Exam 4 CH 19-22 Flashcards
Categories of abortion and their causes.
table 19.1
Definition of the types of abortion and how to treat it
Medications
Cervical Cerclage
Placenta Previa
Eptopic Pregnancy
Placental abruption
1 hr glucose is conducted
26-28weeks
2 types of diabetes
gestational diabetes
A woman who develops diabetes during pregnancy is said to have type 2 diabetes.
False
lispro and aspart injectable insulin that doesn’t cross the placental membrane
peripartum cardiomyopathy
functional classification system
- Class I: asymptomatic; no limitation of physical activity
- Class II: symptomatic (dyspnea, chest pain) with increased activity
- Class III: symptomatic (fatigue, palpitation)
with normal activity - Class IV: symptomatic at rest or with any
physical activity
T/F
A woman with class II heart disease would have symptoms with increased activity.
True
methyldopa /aldomet
chronic hypertension
meds to give a patient who has asthma
solemetrol
what to do if a patient has TB
pg 709
INH 300 mg /day combined riphanton 600mg/day
do this for 9 months
take vitamin B6 for symptoms
iron deficiency anemia
cold, pica, pale, craving olives,
pg 711
foods to eat. meats, green leafy vegetables, legumes, dried fruit, whole grains, peanut butter, bean dip, fortified breads and cerals.
thalassemia
never give patient iron supplements because they have enough iron in their body but their hemoglobin is not absorbing it.
sickle cell anemia
staying away from triggers. stay hydrated.
Lupus
NSAIDs and Plaquenil
MS Flare ups
CAM therapy
Women with RA (phumetoid arthritis
methotrexate do not give pregnant women.
CMV
cytomegalovirus
most common in the WORLD.
congenital rubella
Do not give live vaccines to pregnant women
patient has active herpes outbreak or tingling sensation (beginning stages)
C Section!! Not vaginal delivery
preventative: acyclovir in the 3rd trimester.
Varicella (chicken pox)
Parvovirus
hand to mouth transmission
GBS Group B streptococcus
natural bacteria in the vagina. Tested at 35-37 weeks. Treated during delivery.
Needed PenG (gold standard)/ ancef/ clindomyacinto treat it loading dose 5mil units
2nd dose 2.5mil units and given every 4 hour till delivery.
Needs at least 2 doses to be “adequatly treated”
if not baby will be in the hospital for at least 3 days.
Toxoplasmosis
hand to mouth after touching cat feces
HIV
low viral load can be delivered vaginally
on antiviral meds through pregnancy and labor
high viral load: c section
baby will be on antivirals for first 6 months of life
T/F
A pregnant woman who is HIV-positive must undergo a cesarean birth.
False
Neonatal abstinence syndrome
dystocia
hyper/hypotonic uterine dysfunction
brachial plexus injury
limp arm
T/F
Psychological stress in the woman can contribute to dystocia.
True
Tocolytic drugs
there are no clear first-line drugs to
manage preterm labor; may prolong pregnancy for 2 to 7 days while steroids can be given for fetal lung maturity
-indomethacin and nupharamine
cephlopelvic disporpotion
baby head is too big to go through the moms pelvis
umbilical cord prolapse
push the baby up to relieve pressure on the cord.
TOLAC
- Trial of labor after cesarean.
can be done with a low lac incision
amniotic fluid embolism S/S
difficulty breathing,
hypotension, cyanosis, seizures, tachycardia, coagulation failure, DIC, pulmonary edema, uterine atony with subsequent hemorrhage, ARDS, cardiac
arrest
Which of the following assessment findings would lead the nurse to suspect an amniotic fluid
embolism?
Respiratory distress
Difference between labor induction and augmentation
- Induction: stimulating contractions via medical or surgical means
- Augmentation: enhancing ineffective contractions after labor has begun
cervical ripening agents
pg. 774 dinaprostol, misoprostol, oxytocin:
lytotonics vs tocotonics
bishop score
indications fr inductions
T/F Oxytocin is an important agent used to ripen the cervix for labor induction.
false
amnioinfusion
T/F
An amnioinfusion is appropriate for a pregnant woman experiencing a prolonged second stage of labor.
False
c section know post operative care
