital herpes pregnancy

A

need to have c-section prior to the onset of labor

103
Q

Neonatal abstinence syndrome

A

Exaggerated reflex

104
Q

Tachysystole

A

More than five contractions per ten minutes over the course of 30 minutes

105
Q

If the patient is experiencing tachysystole?

A

decrease the dose of oxytocin

106
Q

Oxytocin can cause tachysystole
what about terbutaline?

A

No

107
Q

Iron supplement
a) ADRs
B) avoid what beverage?
c) take with what beverage?

A

a) constipation
b) Milk and caffeine
c) OJ

108
Q

Calcium
recommend dose

A

1000mg/day
dark green leafy vege is good source

109
Q

BPP
what should include?

A

Fetal breathing movement
Fetal tone
Amniotic fluid volume

110
Q

a) Indirect Coomb’s test
b) Kleihauer-Betke test

A

a) Rh antibodies in mom’s blood
b) positive KB test means there is fetal blood in the maternal circulation.

111
Q

Lecithin/sphingomyelin(L/S) ration

A

Fetal lung maturity

112
Q

Deep tendon reflexes of 3+ or greater can indicate?

A

preeclampsia and should be reported to the provider

113
Q

Pt breast is soft, is this OK?

A

Yes,
Stat at day 3 and becoming full at day 5

114
Q

insertion of an intrauterine pressure catheter, why need it?

A

to monitor INTENSITY of contraction
frequency, intensity and duration

115
Q

vacume-assised vaginal deliver

A

NB has a high risk of developing jaundice

116
Q

Placenta previa
findings

A

High fundal height
painless bleeding
bright red

Maternal Newborn (20 decks)

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