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Maternity > Final > Flashcards

Final Flashcards

1
Q

Oral contraception if you’re teaching a teenager for birth control how are you gonna start that convo with the teenager?

A

What parts make you nervous?

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2
Q

What are the most reliable methods of contraception?

A

IUD

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3
Q

side effects for terbutaline?

A

Tachycardia

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4
Q

Side effects of methergine and hemabate?

A

Hypertension
Hemabate: diarrhea

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5
Q

The reason why we give Rhogam and what does it do?

A

Rh negative mother and Rh positive baby

Prevents antibody formation for mom

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6
Q

If a patient is trying to get pregnant, what would you tell them to monitor temp for ovulation when is the best do it?

A

In the morning before they get out after bed

Same time everyday

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7
Q

You walk in and pt delivers and its been under a day so you palpate the fundus where is it located?

A

At the level of the umbilicus

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8
Q

ou walk and she is grand malted, and you palpate fundus and it is shifted to the right, what do you do?

A

Urinate they have a full bladder

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9
Q

A patient is coming in for a trial labor after a c section what are some things to be careful of? And what can cause it ?

A
  • Uterine rupture
  • Pitocin can cause uterine rupture from contraction over 2 minutes long
  • Tachysystole
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10
Q

Name some of the things you’re doing for a baby with myelomeningocele?

A
  • Prone position
  • Cover with sterile, non adhering and moist saline gauze
  • Prevents rupturing and breaking of sac
  • Check head circumference for hydrocephalus
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11
Q

you’re walking in and get report and there’s a whole bunch of pts in labor what are we gonna be mindful for with a pt with preeclampsia?

A

Facial edema
vision changes
headache
epigastric pain

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12
Q

NGN the pt is crowning and getting ready to deliver what movements are we gonna do to help maneuver the baby?

A
  • Flexing legs and bring back (mcRoberts)
  • Suprapubic pressure
  • Check clavicle and upper extremities
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13
Q

We are doing NST, we want a nst to be what and what does that mean

A
  • Reactive: 2 accels within 20 mins and have 15x15
  • Semi fowler position or on their side
  • Measures movement
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14
Q

What are the vaccines you can get during pregnancy?

A

Flu
TDap

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15
Q

NGN: What are some reports for preeclampsia that we are assessing?

A
  • visual disturbances
  • I&O
  • check their weight
  • edema
  • DTR
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16
Q

If your discharging someone with mild preeclampsia what are the big things we are gonna teach them?

A
  • low sodium
  • drink water (48-64 oz per day)
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17
Q

NST and period of 20 mins there’s no accelerations and minimal variability what do we
call it

A

nonreactive

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18
Q

If a mom says to you my baby keeps crossing their eyes

A

It goes away, it is normal

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19
Q

What type of exercise is good during the whole pregnancy and for how long?

A

Light exercise for 30 minutes, don’t run

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20
Q

What are some signs of endometriosis?

A
  • pelvic pain
  • dysmenorrhea
  • pain not responsive to NSAID (ibuprofen)
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21
Q

What are some of the thing your going to teach about condom use?

A
  • prevent STI
  • no oil based lubricants
  • no multiple use
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22
Q

Fibrocystic of the breast is more active and more evident during when?

A

before menstruation

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23
Q

If a female is going through early menopause what should they be expecting

A
  • hot flashes
  • dysmenorrhea
  • mood swings
  • vaginal dryness with intercourse
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24
Q

You have a pt who you are assessing for possible infection postpartum what are we going to look for?

A

Odor, temperature, dark discharge

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25
Q

You are walking in pt discharged gave birth a couple hours ago and have a lot of saturated pads what are we gonna do?

A

Massage the fundus

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26
Q

contraindication for oral contraception

A
  • hypertension
  • DVT
  • smoking
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27
Q

NGN: you have a preterm pt coming in and are having cramping how do we distinguish from preterm labor and from UTI

A

UTI - fever
Vaginal discharge - preterm
pelvic pain - both

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28
Q

Prescription for magnesium sulfate what is the normal loading dose for mag and what is the normal maintenance rate for mag what to monitor for?

A
  • Loading: 4
  • Maintenance: 2

Monitor respiratory rate, DTR, blood pressure Q15min, I&O, lay on their side

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29
Q

NGN: they come and and suspected of having genital herpes. What is the drug of
choice? What’s expected and unexpected?

A

drug of choice: Acyclovir

expected:
- open lesions

unexpected:
- fever

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30
Q

You assess induction of labor and finding no cervical change in over 8 hours and
contractions are spaced out what are we gonna do and what do we monitor for?

A
  • Give pitocin
  • Monitor for frequency contractions, FHR, cervical change
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31
Q

NGN BOWTIE: You walk in and theres some hemorrhage and we think theres a possibility of subinvolution of the uterus. What are we going to do and monitor?

A

subinvolution of uterus

action:
- oxytocin
- methergine

monitor:
- fundus
- bleeding

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32
Q

Pt comes in and you’re taking vitals. They are feeling faint and dizzy. What are we going to do?

A

Take them off of their back and retake the blood pressure

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33
Q

What is one of the possible complications of an IUD

A

ectopic pregnancy

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34
Q

What is secondary infertility?

A

A couple who had first baby, but having hard time with second baby

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35
Q

How can pelvic inflammatory disease affect pt who wants to get pregnant in the future?

A

Scarring and obstruction in the fallopia which prevent egg from migrating down

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36
Q

What is the best way on a breastfeeding pt to dispatch the baby?

A

Put finger in corner of mouth

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37
Q

Pt is coming in and having a chorionic villi sample what are we looking out for

A
  • ROM
  • bleeding
  • infection
  • give Rhogam if Rh -
38
Q

So your coming in and pt has come in with bleeding late in pregnancy what are we going to assess for?

A

Assess FHR, Vital Signs

39
Q

Triaging you have 4 patients which is priority to see first?

A

C section 4 hours ago and has excruciating pain

40
Q

Pt is come in and tested positive for chlamydia what are we going to do?

A

azithromycin to pt and partner

41
Q

NGN: we have a pt who has Preterm PROM what are we going to do?

A
  • betamethasone
  • daily NST
42
Q

What is the best predictor for chromosomal abnormalities in the fetus?

A
  • alpha serum maternal fetoprotein
  • amniocentesis
43
Q

You walk in and the doctor wants to rupture the pt and pt is at -3 what are you going to do?

A

question rupture of membranes

44
Q

What is the most likely cause of fetal hypoxia during a dysfunctional labor?

A

Prolonged contractions

45
Q

So the patient comes in and you look and think they’re getting ready for birth what are we going to see?

A

bloody show
crowning

46
Q

Which conditions is breastfeeding really contraindicated in?

A

HIV

47
Q

Amultip coming in, what is most important to check on this patient?

A

VS
contractions
FHR

48
Q

You walk in and see the pad is saturated and their is a lot of lochia there what are we thinking and what do we do?

A

Postpartum hemorrhage:
- palpate fundus
- empty bladder
- check VS (blood pressure)
- check for bleeding (Lochia)

49
Q

So you’re watching a baby and the baby is 97 degrees. What are we thinking and what are things for it?

A

cold stress

monitor blood glucose

50
Q

How often are we expecting an infant to breastfeeding the first 24 hours after being born

A

every 2-4 hours for 15-20min

51
Q

NGN: so a pt comes in what are some of the signs they have diabetes mellitus

A

Frequent urination, ketones in urine, check blood sugar, glucosuria, excessive thirst

Draw a HbA1C

52
Q

You walk in and pt delivered within the last 4 hours and is still getting postpartum pitocin and is still having heavy lochia. What are we gonna do?

A

methergine

53
Q

When we have a pt who is having induction of labor when are we gonna stop the pitocin?

A

when contractions are 1.5-2 min apart lasting 90 secs

uterus firm

54
Q

What is the #1 complication of an epidural

A

hypotension

55
Q

Contraction stress tests are what? What are we doing during the test? What do you want to see

A

How the baby is tolerating the contraction which shows uteroplacental insufficiency

Normal: negative result

56
Q

Bruise that doesn’t cross the suture line on head and that does cross line?

A

Cephalohematoma: does not cross suture line

Caput: crosses suture line

57
Q

Plus 1 station doctor wants to rupture the membrane. What are we going to monitor?

A

FHR

58
Q

What do we want to do when we see a late deceleration?

A

reposition

59
Q

What is the #1 risk factor for placental abruption?

A

hypertension

60
Q

Where are you expecting to find fetal heart tones on a baby when they come in? Where will will hear it for a breach and a frank breech?

A

below umbilicus

breech: at or above umbilicus

frank breech: above umbilicus, at ribs of mom

61
Q

Maternal serum alpha fetoprotein test for?

A

Neural tube or Spinal defects

62
Q

Name some of the cervical ripening drugs we can use

A
  • cytotec (misoprostol)
  • dinoprostone
  • cervidil
63
Q

Sign of ectopic pain?

A

unilateral cramping pain

64
Q

When does quickening occur?

A

4-5 months or 14-16 weeks gestation

65
Q

sign that methergine is working?

A

firm fundus

66
Q

vital sign for a mag patient

A

respirations

67
Q

Sign of labor?

A

cervical change

68
Q

What will be seen for a hydatidiform mole?

A

coffee ground discharge
high Hcg
larger uterus

69
Q

Umbilical cord, how many veins and arteries?

A

2 arteries
1 vein

70
Q

After birth what vaccines can we give?

A

MMR
varicella

71
Q

Talking to someone older who is at risk for osteoporosis to prevent it?

A

weight bearing exercises (walking)

72
Q

Urinary frequency occurs when?

A

1st and 3rd trimester

73
Q

Pt is delivered via c section and spinal anesthesia what is number one VS to monitor for?

A

respirations

74
Q

Number 1 sign that the patient has placenta previa? What are we gonna avoid?

A

bright red painless bleeding
avoid cervical exam

75
Q

One day postpartum where do we expect to find the fundus?

A

below umbilicus

76
Q

Antepartum who are we going to see first?

A

Preterm pt with Painless vaginal bleeding

77
Q

How do we not check the temperature of a newborn?

A

no rectal temp
use axillary

78
Q

They are breastfeeding and want to prevent breast engorgement what are we going to teach

A

Frequent feeding and cold compress (no warm compress)

79
Q

What is the main contraindication for diaphragm use?

A

hx of toxic shock

80
Q

You walk in and they are within 12 hours of delivery and these are some of the things your finding. What would you treat first?

A

The DTR of 4+ are concerning (can be high BP or sign of seizure)

81
Q

Number one thing we want to check on a preeclamptic patient

A

BP

82
Q

A guy is going in and having fertility issues and hes gonna have a semen analysis. What
are we gonna tell them not to do?

A

no lotion
do not ejaculate 2-5 prior

83
Q

What position will you place a baby with spina bifida?

A

prone position

84
Q

How much of the nipple should go into the baby’s mouth when breastfeeding?

A

all of the nipple and part of areola

85
Q

What are medications that can interfere with oral contraception?

A

anticonvulsants
antibiotics

86
Q

How to prevent toxic shock syndrome?

A

proper hygiene
no super absorbent tampons

87
Q

In a clinic a teen comes in with pelvic inflammatory disease and they need meds but are afraid to tell parents what are we going to say?

A

Let’s talk about this. It sounds like you’re afraid of your parents.

88
Q

GTPAL she is 28 weeks with 1 pregnancy term by elective abortion birth of twins and spontaneous abortion?

A

G: 4
T: 0
P: 1
A: 2
L: 2

89
Q

RH negative mom what is the indirect coombs test for on the baby ?

A

Formation of antibodies in mother’s blood

90
Q

We have a complicated delivery and wanna do a C-section and do an amniocentesis check fetal lung maturity?

A

LS ratio should be 2:1

Maternity (6 decks)

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