Final exam Flashcards
when is NAS seen?
newborn is withdrawing
what does the new Ballard test measure?
estimates gestational age
how long does post partum blues last?
2 - 10 days (transient)
what is an amniocentesis?
procedure for the removal of amniotic fluid
how should fundal height be measured?
from symphysis pubis to uterine fundus
what is the best way to promote thermal regulation?
skin to skin contact
what medication may be given for the mother who is experiencing contractions close together without breaks between?
terbutaline
what is the name for the external palpation of fetus that is used to determine how the fetus is lying in utero?
Leopold’s maneuver
what is involution?
return of uterus to prepregnant state
what assessment will likely be used first if a mother comes in stating she has not felt the fetus move?
non stress test
how rapidly should involution occur?
1 fingerbreadth per day
what intervention should be used for minimal fetal HR variability caused by the fetus sleeping?
reposition the mother
what stage of labor does fetus come out?
2nd
what stage of labor does placenta come out?
3rd
how would the nurse document the presence of blue/black spots? (common in dark skin babys)
mongolian spots
what is the white cheesy substance that covers a newborn?
vernix
what reflexes help with feeding?
- rooting
- sucking
- latching
what may cause a pathological jaundice?
ABO incompatibility
what is the 1st line tx for pathological jaundice?
phototherapy
which hormone does a pregnancy test monitor for?
hCG
what nursing actions should be taken for an umbilical cord prolapse?
- apply pressure to presenting fetal part to relieve pressure on cord
when is methergine contraindicated?
HTN
what defines true labor?
cervical changes (dilation)
what often causes back labor?
fetus in OP (sunny side up)
what is the most common side effect of epidural?
hypotension
where is the most common site of birth trauma?
perineum
what are 3 causes for low birth weight?
- smoking
- HTN
- type 1 DM
what type of sign is pregnancy test?
probable sign
what type of sign are these:
- breast tenderness
- n/v
- period is late ?
presumptive
what is an expected genitourinary change during pregnancy?
urinary frequency
how long should a contraction last?
90 secs max
should epidural be given during transition stage of labor? why?
no
dilation is too far at this point (8-10cm)
when can epidural be given?
active stage (4-7 cm)
how would the nurse note fetus with no heart tones, but has not yet been delivered?
missed abortion
what is the antidote to magnesium sulfate?
calcium gluconate
what are signs of mag toxicity?
loss of reflexes
respiratory depression
what are some nursing assessments to be performed with hyperemesis gravidarum?
- monitor electrolytes
- skin turgor and MM
- blood glucose
what type of delivery is indicated for placenta previa?
c -section
what is the common symptom associated with placenta previa?
painless red bleeding
what symptom differentiates eclampsia from pre-eclampsia?
seizures
what fetal size variation is expected for the newborn of a mother with gestational diabetes?
large baby
what is an ectopic pregnancy?
implantation outside of the uterus
what surgical procedure is used in the management of cervical incompetence?
cerclage
what technique is utilized for cervical cerclage?
mcdonalds technique
what are some signs that patient should report after a cervical cerclage?
- pelvic pressure
- ROM
what nursing actions are indicated for a placental abruption with bleeding?
- obtain type and cross
- initiate IV access
- perform vaginal exam
what places an infant at risk for meconium aspiration?
post term
what scenario would cause the nurse to be aware of potential respiratory distress caused by the underdevelopment of lungs?
preterm delivery
what medication is given to enhance fetal lung maturity?
betamethasone
