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maternal child health RN > Class info Test 2 > Flashcards

Class info Test 2 Flashcards

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1
Q

Meds to give for HTN

A

Mag sulf
Labadol
Hydrazaline

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2
Q

Do not induce with what condition

A

Placenta previa

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3
Q

Oxytocin does what to fetus

A

Decreases perfusion and contractility of uterus

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4
Q

Regular anesthesia- decreases what

A

Platelets

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5
Q

What to do for decreased variability

A

Repo
Fluids
Oxygenate

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6
Q

What to do for increased hr in baby

A

Check for fever
Hydrate
Antibiotics (penicillin)

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7
Q

If baby presenting with nose up

A

Counter pressure

Hands and knees

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8
Q

What happens to milk production if retained placenta

A

No production

Heavier bleeding

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9
Q

What triggers milk production

A

Baby suckling

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10
Q

Where is the umbelicus right after delivery

A

Right above belly button - midline

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11
Q

How much blood soaking pad is bad after birth

Bad s/e

A

More than 1 an hour

Smelly
Hypotension
High pulse

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12
Q

Best way to help sore nipples

A

Rub colostrum over and airbdry

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13
Q

Tells us how much fetal blood has been exposed and determines how much rohgam to give to mom

A

Combs test

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14
Q

Rt shoulder pain may occur after c section due to?

What may fix it?

A

Retained gas

Referred pain

Movement will fix

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15
Q

What does an amniocentesis test for

A 
DNA 
Gender 
Disease
Complications 
Infection
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16
Q

What is a sitz bath

A

Water soak

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17
Q

What will moms temp be 1 and 2 days after delivery

When to be concerned

What is number one reason for fever

A

1- concerned if greater than 100.4

2 if grater than 100.1

Corioamnitis - infection or rupture of placenta

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18
Q

What findings will see with dehydration

A

Tachycardia and hypotension

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19
Q

How to determine where to put FHR monitor

A

Leopolds

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20
Q

Number one killer in ob

A

Hemorrhage

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21
Q

Med to stop contractions

What else to give

A

Tributaline

IV fluids

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22
Q

Do not give a bleeding mom these two meds together

A

Mag sulfate

And tributerline

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23
Q

How much amniotic fluid is there

A

600-800ml

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24
Q

Who is at risk for polyhydraminos

A

Diabetic moms

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25
Q

Risk for oligiohydramios ?

A

Kidney problems

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26
Q

Is increased vaginal discharge normal in pregnancy?

A

No

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27
Q

GDM Macrosomnia baby risk

A

Low bs - due to insulin

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28
Q

Intrauterine growth restriction is what type

Of problem

A

Perfusion problem such as diabetes

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29
Q

Turtling of neck indicates what

A

SD

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30
Q

How quick to get someone out with SD

Fine line?

Most common bone break

A

5 min

Release posterior arm

Clavicle

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31
Q

What to do for Nuchal cord

A

Take pressure off cord

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32
Q

Placenta does not come out after birth

A

Placenta acreta

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33
Q

Cords are starched to membranes

A

Vasa previa

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34
Q

What consists of intrauterine resuscitation

A

Oxygenate
Repo
Hydrate

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35
Q

Most important thing to see on a monitor strip

A

Variability

36
Q

What to do for late decelerations

A

Fix moms contractions

37
Q

Empty bladder postpartum why

A

Release pressure on fundus

38
Q

If firm uterus but trickle of blood?

A

Laceration ?

39
Q

How long to have no sex after birth

A

6 weeks

40
Q

Always check what after birth

A

Perineal area

41
Q

Breast size has nothing to do with what

A

Milk

42
Q

Baby to latch onto what

A

Breast not nipple

43
Q

How often to feed if breastfeeding

How to know if baby is getting enough

A

Very 2 hr

Click sounds when drinking 6 wet diapers a day

44
Q

Worst postpartum day for moms

A

Day 2

45
Q

How long to breastfeed

A

3 months is norm

1 year is goal

46
Q

Wt Loss after birth 13-15 lbs

What burns calories

A

Breastfeeding

47
Q

How much urine ouput and hour

A

30 ml

48
Q

Diet after labor

A

Clear liquids until bowel and urinary comes back

49
Q

Diaphragm does what after birth

A

Depends and can breath better

50
Q

Live vaccines nit to give preg women

A

Mmr
Varicella
Rubella

51
Q

Tdap and flu vaccine can give to pregnant mom?

A

Yes

52
Q

What type of IV fluids to give with pph

What else to give if loosing blood

A

Isotonic- lactated ringers

Oxygen to increase hemoglobin

53
Q

S/s with hemabate

A

Loose stools

54
Q

What does bakri balloon do?

A

Contracts uterus

55
Q

HTN will do what to baby

A

Decrease perfusion

56
Q

If mom has seizure what to do

A

Care for mom first

57
Q

Mag sulfate decreases

Benefits

A

Deep tendon reflexes

Decreases bp , increase perfusion , no headache or blurry vision, increase urination, (kidneys are able to produce urine)

58
Q

What info to gather with post partum depression

A

When they had their last child

59
Q

Antiobiotic used for group b - exposure increases infection risk

A

Penicillin

60
Q

Protects baby - amniotic fluid

A

Yes

61
Q

Where to put heart monitor

A

Baby’s back

62
Q

Quad screen is what?

A

Less invasive dna test than amniocentesis

63
Q

Meds to take if bleeding to death

A

Pitocin
Methrergine
Cytotec
Hemabate

64
Q

Meds to take for preterm labor

A

Terbutaline
Mag sulfate
Betamethasone

65
Q

HTN moms give what

A

Magnesium sulfate
Labetalol
Hydrazaline

66
Q

Meconium break inside mom can occur due to ?

A

Stress
HTN
Diabetes

67
Q

Prevent water loss of infant by doing what

A

Drying baby

68
Q

Always ID baby before leaving with mom

A

Yes

69
Q

Normal birth wt

A

5-10 lbs

70
Q

When fontanels close

Posterior

Anterior

A
  • 4 months

- 18 months

71
Q

Blood build up on head which may be due to what

A

Use on clamps

Cephaematoma

Longer to heal - weeks

72
Q

Epstein pearls

A

are very small cysts that can appear in a baby’s mouth that look like tiny, white bumps.

73
Q

If baby not breathing what to do first

A

Start cpr - babies have no reserve

Then call 911

74
Q

Pseudomenstration in baby

A

Drop of blood due to hormones is normal

75
Q

When breast feeding baby may loose how much weight

A

5-10 %!in first 3-5 days

76
Q

Stepping reflex when

Galant reflex - stroke side gonto that side

Erbs palsy can be caused by what

A

2 months

SD

77
Q

When should cord fall off?

What to checkn for?

When to take clamp offf

A

1-2 weeks on own

Don’t clip nails

24 hours

Cleanse with water keep dry

Alcohol cotton ball , gauze

78
Q

What to check with circumcision

A

Swelling and ability to urinate

79
Q

Soy does what to babies

A

Increases gas

80
Q

Shunts do what when baby takes first breath

A

Close

81
Q

What is considered post term

A

42 weeks

82
Q

Causes of iugr

A

HTN

Causes SGA

83
Q

Meconium May be jaundiced

A

Yes

84
Q

Breast fed babies jaundice how to fix?

A

Feed them

85
Q

Low bs in infant s/s

A

Decrease respiratory
Jittery
Sweaty

Get bs

86
Q

Nas causes

Interventions

A

Drugs withdrawal

Loose stools
Irritable
Crying

Quiet area , skin tonskin

87
Q

When to do Ballard assessment

A

Severe premature

23-26 weeks

maternal child health RN (15 decks)

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