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exam 2 Flashcards

1
Q

power, passenger, passage, position, and psychological state are the five __ of labor

A

p’s

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2
Q

fear/anxiety have to do with what P?

A

Psychological state

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3
Q

abuse history and mom in room have to do with what p?

A

Psychological state

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4
Q

labor stays productive if you ___ moving and have to do with position

A

keep

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5
Q

use ___ for productive labor

A

gravity

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6
Q

position is referring to mom not ____

A

baby

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7
Q

in labor, you want it to begin ____

A

natural

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8
Q

in labor, you want walk, move and __ positions

A

change

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9
Q

with labor, have __ support and dont intervene til you need to

A

consistent

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10
Q

with labor, get __ and follow urge to push and keep the baby with you after birth

A

upright

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11
Q

the pushing efforts/contractions are which P?

A

powers

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12
Q

good contractions are 2-4 min __ and last 50-60 seconds each

A

apart

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13
Q

contractions are required to get the __ open

A

cervix

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14
Q

the toco ___ monitor strength

A

doesnt

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15
Q

you only put in a internal mon if the __ are ruptured

A

membranes

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16
Q

passage is ass with the ___ structure(bony and soft)

A

pelvic

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17
Q

gynecoid pelvis is the ideal pelvic ___

A

structure

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18
Q

the ___ pelvic structure is wide, open and round

A

gynecoid

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19
Q

as you get closer to labor, the ___ joints relax and open up to make birth easier

A

pelvic

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20
Q

the baby position refers to what P? it is good for baby to be flexed

A

passener

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21
Q

breech and post occult is __ positions and associated with passenger

A

bad

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22
Q

macrosomic makes it hard to do vaginal birth or csection. but you still __

A

can

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23
Q

first stage of labor is 0 to __ cm

A

ten

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24
Q

second stage of labor is from 10 cm to ___ of baby

A

birth

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25
Q

third stage of labor is from baby birth to __ birth

A

placenta

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26
Q

latent/early stage is from 0-3 cm. t or f?

A

true

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27
Q

active stage is from 4-7 cm . torf?

A

true

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28
Q

transition stage is from 8-10 cm. torf?

A

tru

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29
Q

the third stage of labor lasts 30 __

A

min

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30
Q

you get the fergusion reflex is in ___ stage and 10cm=complete/fully effaced

A

second

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31
Q

with a multipara, the second stage lasts one to 30 ___

A

min

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32
Q

with a nullipara, the second stage lasts __ hours

A

2

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33
Q

the cardinal movements are: engagement, descent, flexion, internal rotation, extension, ___, and expulsion

A

restitition

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34
Q

presenting part is at zero station

A

engagement

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35
Q

head continues to descend lower and lower

A

descent

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36
Q

chin to chest

A

flexion

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37
Q

this makes it so that the smallest part thru the canal

A

flexion

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38
Q

___ is key to a good delivery

A

flexion

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39
Q

when the head curve of carus the head to moms back

A

internal rotation

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40
Q

head is crowing in what cardinal movement?

A

extension

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41
Q

restitution can also be called ___ rotation

A

external

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42
Q

music and counter pressure on back if back pain is ____ relief measures

A

nonpharm

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43
Q

relaxation and imagery are ___ relief measures

A

nonpharm

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44
Q

light massage and heat or cold pack are ___ relief measures

A

nonpharm

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45
Q

aromatherapy and biofeedback and breathe and water are nonpharm ___measures

A

relief

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46
Q

___ analgesia(IM/IV)cross the blood brain barrier and can effect the fetus

A

systemic

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47
Q

opioid agonist/antagonists and nubain are systemic ____ and you need an order for them

A

analgesia

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48
Q

stadol is a systemic analgesia. torf?

A

true

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49
Q

the narcotics and opioids __ the system faster but make sure to have narcan on hand bc they can cause resp despression

A

leave

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50
Q

do __ give demeral or morphine if the baby is still inside.

A

not

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51
Q

anesthesia does __ cross the blood brain barrier and effects the fetus less

A

not

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52
Q

epidurals(the nurse will support shoulder and M FHR and M VS; this is better it lasts the whole time)and intrathecal are ___

A

anesthesia

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53
Q

spinal and local blocks like prudental are ____

A

anesthesia

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54
Q

general anesthesia(for Emergency) and nitric oxide are ____

A

anesthesia

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55
Q

when not prego, there is no placenta and there are __ arteries to bring blood to the uterus in the decidua

A

spinal

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56
Q

when preeclampic, this is ___ function of placenta and endometrium has the spiral arteries that bring blood to uterus

A

abnormal

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57
Q

when preeclampic, the ___ doesnt form correctly and the blood doesnt get to the placenta easy

A

placenta

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58
Q

when preeclampic, there is pressure bc the __ artieries are skinny

A

spiral

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59
Q

in a norm pregnancy, the placenta develops then the __ develop so blood can get to the intervillous space and O2 and nutrients can transfer easy

A

arteries

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60
Q

when preeclamptic, there is less __ blood flow to placneta that causes hypoperfusion which causes hypoxemia which causes ischemia

A

maternal

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61
Q

due to less maternal blood flow in preeclampsia, poison is leaked into the lining of the endothelium and it results in end organ damage and __

A

HTN

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62
Q

when preeclamptic, there is increased peripheral vascular resistence which leads to ___

A

HTN

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63
Q

when preeclamptic, u have face and hand swelling. torf?

A

tru

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64
Q

when preeclamptic, you have weight gain of GT5lbs a ___

A

week

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65
Q

when preeclamptic, there are ___changes and headaches

A

vision

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66
Q

when preeclamptic, there is sudden nausea and RUQ ___

A

pain

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67
Q

when preeclamptic, there is a ___ breath

A

gasping

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68
Q

preeclampsia can cause seizure and stroke. torf?

A

true

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69
Q

preeclampsia can cause organ damage and __term birth

A

pre

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70
Q

preeclampsia can cause death. torf?

A

tru

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71
Q

preeclampsia can ___ the brain(vision and headache) and liver(upper epigastric pain)

A

effect

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72
Q

preeclampsia has labs like __ labs drawn

A

liver

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73
Q

early preg bleeding is before __ weeks

A

20

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74
Q

miscarriage and tubal __ are examples of early preg bleeding

A

preg

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75
Q

incompetent cervix and molar preg are examples of ___ preg bleeding

A

early

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76
Q

in a __ the bleeding and cramping stops, or doesnt stop, or the baby can die without symptoms

A

missacarriage

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77
Q

a spontanous abortion is also called a ___

A

misscarriage

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78
Q

a ___ preg is anything outside the uterus

A

eptopic

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79
Q

__% of tubal pregs are in the fallopian tubes

A

90

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80
Q

with a ectopic preg, you see ___bleeding/cramping/pain and give meds and surgery to cure

A

vaginal

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81
Q

a incompetent cervix is shorter than __ cm and opens easily

A

3

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82
Q

if you have a incompetent cervix, the ___ will do a cerclage(stich it shut)

A

doctor

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83
Q

with a hydatidiform mole, there is __ baby

A

no

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84
Q

there is cancer like tissue and abnormal placenta tissue formed in a ___ mole

A

hydatdiform

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85
Q

with a molar preg, treat with chemo for a __ after cells removed

A

year

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86
Q

placenta previa and abruption are examples of bleeding __ in preg(GT20 weeks)

A

later

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87
Q

__ previa look like bleeding and the placenta is lower near cervix opening

A

placenta

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88
Q

__ previa is where the placenta doesnt adhere to the cervix as high as normal

A

placenta

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89
Q

____ previa is where the placenta can cover the cervical opening completely

A

placenta

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90
Q

___ previa is needing a c-section and giving no vaginal exam

A

placenta

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91
Q

you can see __ previa on a U/S

A

placenta

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92
Q

____ abruption is when the placenta is not on the uterus lining/moms blood

A

placental

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93
Q

_____ abruption is when the baby is getting no O2

A

placental

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94
Q

____ abruption is caused by trauma, MVA or high BP

A

placental

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95
Q

____ abruption is caused by drugs

A

placental

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96
Q

a mom’s high blood pressure is placing pressure on the baby’s ___

A

BVs

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97
Q

2cm/70%/-2 vertex is what phase of labor?

A

stage 1 latent

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98
Q

5cm/90%/-2vertex is what stage of labor?

A

stage 1 active labor

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99
Q

in the active phase of labor, there are ____ intensity of contractions and rapid progress

A

increasing

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100
Q

the ___ phase of labor is from onset of contractions to active phase

A

latent

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101
Q

when a prego feels ___ of fluid, assess FHT and TACO

A

gush

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102
Q

TimeAmtColorOdor

A

TACO

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103
Q

5cm/100%/0 station is what stage of labor?

A

first stage active

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104
Q

SUPPORT HER and COOL WASH CLOTH is

A

what you respond with when the women doesnt dilate quicker

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105
Q

SHE HAS MADE PROGRESS and KEEP GOING YOU CAN DO IT is

A

what you respond with when the women doesnt dilate quicker

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106
Q

SUPPORT THE FAMILY MEMBERS and GIVE THEM TASKS TO DO is

A

what you respond with when the women doesnt dilate quicker

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107
Q

ASSESS PAIN and DO POSITION CHANGES is

A

what you respond with when the women doesnt dilate quicker

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108
Q

SHOWER AND WATER and ENCOURAGE is

A

what you respond with when the women doesnt dilate quicker

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109
Q

when a women is tired and wants pain meds, you should say

A

encourage the nonpharm meds and you can change pain plans at any time

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110
Q

systemic analgesics can be given for pain but they can __ the placenta and cause resp depression. they last 2-3 hours and the second dose is not as effective

A

cross

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111
Q

transition phase is when you lose control and cant cope anymore, you may see ___ show and suddenly vomit

A

bloody

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112
Q

for the transition phase you can give ___SUPPORT EVEN WHEN PUSHED AWAY and CONTINUE MONITORING

A

increasing

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113
Q

for the transition phase you can _____POSITIONS, ASSESS PAIN, and REMIND HER THAT SHE IS DOING GOOD

A

change

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114
Q

8cm/100/0station is the __ phase

A

transition

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115
Q

when a women wants an epidural, you can respond with, ___

A

ITS OKAY TO CHANGE YOUR MIND and GUIDE TO NONPHARM TECHNIQUES WITH CLOSE DELIVERY AND GOOD PROGRESS

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116
Q

MOM BP DROPS AND FHR DROPS DUE TO NO FETAL PERFUSION are the risks, and side of effects of a ___

A

epidural

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117
Q

get a PO and ANESTHEHOLOGIST, GOOD IV ACCESS (18G), assess NO COAG OR CLOTTING PROBS, 1-2 L OF BOLUS BEFORE EPIDURAL are the roles of a ____

A

nurse

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118
Q

10cm/100%/+2 is what stage of labor?

A

second pushing

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119
Q

the women pushes bf needle guy comes, whats the nurses role?

A

PROVIDER TO ROOM and INSTRUMENTS SET UP

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120
Q

the women pushes bf needle guy comes, whats the nurses role?

A

GET MORE STAFF and COACH MOM ON HOW TO PUSH WELL(IN CONTRACTION)

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121
Q

the women pushes bf needle guy comes, whats the nurses role?

A

TELL SUPPORT PERSON TO SUPPORT LEGS AND GET HER WATER

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122
Q

the women pushes bf needle guy comes, whats the nurses role?

A

GIVE “SBAR” TO IMPT PEOPLE

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123
Q

baby born, skin to skin and no placenta yet. what labor stage?

A

third

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124
Q

MAKE SURE NEWBORN IS OKAY and APGAR SCORE are the ___ role in 3rd stage

A

nurses

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125
Q

DON’T MASSAGE FUNDUS TIL AFTER PLACENTA IS DELIVERED and GIVE MOM PACTOCIN TO PREVENT POSTPARDUM BLEEDING are the __ role in third labor stage

A

nurses

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126
Q

HELP ASSESS LOCHIA, DOCUMENT BIRTH, and ENCOURAGE BONDING are the __ role in third stage

A

nurses

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127
Q

a prego women comes in with HTN, what else do you ask her?

A

headaches? vision changes?

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128
Q

a prego women comes in with HTN, what else do you ask her?

A

epigastric pain?

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129
Q

a prego women comes in with HTN, what else do you ask her?

A

face and hand edema

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130
Q

a prego women comes in with HTN, what else do you assess?

A

weight gain 5lbs+in week, protein urine and take BP

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131
Q

35+, prima gravita and new partner are __ for preeclampsia

A

RF

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132
Q

GHTN and preeclampsia have HTN. torf?

A

true

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133
Q

preeclampsia has protein urine while ___ doesnt.

A

GHTN

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134
Q

prego women with preeclampsia at 35 wks is induced for labor, why cant she wait two wks?

A

START DUE TO MEDICAL COMPLICATION. BABIES AINT GETTING O2, NOT ENOUGH MOM BLOOD GETTING TO PLACENTA. MOM AND BABY AT RISK WITH PREECLAMPSIA. HAVE A NICU NURSE COME EXPLAIN AND REASSURE HER

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135
Q

for severe preeclampsia what med do you give?

A

Mg sulfate

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136
Q

CNS depressant and antiseizure med is __ sulfate

A

Mg

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137
Q

__ is the only solution for preeclampsia

A

delivery

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138
Q

__ is a high alert drug(need a second nurse to check)

A

mg sulfate

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139
Q

the ___ dose of mg sulfate is 4G in 30min then 2G an hour as maintenence

A

loading

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140
Q

when ___ Mg sulfate, do comfort measures

A

giving

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141
Q

wash cloth and ice packs due to N/V/fever/diarrhea are comfort __

A

measures

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142
Q

with Mg sulfate ___ RR and DTR

A

assess

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143
Q

with Mg sulfate ___ BP/VS and urine output

A

assess

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144
Q

with Mg sulfate ___ the environment low stimulus to prevent seizures

A

keep

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145
Q

a preeclamptic labor is full of __ and a c-section

A

complications

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146
Q

___ BG levels in mom gives extra glucose to baby that makes the baby gain weight

A

high

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147
Q

with extra glucose to baby the fetus makes more insulin then the extra glucose is stored as fat and the fetus is ___

A

large

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148
Q

moms glucose crosses the placenta but the insulin does ___, this leads to macrosomic fetus

A

not

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149
Q

the 1 hour GTT is bad if over 140, all ___ get this screening

A

women

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150
Q

the GTT is at weeks __ to 28 weeks

A

24

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151
Q

the healthy range for glucose is 130-___

A

140

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152
Q

if high in 1 hr GTT, do a 3 hr OGTT and if __ or more are abnormal, diagnose GDM

A

two

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153
Q

___ with GDM are macrosomia, shoulder dystocia and newborn hypoglycemia

A

complications

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154
Q

with GDM, ___ abt diet and BG tests and say that RF is obesity

A

teach

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155
Q

with GDM, ___ abt how to stick finger 4xs a day and document

A

teach

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156
Q

with GDM, ___ abt the mainstay treatment and meds if nothing works

A

teach

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157
Q

diet, exercise plus BG watching are the mainstay __& can lead to fetal death/congenital abnormalities/miscarriage

A

treatment

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158
Q

uterine contractions are what P?

A

powers

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159
Q

a contraction is from the beginning of one to the ___ of the next

A

beginning

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160
Q

when water ___, chart time of rupture, amt, color, and odor

A

breaks

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161
Q

3/80/-1 is what labot stage?

A

first

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162
Q

the chin rests on chest as it moves down

A

flexion

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163
Q

chin __ is a challenging presentation for birth

A

up

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164
Q

waiting on placenta delivery is what labor stage?

A

third

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165
Q

the fetus is in OP position, what p is this?

A

passenger

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166
Q

baby’s full body is born this is

A

expulsion

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167
Q

with a __you can have hypotension

A

epidural

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168
Q

with hypotension due to epidural give IV fedran or O2 or turn to __ side

A

left

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169
Q

with a __ cervix, you are ready for labor

A

ant

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170
Q

a bishop score of above 8, induction of __ is successful

A

labor

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171
Q

bishop score of LT 8, you need to get the __ ready for labor

A

cervix

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172
Q

the bishop score answers the question of if the cervix is __(ready for labor)

A

ripe

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173
Q

dilation of 0is is 0 on ____…1-2 cm is 1…3-4 is 2 and >5 is 3

A

bishop

174
Q

effacement of 0-30 is 0…40-50 is 1…60-70 is 2…>80 is 3 on what scale

A

bishop

175
Q

station of -3 is 0…-2 is 1…-1,0 is 2…+1,+2 is 3 on what scale?

A

bishop

176
Q

cervical consistency firm is 0…medium is 1…soft is 2 on what scale

A

bishop

177
Q

cervix position is post is 0…midposition is 1…ant is 2 on what scale

A

bishop

178
Q

bishop score of 5 is 1__/50%/-1/medium/post

A

cm

179
Q

__ score of <8 is not ripe, use prostaglandins and CID

A

bishop

180
Q

cervix not ripe use cytotec(chemical) or foley cath to add pressure to the cervix(soften it)(___)

A

mechanical

181
Q

__ score of >8, the cervix is ripe, you give pitocin or oxytocin

A

bishop

182
Q

make labor stronger and more effective, you can break water bag is ___ augmentation

A

labor

183
Q

preterm labor is is uterine contractions and cervical change that happens between 20 and __ wks

A

37

184
Q

contractions Q 3 min and 50-60 sec you give __ meds(stop contractions; terbutaline SC; nifedipine; Mg sulfate)

A

tocolytic

185
Q

at risk preterm women have __ cervix(<30 mm)

A

short

186
Q

at risk ___women is triplets at 20 weeks G1P0

A

preterm

187
Q

a preg women feels crampy and pressure down there. you tell her: ___

A

Empty your bladder now, drink 2-3 glasses of water and rest for an hour. Call me if the cramping is still happening after all that

188
Q

at 32 wks gestation, give betamethasone to help fetal lung __

A

mature

189
Q

with ___, baby needs to be crowing and in second stage

A

vacuums

190
Q

with __, head is sucked out when a contraction happens

A

vacuums

191
Q

with __, grasp baby head with tongs/forceps and pull baby out

A

forceps

192
Q

_____ of V and F are prolonged 2nd stage when pushing for more than 2 hours

A

indications

193
Q

____ of V and F are fetal distress(lowFHR) and maternal fatigue

A

indications

194
Q

___ of V and F trauma to moms perineum and newborn trauma

A

risks

195
Q

when you contract, bear down and the doctor will pull the __ out

A

baby

196
Q

c-section ___ are macrosomia and maternal complications(heart probs/genes)

A

indications

197
Q

csection ___ are fetal malpresentation(can compress cord if you deliver body first)

A

indications

198
Q

csection ___ are fetal distress and GI anomilly

A

indications

199
Q

csection ___ are failure to progress in labor and repeat csection

A

indications

200
Q

csection ___ are bleeding and infection

A

risks

201
Q

csection ____ are risk for uterine rupture in future pregnancies

A

risk

202
Q

the __ risk with TOLAC/VBAC is uterine rupture

A

main

203
Q

a ___ rupture can occur spontaneously, not always the result of csection scar

A

uterine

204
Q

___ dystocia is due to a small passageway/pelvis

A

shoulder

205
Q

___ dystocia is due to large passenger/fetus or GDM

A

shoulder

206
Q

__ dystocia is where the shoulder is lodged in the pubic bone

A

shoulder

207
Q

a __ scar heals better than a vertical one

A

horizontal

208
Q

__ scar is against the uterus horizontal muscles and more likely to rupture

A

vertical scar

209
Q

you can have a vertical scar on the inside but a hori scar on the __

A

outside

210
Q

trial of labor after csection is long for

A

TOLAC

211
Q

vaginal birth after cseciton is long for

A

VBAC

212
Q

LST stands for

A

low segment transverse

213
Q

vertical or classical incision is not safe for vaginal birth.torf?

A

true

214
Q

with ___ dystocia, try mcroberts position first then suprapubic pressure(this will dislodge the shoulder)

A

shoulder

215
Q

if mcroberts and suprapubic dont work, try __ and knees

A

hands

216
Q

if in shoulder dystocia, you ___ do a csection

A

cant

217
Q

with a __ cord, the cord is out of the body bf baby is and no O2 is getting to baby

A

prolapsed

218
Q

with a __ cord, hands and knees or trendelenburg + vaginal exam to push the baby head off the cord

A

prolapsed

219
Q

with a __ cord, you end up in an emergency c section

A

prolapsed

220
Q

__ with meconium fluid are meconium aspiration syndrome

A

risks

221
Q

meconium aspiration syndrome is when you ____ it into lungs and makes it hard to breathe

A

breathe

222
Q

with meconium __, the baby is past due date or under stress or has BM in amniotic fluid

A

fluid

223
Q

with meconium fluid, the __ are to have extra hands on deck and suction out mouth and mon baby

A

interventions

224
Q

__ role is to assess for s/s of complications early on

A

nurse

225
Q

__ role is provide comfort

A

nurse

226
Q

__ role is restore function and promote health

A

nurse

227
Q

__ role is do family edu

A

nurse

228
Q

BUBBLE-LE stands for

A

breasts, uterus, bowel, bladder, lochia, episiotomy/lacerations, legs(thrombosis) and emotions

229
Q

for perineal ____ know REEDA

A

injury

230
Q

redness, edema, ecchymois, discharge and approximation of edges stands for

A

REEDA

231
Q

injury to vaginal mucosa

A

first degree perineal injury

232
Q

injury of vagina mucosa and perineal muscles but not anal sphincter

A

second degree

233
Q

injury to perineum with anus

A

3rd degree perineal injury

234
Q

LT 50% of external sphincter torn

A

3a

235
Q

GT 50% of external sphincter torn

A

3b

236
Q

internal sphincter is torn

A

3c

237
Q

injury to external and internal sphincter and anus/rectum

A

fourth degree perineal injury

238
Q

breast focus on nipple everted and _____ for lactation

A

readiness

239
Q

trauma or bleeding and trouble latching are ___concerns

A

breast

240
Q

fundal massage right after ___ delivery

A

placenta

241
Q

one hand under uterus one hand massaging with __ massage

A

fundal

242
Q

uterus clamps and prevents ____

A

bleeding

243
Q

when assessing the ___, look at in the middle of massage and feel for firm or boggy

A

uterus

244
Q

when assessing the ___, how many cm above or below the umbilicus is it, are there clots or is it midline?

A

uterus

245
Q

when assessing the ___, look at how much bleeding and to look at the perineum go on left and on on leg

A

uterus

246
Q

it is normal not to poop 2 __ post partum

A

days

247
Q

you should have trouble to pee __ after birth

A

right

248
Q

the bleeding that happens is the ____ and its a mix of placenta and blood

A

lochia

249
Q

___ rubrica is red and for the first 7 days

A

lochia

250
Q

___ cirosa is round with little red and up to 2 wks

A

lochia

251
Q

___ alba is yellow/white discharge and up to 4 wks

A

lochia

252
Q

the flow of lochia is __ to C to A

A

R

253
Q

episiotomy is when a doctor makes a cut and the __ are fetal distress and pushing with no stretching

A

indications

254
Q

lacerations are a ___ tear

A

natural

255
Q

with the __ you look for thrombosis bc they are more likely to clot

A

legs

256
Q

when assessing the legs, look for red, swelling, pallor. torf?

A

true

257
Q

post partum blues are normal for 2 weeks, ___ then depression can set in

A

after

258
Q

for hemorrhoids, give witch ___bc they are common

A

hazel

259
Q

birth of infant to repro organs returning to normal size/state is the ___ period

A

postpartum

260
Q

involution is the uterus __ to prepreg state/shape/location

A

returning

261
Q

involution is due to the __ contractions and atrophy of uterine muscle

A

uterus

262
Q

involution is due __ size in uterus cells

A

decreased

263
Q

subinvolution is when involution is __ healed(there is a fear of bleeding with this)

A

half

264
Q

post partum hemostasis is __ by the uterus contracting

A

achieved

265
Q

uterus contracting means you decrease the hemorrhage and compresses the ___ to control blood loss

A

BV

266
Q

if uterus is boggy/feel wet, __ __ is an issue

A

bleeding out

267
Q

the placental site heals by exfoliation with new __ tissue. there is no scar

A

endometrial

268
Q

in the lochia you see __ tissue from the placenta site healing

A

necrotic

269
Q

the umbilicus is displaced to the right and 2cm above umbilicus. why is this not expected?

A

it should be firm, midline and at bellybutton

270
Q

with a __ the postpartum hemmorrhage level is 1000mL+

A

csection

271
Q

with a ___ birth the postpartum hemorrhage is 500ML+

A

vaginal

272
Q

to help the uterus contract ___patocin IV(no limit post partum) and breastfeed

A

increase

273
Q

breastfeeding will increase __ naturally

A

oxytocin

274
Q

bleeding and lochia ___with breastfeeding

A

increase

275
Q

scant is LT __cm

A

2.5

276
Q

light is LT __cm

A

10

277
Q

moderate is 10cm or __

A

more

278
Q

heavy is one __ saturated within 2 hours

A

pad

279
Q

blood __ after birth is assessed by the extent of perineal pad saturation

A

loss

280
Q

parental ___ is how you love and attach to baby

A

adaptation

281
Q

reva rubins model is about ____ adataptation

A

parental

282
Q

taking in…hold….letting go is the reva rubin ___

A

model

283
Q

the dependent phase is the first __hours after delivery and taking in

A

24

284
Q

focus on self and meeting basic needs in in the ___ in phase

A

taking

285
Q

need nurse to help you with everything is the taking __ phase

A

in

286
Q

excited and talkative is the __ in phase

A

taking

287
Q

want to review/relive birth is what phase of parental adaptation?

A

taking in

288
Q

taking hold is ind and dependent and last __ days to several weeks

A

10

289
Q

focus on new role and desire to change is __ hold phase

A

taking

290
Q

optimal time for teaching and learning is taking __ phase

A

hold

291
Q

impt for first time parents are in the ___ hold phase

A

taking

292
Q

letting go is interdependent and fully incorporating the mother ___

A

role

293
Q

focus on moving forward with fam unit is what phase

A

letting go

294
Q

reassertion of relationship with partner is what phase

A

letting go

295
Q

committment, attachment, prep is the first __ in mercer model

A

stage

296
Q

aquaintence, learning, physical restoration(2-6 wks) is the second __ in mercer model

A

stage

297
Q

moving toward normal is the third stage in ___model

A

mercer

298
Q

achievement of maternal ID(abt 4 mnths)is the fourth __ in mercer model

A

stage

299
Q

with a CSECTION/post partum complication, its ____ SURGERY & SEDENTARY POST PARTUM(BLOOD CLOT AND INFECTION COMPLICATION)

A

abdominal

300
Q

PROLONGED ROM is

a ___ partum complication you NEED TO DOCUMENT TIME, at 24 HRS…INFECTION

A

post

301
Q

PROLONGED LABOR is a post ___ complication the UTERUS IS TIRED AND CONTRACTED TOO LONG AND NOT AS EFFICIENT IN LABOR(RISK FOR HEMMORHAGE)

A

partum

302
Q

CATH can be

___partum complicationBACTERIA INTO BLADDER

A

post

303
Q

HEMORRHAGE is a post partum ___ . ANEMIA AND WEAK BODY

A

complication

304
Q

a post partum complication is a HEMATOMA is a BLOOD ___ IN TISSUE(PERINEAL AREA)(HARD TO ASSESS)

A

clot

305
Q

with PPH, screen all women for hemorrhage risk and get blood knowledge___ birth

A

bf

306
Q

with PPH, have active management in 3rd labor __

A

stage

307
Q

do fundal massage as long as you are bleeding and VS in __ stage of labor

A

third

308
Q

give patocin and maintain O2 in __ stage of labor

A

third

309
Q

ID the __ of hemorrhage to correct it

A

cause

310
Q

there are 4 causes of PPH: tone, trauma, tissue and ______

A

thrombin

311
Q

post __ hemorrhage is a 10% change in Hct between labor and postpartum

A

partum

312
Q

post __ hemorrhage is the leading cause of morbitiy and mortality

A

partum

313
Q

post __ hemorrhage is unrecognized til profound symptoms occur

A

partum

314
Q

tone refers to uterine atony and is 70% of the cause of ___

A

PPH

315
Q

uterine atony has marked hypotonia of uterus and ass with __ parity

A

high

316
Q

uterine atony has marked hypotonia of uterus and ass with hydramnios and ____ fetus

A

macrsomic

317
Q

uterine atony has marked hypotonia of uterus and ass with __ gestation and treated with fundal massage

A

multifetal

318
Q

uterine atony is treated with ___feeding and patocin(med)

A

breast

319
Q

uterine atony is treated with __ bladder and methergin(med)

A

empty

320
Q

hydramnios is __ baby or fluid in uterus and overextended uterus

A

big

321
Q

trauma can cause ___

A

PPH

322
Q

a laceration to genital tract is ___

A

trauma

323
Q

episiotomy is a cut and lacerations are ___, both are trauma

A

tears

324
Q

___ on perineum are easy to ID and stitch up

A

lacerations

325
Q

___ on vagina are hard to find

A

lacertations

326
Q

hematoma is a trauma. torf?

A

true

327
Q

retained placenta is ass with tissue(10%) and causes ___

A

PPH

328
Q

trauma causes 20% of ___

A

PPH

329
Q

thrombin causes 1% of __

A

PPH

330
Q

tone causes 70% of ___

A

PPH

331
Q

nonadherent retained placenta and adherent retained placenta is ass with what T?

A

tissue

332
Q

___ accreta is most superficial and nonconcerning

A

placenta

333
Q

___ increta is partially grown on uterus slide

A

placenta

334
Q

____ percreta is the placenta growing all the way onto the side of abdominal cavity

A

placenta

335
Q

____ percreta is a large hemorrhage risk and needs surgery

A

placenta

336
Q

retained products in placenta are left in the uterus and make the __ not able to clamp down

A

uterus

337
Q

retained products in placenta need to be manually removed under anesthesia and needs to be removed so the uterus can clamp ___

A

down

338
Q

thrombin is rare and has to do with clotting/___ probs

A

coag

339
Q

thrombin has to do with DIC, ITP and vWD. torf?

A

true

340
Q

once you start to bleed the coag system stops __

A

working

341
Q

once you start to lose blood, its ____ to clot and coag

A

harder

342
Q

endometritis in __ is most common PP infections.

A

uterus

343
Q

wound infections and UTI are PP ____

A

infections

344
Q

mastitis is a lactation infection. a ie of PP ____

A

infection

345
Q

a plugged milk duct will need to be massaged and is ass with ____

A

mastitis

346
Q

prolonged labor/ROM is at risk for PP infection. torf?

A

true

347
Q

treat infection with antibiotics IV or orally. torf?

A

true

348
Q

csection and episiotomy/laceration repair make you at __ for infection

A

risk

349
Q

call abt a fever, chill, or flu bc of __ for infection

A

risk

350
Q

you can still breastfeed while on antibiotics. torf?

A

true

351
Q

UTI is due to probs voiding and can lead to pyelonephritis. s/s can be pain and ____

A

frequency

352
Q

venous stasis and hypercoag puts you at risk for increased ___ clots

A

blood

353
Q

primary cause of blood clots post partum is venous stasis(____ dont come and go from legs as easily)

A

blood

354
Q

primary cause of postpartum blood clots are hypercoag(___ but more at risk for blood clots)

A

protective

355
Q

SVT is the ___ common thrombophlebitis and you see pain/tender calves

A

most

356
Q

with SVT treat it by: __ calf, give tylenol, move and give compression socks

A

elevate

357
Q

DVT requires anticoag therapy and bed __

A

rest

358
Q

DVT requires analgesia and you want to ___a PE

A

prevent

359
Q

PE can result from a ___ DVT. it can be seen on U/S at the bedside

A

dislodged

360
Q

dislodged DVT is a emergency but __

A

rare

361
Q

SSRIs are safe for the PPD mom, but do cross placenta and __ in breastmilk

A

excreted

362
Q

for SSRIs use the ___ effective dose

A

lowest

363
Q

after 2 wks post partum to a year is PPD risk and can be __

A

diagnosed

364
Q

if struggled with depression bf pregnancy, more at __ for PPD

A

risk

365
Q

baby blues is common and ass with mood ___

A

swings

366
Q

baby blues is common and ass with anxiety and depression. torf?

A

true

367
Q

baby blues is common and ass with __ thoughts toward infant

A

neg

368
Q

psychosis is bc of untreated PPD or day of birth and is a medical __

A

emergency

369
Q

with psychosis you see baby blues, PPD and __ voices

A

hear

370
Q

with psychosis you see hallucinations and ___ thoughts

A

disturbing

371
Q

its __ for vaginal wounds to take a few weeks to heal but look for infection signs

A

normal

372
Q

with lochia, R extremely __ clots, bleed if multiple pads are saturated an hour and smell foul

A

large

373
Q

apply cold packs to anus to ease swelling and pain. take a ___ bath to combat hemorrhoids and vaginal tears

A

sitz

374
Q

for cracked nipples, use lanolin to soothe the ____

A

nipples

375
Q

apply cold and cabbage leaves on sore ___

A

breasts

376
Q

massage breasts or pump milk if need be on __ breasts

A

sore

377
Q

diastasis recti prevents you exercising until 6 __PP

A

weeks

378
Q

the ___ needs to go back to preprego size after L&D this will cause contractions that are painful

A

uterus

379
Q

do kegals post birth due to weaker pelvic ___ bc of prego and birth

A

muscles

380
Q

tell the mom when they can have sex again and tell about support groups and to __ the provider if need be

A

call

381
Q

newborn homeostasis transitions include: thermal ___, glucose metabolism and Resp/cardio function

A

regulation

382
Q

the __ of cold stress are: increased O2 consumption leading to met acidosis/hypoglycemia/resp distress

A

effects

383
Q

you need __ to do chemical thermoregulation

A

glucose

384
Q

the ___ releases NE and triggers the glucose production within the mitochondria of the brown fat which releases heat in ATP form. this is thermal regulation

A

hypothalamus

385
Q

it takes __hours to est thermal balance

A

12

386
Q

there is risk RT ___ fat and BV close to the surface with TR

A

SC

387
Q

there is risk RT __ body SA with TR

A

larger

388
Q

babies cant shiver and the heat ___ is due to metabolism of brown fat with TR

A

production

389
Q

heat can be produced by muscles moving and flexion of __

A

extremities

390
Q

heat is produced by restlessness and crying with TR. torf?

A

true

391
Q

transfer of body heat to surrounding air ( cold del. Room)…AC….fan…O2

A

convection

392
Q

Heat loss as water evaporates from the skin –wet baby lose heat faster than dry baby, dry baby ASAP

A

evaporation

393
Q

loss of heat through the air to a cooler surface ( not in direct contact with the neonate)

A

radiation

394
Q

transfer of heat to surface the newborn is lying on….cold scale, put baby on mom for warmth

A

conduction

395
Q

glucose metabolism is when a ___ needs to learn to balance GM on its own

A

baby

396
Q

cold stress can: __ O2 consumption and lead to met acidosis

A

increased

397
Q

cold stress can: ____ glucose utilizes leads to hypoglycemia

A

increase

398
Q

cold stress can: have surfactant production decrease and resp __ occurs

A

distress

399
Q

the fetus resp sys is fluid __

A

filled

400
Q

the fetus resp sys has high pressure that leads to blood shunting from the __ thru duct arteriosus to the rest of the body

A

lungs

401
Q

newborn resp sys is airfilled and__pressure

A

low

402
Q

newborn resp sys allows blood flow thru lungs and there is ____ O2 content of blood that leads to closing of duct arteriosus

A

increased

403
Q

newborn gas __ in the lungs, while fetus is in placenta

A

exchange

404
Q

Right atrium pressure is greater than left atrium, allowing blood flow through foramen ovale is __ circulation

A

fetal

405
Q

restitution is when the head goes to the side and you deliver the __ shoulder first

A

ant

406
Q

turns and adjustments of fetus needed for birth

A

cardinal movements

407
Q

2cm/70/-2 is what stage and phase

A

S1 latent phase

408
Q

5cm/90/-2 is S1 __phase

A

active

409
Q

latent is the onset of contractions until active. torf?

A

true

410
Q

effaced is how much the __ is thinned out

A

cervix

411
Q

when there is a fluid gush, check FTH and TACO, assess VS and do comfort measures. torf?

A

tru

412
Q

AROM is to further labor. torf?

A

true

413
Q

the transition phase in Stage __ of labor is from 8-10 cm

A

one

414
Q

in what phase is irritable, sweat and body show

A

transition

415
Q

in what phase is no coping, vomit and diarrhea

A

transition

416
Q

you need to increase support and monitor in the __ phase

A

transition

417
Q

you need to assess pain and change position in what phase

A

transition

418
Q

with an epidural the maternal BP drops and the FHR drops so there is no ___

A

perfusion

419
Q

a __ will get a PO, needle guy and get 18g/IV access for an epidural

A

nurse

420
Q

a __ will see if there are clotting or coag probs and do the 1-2 L bolus of IV fluid bf an epidural

A

nurse

421
Q

10cm/100/+2 is what stage

A

second

422
Q

a __ will set up room, coach in pushing and M HR in the second stage

A

nurse

423
Q

a __ will tell support person to support legs and get water in second stage

A

nurse

424
Q

waiting for the placenta what stage

A

third

425
Q

a __ will check the newborn and APGAR score in third stage

A

nurse

426
Q

a __ will massage fundus after placenta delivery and give OXY to prevent PPH

A

nurse

427
Q

a __ will assess lochia, docu birth and encourage bonding in third stage

A

nurse

428
Q

RF for preeclampsia are 35+, prima gravita, and new partner. torf?

A

true

429
Q

bad __ with preeclampsia is 160/95.

A

BP

430
Q

the ___ solution to preclampsia is delivery so you do a AROM

A

only

431
Q

give MG __ for preeclamspia

A

sulfate

353 (38 decks)

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