ATI Flashcards
describe naegele’s rule due date calculation
subtracts 3 months and adds 7 days to calculate the estimated due date (EDD)
When would you administer the Rh drug to a mom
If baby is Rh negative, at 28 weeks. If baby is Rh positive, after birth.
what is terbutaline for
stops contractions. causes hypokalemia, hyperglycemia, and hypotension. Administered every 4 hours for no more than 24 hours.
what is methotrexate used for in pregnancy
Methotrexate was used to induce abortions and is currently used to treat ectopic pregnancies
normal respiratory rate of newborn
30-60/min
how do you induce labor
miso, 4 hours later pit (if have ripe cervix but no contractions)
The fetal heart tones of a fetus in the left sacrum anterior position are best heard in the
left upper quadrant.
The fetal heart tones of a fetus in the right sacrum anterior position are best heard in the
right upper quadrant
The fetal heart tones of a fetus in the left occiput anterior position are best heard in the
left lower quadrant
The fetal heart tones of a fetus in the right occiput anterior position are best heard in the
right lower quadrant
What is carboprost?
a form of prostaglandin (a hormone-like substance that occurs naturally in the body). Prostaglandins help to control functions in the body such as blood pressure and muscle contractions.
Carboprost is used to treat severe bleeding after childbirth (postpartum).
Carboprost is also used to produce an abortion by causing uterine contractions. It is usually given between the 13th and 20th weeks of pregnancy, but may be given at other times for medical reasons. Carboprost is often used when another method of abortion has not completely emptied the uterus, or when a complication of pregnancy would cause the baby to be born too early to survive.
may cause SEVERE HYPERTENSION
You should not receive carboprost if you have active pelvic inflammatory disease, a breathing disorder, heart disease, liver disease, or kidney disease.
How do you put a baby in their car seat
refrain from placing extra padding, including blankets, between the newborn and the straps of the car seat.
position the newborn at a 45° angle to minimize the risk of airway obstruction from slumping forward.
the retainer clip snugly at the level of the newborn’s armpits.
place the shoulder harness in the slots that are at or just below the newborn’s shoulders.
What length is normal in newborns
The expected reference range for a newborn’s length is from 45 to 55 cm (17.7 to 21.7 in).
What weight is normal in newborns
The expected reference range for a newborn’s weight is from 2,500 to 4,000 g (5.5 lb to 8.8 lb).
signs of magnesium toxicity
hypotension, nausea, vomiting, facial flushing, retention of urine, ileus, depression, and lethargy before progressing to muscle weakness, difficulty breathing, extreme hypotension, irregular heartbeat
when would you use calcium gluconate in pregnancy
calcium supplementation as part of antenatal care is recommended for the prevention of preeclampsia among pregnant women, particularly among those at higher risk of hypertension.
What BP mean pre-e w/ severe features
The nurse should identify that a blood pressure of greater than 160/110 mm Hg is an indication that the client has progressed to preeclampsia with severe features
What are the 3 phases of maternal PP adjustment
Taking-in (review experience, they’re very dependent)
Taking-hold (eager to learn about infant, desire to take charge)
Letting-go (independent, relation to family, norm resumes)
What is the indirect Coombs test
indirect Coombs test determines whether the client has antibodies to the Rh antigen. The titer determines the prenatal client’s sensitization and if there is Rh incompatibility.
What is the Kleihauer Betke test
The Kleihauer Betke test is utilized to determine if there is fetal blood in maternal circulation
Wy test progesterone levels when already pregnant
A low level of serum progesterone is associated with threatened miscarriage
and if the pregnancy is ectopic.
What is a Lecithin/sphingomyelin (L/S) ratio test
done as a part of an amniocentesis to evaluate fetal lung maturity.
What is Maternal alpha-fetoprotein (AFP)
The test checks the baby’s risk for having certain genetic problems and birth defects. An AFP test is usually done between 15 and 20 weeks of pregnancy
What is Erb-Duchenne paralysis
caused by injury to the brachial plexus, which is formed from the ventral rami of cervical nerves 5 to 8 and thoracic nerve 1
characterized by arm weakness and loss of motion
