EXAM 1 Flashcards
producing offspring and from fertilization to birth
reproduction
ultrasound and fetal monitor are what test
BPP
FHR of 105 and no acceleration in a NST is ___
nonreactive
NST has just the fetal monitor. t or f?
true
BMI of 18 gains how much baby weight
28-40 lbs
if trying to conceive, take _____mcg of folate per day
600
at the first prenatal visit the blood test tell you ____ and Rh factor
blood type
ovum released, zygote becomes morula, blastocyst into lining, support growing
conception steps
the __ matures in follicular phase
ovum
terbutaline, vasopressor, and fluid bolus for ___ decels
late
lower head, stop oxycotin, and continue patocin for __ decels
late
continue monitoring, assist with birth, and position changes for __ decels
late
IV infusion increase, give O2 and check BP for __ decels
late
left lateral to increase urteroplacental blood flow or knee chest position for ___ decels
early
hydrate and give O2 at 10L for ___ decels
early and variable
cord compression/prolapse and oligohydramnios can cause variable ____
decels
head compression can cause early ___
decels
normal fetal oxygenation cause
accelerations
placental insufficiency can cause late ___
decels
predict fetal acid base status abnormality
abnormal fetal heart patterns
the O2 transfer to fetus disrupted and seen with maternal hypotension in ___ patterns
abnormal fetal heart
can be due to placental malformation or abruption or not working
abnormal fetal heart patterns
can be due to hypertensive disorders and infection
abnormal fetal heart patterns
can be due to DM
abnormal fetal heart patterns
FHR drops after contraction is what pattern
abnormal fetal heart patterns
has absent baseline variablity and maybe one of these(late or variable decels, BC or sinusoidal patterns)
abnormal fetal heart patterns
caused by UPI like uterine perfusion, tone and placental function
late decels
caused by maternal hypotension and uterine hyperactivity(immediate)
late decels
caused by maternal hypertensive and IUGR(maybe reversible)
late decels
caused by DM and cardiac disease(maybe reversible)
late decels
caused by anemia, tobacco use and isoimmunization
late decels
moderate variability, FHR 110-160, early decels and accels present or absent
normal fetal heart patterns needs all these
6-25BMP
moderate viariability
head compression as a vasovagal response causes
early decels
gradual decrease and return FHR with a contraction
early decel
15 BMP above baseline is a ___ after 32 weeks
accel
10 BMP above baseline is a ___ before 32 weeks
accel
2 accels in 20 min is a ___test
reactive
accels more than 10 min are a ___ change
baseline
ass with normal acid base status
normal fetal heart patterns
caused by placental insufficiency/ abruption/infarction/previta
late decels
ass with relative hypoxia
late decels
abrupt decrease in FHR and due to cord compression
variable decels
decrease in FHR GT 15, 15-2min
variable decel
GOOD FETUS INFO, fast interventions like moving positions/meds to slow labor/IV bolus to perfuse placenta are _____ to fetal monitoring
advatages
if the fetus has O2 is what the fetal monitoring gives us. t or f?
true
when getting AFI, use an _____ to look in 4 quadrants and measure in cm pockets of amniotic fluid and add all
ultrasound
oligohydramnios is LT __ cm
5
between 5-20 cm is normal AFI. t or f?
true
GT 20cm is polyhydramnios/______
hydramnios
in a BPP, you __ for intrauterine fetal behavior. it can indicate adequate fetal oxygenation
evaluate
in BPP, it detects early fetal infection and uses a combo(NST/ultrasound). t or f?
true
NST, AFI, fetal tone/movements/breathing are in a ___
BPP
in BPP test, you want a score close to
10
reactive-2
nonreactive-0
NST in ___
BPP
deep vertical pocket GT2 cm-2
DVP LT 2cm-0
AFI in ____
BPP
1 episode of extension with return of limbs, with opening and closing of hands-2
no movement or slow extension/flexion-0
fetal tone in ___
BPP
3 trunk/limb movements in 30 min-2
LT 3 movements-0
movement in ___
BPP
1 episode of breathing of 30 sec duration in 30 min-2
no breathing-0
breathing in ___
BPP
8/10-normal, low risk, test weekly to twice weekly
6-suspect asphyxia, deliver if GT 36-37 wks or LT36wkswith pos maturity; LT36 wks and maturity is neg, repeat BPP in 4-6 hours and deliver if oligohydramnios is present
BPP results
4-suspect chronic asphyxia;GT 36 wks, deliver. LT 32 wks, repeat score
0-2: strongly SCA. extend test time to 2 hrs…if persistant LT4 score, deliver
BPP result
____ is a stimulation of labor to see fetus reaction
CST
___ is a predictor of Uteroplacental sufficiency for wks 26-40
CST
need:3 contractions lasting 40 sec in 10 min window for what test
CST
PLT, placenta previta, and multiple gestation are contraindications for ___
CST
previous C section, imcompetent cervix and PROM are contraindications for __
CST
pos CST is ____ and has late decels after contractions
nonreassuring
neg CST is ___, has no late decels
reassuring
equivocal CST=not reassuring/reassuring, you see nonreptitive ____ decels or hyperstimulation present
late
reactive NST and neg CST is for ___ _____
think well being or not well being
for fetal well being
___assesses FHR accels in response to movement and is most common
NST
NST is ____ and the best indicator of fetal well being
noninvasive
do a __ for women at risk for HTN, 1+inutero, and DM
NST
do a ___ for at risk for posterm pregnancy, vascular disorders and chronic illess
NST
do a ___ for: at risk for decreased fetal movement and having history of fetal loss
NST
a ___ takes 40-60 min
NST
90% of movement is ass with FHR accels . t or f?
true
in a ___ the fetus must have 2-3 accels(15 BMP above baseline and for 15 sec) in 20 min
NST
a NST ___ have BC, TC, decels
cannot
reactive=reassuring=criteria is met in a ___
NST
nonreactive=non reassuring=not met in a ____
NST
nonreactive NST needs a CST and ___
BPP
in a NST, attached a EFM U/S transducer over the FHR and mon for 20min. t or f?
true
the ____ is used to mon fetus in pregnancies complicated by O2 issues
DailyFetalMovementCount
also called kick counts
LT 3 kicks an jour mean doing a NST
DFMC
IUPC can measure frequency, duration, intensity of contractions. t or f?
true
The nurse observes the fetal monitor and notes that the fetal heart rate baseline is 135 beats/min, with moderate variability, no decelerations and occasional accelerations. is cat 1?
yes, cat 1
in second trimester, you need ___ extra calories per day
340
in third trimester, you need ___ extra calories per day
452
in the first trimester, keep the calories at the same level. t or f?
true
low nutrition can lead to small gestation age, IUGR, and placental insufficiency. t or f?
true
in first 6mths of lactating, need an extra ___ calories
330
in 2nd 6 mths, need 400 extra ___
calories
need 2700-3000mL preg and 3.9 L ___ in liquid
lactating
___ supports physiological changes and aids in digestion and helping constipation
liquid
dehydration can cause preterm labor and you may need an ___
think needle
IV
low fluid=low amniotic fluid ___
volume
take 600 mcg of ____ a day esp if trying to get preg
folate
liver, beans and asparagus are high in ___
folate
spinach, papaya, cereal are high in ___
folate
wheat germ, brocolli and collard greens are high in ____
folate
avocado, oranges, pasta and rice are high in ____
folate
bread, egg, and corn are high in ____
folate
preg ppl need __ g of Fe due to anemia
30
protein-20%
fat-30%
carbs-50%
t or f?
true
71g of ___
protein
770mcg of vit a preg and 1300 mcg ____
lactating
85mg of vit c preg and 120 mg ____
lactating
1.9 mg of vit b pregnant and 2 g_____
lactating
600 mcg of folate preg and ____mcg lactating
500
2.6 mcg of vit b12 preg and 2.8 mcg ____
lactating
27mg of Fe preg and 9mg ___
lactating
LT/<18.5 BMI
you want to gain _____
28-40
BMI 18.5-24.9 gains_____
1: 1.1-4.4 total
2/3: 1 lb a wk
25-35
25-29.9 BMI gains
15-25
> /GT30 BMI gains
11-20
first tri-breast tenderness, nausea, vomit, and fatigue. t or f?
true
first tri-ptyalism, gingivitis, and epistaxis. true?
true
first tri edu-work, good supplements, miscarriage. true?
true
first tri edu-substance use, toxoplasmosis and safe OTC meds. true?
true
first tri edu-exercise and nutrition and weight gain. true?
true
second tri edu-post pardum contraception, circumcision and car seats. true?
true
sec tri edu-preterm labor prevention, GDM, what if a c section. true?
true
sec tri edu-PICA, constipation, heart burn. t?
true
sec tri edu-leukorrhea, headache and carpal tunnel.t?
true
sec tri edu-preterm labor S/S, quickening, decide circumcision. t?
true
sec tri edu-take birth classes, breastfeed or formula.t ?
true
third tri edu-L and D experience and pain meds to take. t?
true
third tri edu-dyspnea, edema, leg cramps. t?
true
third tri edu-round ligament pain, braxton hicks, urine frequency. t?
true
third tri edu- work/travel, vaccines, car seat. t?
tru
third tri edu-postpardum contraception and sexuality. t?
tru
third tri edu-pain management in labor and S/S of labor. T?
true
interview, physical, and fundal height
follow up apt tasks
fetal assessment(gestational age, Fetal heart tones, health status)
follow up apt tasks
lab tests, screening, ultrasound
follow up apt tasks
pubic bone to top of uterus
fundal height
Q4 weeks to 2 starting at 28wks, then Q1wk at wk 36 until delivery for ______
return visits
fetal movement at 20 weeks
quickening
check FHR and dilation/effacement
follow up apt tasks
breast changes and amenorrhea are _____ signs of pregnancy
subj/presumptive
nausea, fatigue, and quickening are ____ signs of pregnancy
presumptive
these are changes felt by the women that may indicate pregnancy but not exclusive to pregn
subjective/presumptive
obj. signs of preg observed by examinar and may indicate preg
probable
pos preg test and hegar sign are _____ preg signs
probable
goodell and chadwick sings are ___preg signs
probable
braxton hick and ballotment are ____preg sings
probable
signs confirmed on exam or tech
pos preg signs
U/S or FHR heard are ___ preg signs
pos
movement felt by examiner and visible are ___ preg signs
pos
CO increases by 30-50% and Blood volume by
1500mL or 30-45%
HR increases 10-15 BPM and heart____ in shape and size
changes
> 11
Hbg