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maternal/pediatrics > ATI A > Flashcards

ATI A Flashcards

1
Q

The heart beat of the fetus can be heard through what? and what trimester?

A

Doppler and first trimester

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2
Q

Painless vaginal bleeding, bright red is a possible sign of what?

A

Placenta previa

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3
Q

What is the recommended folic acid intake for childbearing?

A

400mcg

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4
Q

Thinning of the cervix is called?

A

effacement

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5
Q

What is the normal range for glucose for mom?

A

70-110
>140 needs some further testing

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6
Q

What is the normal volume of amniotic fluid?

A

1000

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7
Q

What is the recommended calorie intake during breastfeeding?

A

450-500 cal/day

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8
Q

How many days/weeks does it take for the uterus return in its true pelvis?

A

2 weeks

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9
Q

What are the causes of bleeding during first trimester?

A

Spontaneous abortion and ectopic pregnancy

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10
Q

What is given to first trimester women who have history of early onset preeclampsia?

A

Aspirin

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11
Q

Normal temperature for newborn

A

36.5-37.5C

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12
Q

What is the hormone that remains elevated with lactating mom and it is suppressing ovulation?

A

Prolactin

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13
Q

When should GBS culture be obtained?

A

35-37 weeks

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14
Q

Passageway

A

station descending through birth canal.
-5 (in vagina) - +5 (outside vagina) +3 (see head)

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15
Q

Fetal lie

A

The position of the fetus in relation to the maternal spine.

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16
Q

When should we educate mom about travel and safety?

A

Second trimester

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17
Q

Expected chest circumference

A

30-33cm

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18
Q

Expected weight for newborn

A

2500-4000g

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19
Q

Appropriate gestational age (AGA)

A

10-90 percentile

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20
Q

Normal urine output for postpartum

A

3L/day

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21
Q

Abrupt unilateral lower quadrant abdominal pain with or without vaginal bleeding is a possible sign of what?

A

ectopic pregnancy

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22
Q

Braxton Hicks contractions

A

true vs false labor

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23
Q

lightening

A

fetus moves into pelvis, weight off of diaphragm, creates lightening feeling

24
Q

bloody show

A

a normal occurrence prior to the onset of labor

25
Q

labor

A

process of moving fetus, placenta, and membranes out of the uterus and through the birth canal

26
Q

Molding

A

The sutures and fontanelles of the fetal head
allow it to change shape as it passes through
the pelvis

27
Q

What is the most favorable
fetal position for normal labor
and birth?

A

ROA and LOA

28
Q

Rupture of the membranes

A

Warrants evaluation of the pregnant woman at the health care facility
SROM vs AROM

29
Q

True definition of labor

A

Changes in Cervical
Dilation in the Presence of Regular
Contractions

30
Q

What is administered if there is a Non reassuring FHR?

A

Terbutaline 0.25mg subcutaneously

31
Q

When should cephalohematoma resolve?

A

2-3 weeks

32
Q

What are the causes for bleeding during the third trimester?

A

Placenta previa, abruptio placentae, vasa previa

33
Q

What is the normal weight loss after rupture of membrane?

A

1-3.5 pounds

34
Q

When should we administer Rho (D) immune globulin IM if mom is Rh-negative?

A

28 weeks

35
Q

How often should we monitor FHR and contraction?

A

every 15, 30, 60 mins

36
Q

Low levels of AFP and high level means?

A

Low means down syndrome and high means neural tube defects

37
Q

Head circumference should be how much larger than chest circumference?

A

2-3cm

38
Q

What is the diagnosis lab finding for severe preclampsia?

A

HELLP

39
Q

The most common cause of tachycardia in a baby

A

infection

40
Q

What is the protein that is checked to rule out preterm labor?

A

Fetal fibronectin between 24-34 weeks

41
Q

When should the one hour glucose tolerance test be done?

A

24-28 weeks

42
Q

What is Niageles rule?

A

First day of last menstrual cycle, subtract 3 months, add 7 days and 1 year

43
Q

A post-partum client’s fundus is firm, 3 cm above the umbilicus displaced to the right. which of the following interventions should the nurse take?

A

Assist the client to void then reassess the fundus

44
Q

A nurse is caring for a laboring client and notes that the fetal heart rate begins to decelerate after the contraction has started. The lowest point of deceleration occurs after the peak of the contraction. What is the priority nursing action?

A

Change the client’s position

45
Q

Nurse is caring for a newborn with hyperbilirubinemia. Which of the following interventions should be taken during phototherapy?

A

Maintain an eye mask over the newborns eyes

46
Q

A laboring client received meperidine (Demerol) IV one hour prior to delivery. Which of the following medications should the nurse have available to counteract the effects of this medication on the newborn?

A

Naloxone (Narcan)

47
Q

A laboring client’s membranes have just ruptured. What is the nurse’s next action?

A

Assess fetal HR

48
Q

Client will receive RhoGam after the birth if blood tests are?

A

Mother Rh negative; Coombs negative; baby Rh positive

49
Q

Eclampsia

A

Severe preeclampsia symptoms with seizure activity or coma

50
Q

Hyperemesis Gravidarum

A

Severe morning sickness with unrelenting, excessive nausea or vomiting that prevents adequate intake of food and fluids.

51
Q

Infections during pregnancy (TORCH)

A

Toxoplasmosis
Other (hepatitis B, syphilis, group B beta strep)
Rubella
Cytomegalovirus
Herpes simplex virus

52
Q

Care for newborn

A

Erythromycin eye ointment
Vitamin K (IM, vastus lateralis, TB syringe)

53
Q

What is dystocia?

A

Baby cannot make it down the birth canal

54
Q

Anterior fontanelle closes by?

A

18 months

55
Q

Posterior fontanelle closes by?

A

6-8 weeks

56
Q
A

maternal/pediatrics (5 decks)

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