Exam 2 Flashcards
for what MEWS score would we notify the provider?
4
for what MEWS score would the patient need to have a rapid called and go to the ICU?
5 and above
components of MEWS
- systolic
- RR
- temperature
- alertness
- HR
- UO
signs of preeclampsia
- protein in urine
- pain in RUQ, liver
- blurred vision
- high BP
- edema everywhere
what to teach a patient regarding kick counts
- at least 5 kicks/hr
- lie on your side
- count for an hour
antidote of magnesium sulfate
calcium gluconate
assessments when giving magnesium sulfate
- deep tendon reflexes
- VS
- level of consciousness
- urine output
if there is a gush of fluid, what should we do?
assess right away
COAT acronym
Color
Odor
Amount
Time
VEAL CHOP
- variable decels = cord compression
- early decels = head compression
- acels = okay
- late decels = placental insufficiency
variable decels interventions
- turn mom
- monitor closely
what kind of decels are most concerning and why?
late decels; fetus is affected and not recovering
interventions for late decels
TTOIV: turn off pitocin, turn mom, oxygen 100% NRB, IV fluids wide open
what is a good finding on a fetal monitoring strip?
variability and accels
complications of preeclampsia
- fetal growth restriction
- preterm birth
- placental abruption
- other organ damage
- cardiovascular disease
DIC
will see bleeding and clotting; from mucous membranes, give IV fluids
what does U-2 mean?
umbilicus - 2 = 2 days postpartum
scant flow meaning
minimal flow
rubra
red
stage 1 of labor
start of contractions to full dilation
stage 2 of labor
full dilation to delivery of baby
phases of stage 1 of labor
- phase 1: latent = dilation 0-3 cm
- phase 2: active = dilation 4-7 cm
- phase 3: transition = dilation 8-10 cm
stage 3 of labor
delivery of baby to delivery of placenta
signs of chorioamnitis
abdominal pain
H&H of concern
8 and 28; if below, blood transfusion
before an epidural, what labs do we look for?
- RR
- WBC (infection)
- platelets (bleeding too much)
what vital sign might change with an epidural?
it will drop BP, increase fluids
assessment of DVT
pain, swelling, redness, enlarged and hardened, unilateral
what can a DVT cause?
a PE; sit them up, oxygen, rapid response
failure to rescue
don’t recognize and don’t react
PP hemorrhage interventions
- 100% NRB
- IV fluids
- use LR when bleeding
normal FHR
110-160
what is considered a fever in the PP period?
> = 100.4
when would RhoGAM be given?
given PP to a Rh negative mother who gave birth to a Rh positive baby
who can we utilize to help with breast-feeding?
lactation consultation, WIC
what nutrients do breastfed babies lack?
iron and vitamin D
how soon should a newborn be breastfed?
within the first hour
most common cause of PP hemorrhage
not voiding
if the patient is hemorrhaging, what should you do?
fundal massage
what could a hematoma cause?
shock, want MAP >65
universal blood donor
O-
normal weight loss for a newborn
- 5-8%
- > 10% needs intervention
NCSBN steps
ADPIE
