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Maternity > Final Exam New Material Review & Study Guide > Flashcards

Final Exam New Material Review & Study Guide Flashcards

1
Q

uterus returning to pre pregnant state

A

involution

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2
Q

when can you not feel fundus PP

A

2 weeks

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3
Q

who is more likely to have afterpains

A

breast feeding, macrosomia, increase amniotic fluid, twins

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4
Q

loch stages and days

A

Lochia rubra: red/brown, may contain small clots (grape size)1-4 days after delivery
Lochia serosa: 4-10 days after delivery
Lochia alba: after 10 days, up to 6+ weeks

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5
Q

most frequent cause of excessive bleeding after birth

A

atony

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6
Q

who is going to have atony

A

bladder dis

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7
Q

who is at risk for atony and what meds do we use

A

induced with pit cause of receptors being full
- meth and hematite

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8
Q

common complaint of PP

A

headache

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9
Q

stimulate RR

A

mechnical
chem
sensory
thermal

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10
Q

hyperbili risk

A

exlucsive breast feeding
- decrease volume going in and decrease going out
no pass mec, ABO, Rh, bruising, polycytothemia

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11
Q

do cross

A

caput

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12
Q

not do cross

A

hematoma

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13
Q

CCHD

A

R hand - pre ductal
either food - post
>95% with less than 3% change

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14
Q

LATCH

A

latch
audible swallowing
type of nip
comfort
hold

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15
Q

what is indicative of feeding

A

output

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16
Q

late sign of feeding

A

crying

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17
Q

early signs

A

smacking, sucking, rooting, hand to mouth

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18
Q

when to see mom outpatient

A

2-6 weeks

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19
Q

baby is seen when outpatient and why

A

2-3 days
bili and weight

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20
Q

what is late cause of PPH
- 24hr plus

A

subinvol

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21
Q

where is fundus felt 12 hours

A

U or 1 above U

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22
Q

vag blood loss

A

500

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23
Q

C/S blood loss

A

1000

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24
Q

increase HR and decrease BP means what and we are going to give what

A

shock
fluids

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25
Q

shifted fundus means

A

bladder

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26
Q

free flowing bright red blood

A

laceration

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27
Q

preg is what state

A

hypercoag

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28
Q

most critical change of new born

A

imitation of breathing

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29
Q

100% Po2 may take how long

A

10 min

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30
Q

if baby isn’t breathing do we bag or CPR

A

bag

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31
Q

non shivering thermogenesis and what do we need

A

brown fat metabolism
O2 gluc

  • grunting flaring and retract may just be cold
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32
Q

tremor vs seizure

A

hold down and tremor stops

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33
Q

BF enogrment

A

keep going, don’t pump cause you’ll make more
hand express

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34
Q

NBF engorment

A

ice, don’t face warm shower, tight bra

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35
Q

when APGAR

A

1, 5, 10
- 15, 20

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36
Q

APGAR of what 2, 4, 6, mean what

A

not adjusting
not long term
- long term pH/ABG

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37
Q

heat loss

A

conduction, convection, radiation, evaporation

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38
Q

what crosses placenta

A

glue not insulin

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39
Q

hormone for milk

A

prolactin
- highest in first 10 days

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40
Q

5 P

A

passenger
powers
psych
postion
passageway

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41
Q

Leopold tells us

A

presentation
lie
attitude

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42
Q

risk for rupture before -3

A

prolapse

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43
Q

primary

A

involuntary
- effacement, dilation, descent

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44
Q

secondary

A

maternal effort

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45
Q

3cm/50%/-3

A

3 cm dilated
50% effaced
-3 station

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46
Q

4 types of variability

A

absent, minimal, moderate, marked

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47
Q

KNOW VEAL CHOP AND LIONS PIT

A
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48
Q

what is the priory to asses with ROM

A

FHR

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49
Q

what is something else to assess with ROM

A

Time color odor

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50
Q

condriaindaiction of epidural

A

decrease platelets

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51
Q

what to do before epidural to prevent vasodilation and hypotension

A

IV bolus

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52
Q

closed glotis does what

A

decrease perfusion
vlasalva

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53
Q

what to do if cord prolapse

A

knee to chest
finger in
C/S

54
Q

rupture greater than >18 hr

A

choiro

55
Q

what to decrease when ROM

A

vag exams, introduce bacteria

56
Q

evidence based pushing

A

open glotis for 60 seconds and when you feel like it

57
Q

if you have epidural and decrease BP

A

LIONS PIT

58
Q

what does holding breath while pushing do

A

decrease person

59
Q

where is toco at

A

fundus

60
Q

where is external fetal monitor

A

fetal back

61
Q

tahcysysole and treatment

A

greater than 5 in 10 min period
- decrease pit

62
Q

FSE placement

A

scalp

63
Q

IUPC placement

A

just in there floating

64
Q

we need what for FSE and IUPC

A

rupture

65
Q

increase fear and anxiety does what

A

catehcolhmines

66
Q

coping with labor

A

swaying
calm
breathing
rocking

67
Q

most common violence

A

IPV

68
Q

greatest risk of IPV

A

pregnancy

69
Q

3 phases of walker cycle

A

tension
batter inciedence
loving

70
Q

3 phases of rape trauma

A

disorg
outward adjustment
long term reorg

71
Q

most common cause of cognitive impair

A

alcohol

72
Q

serious complication of chlamydai

A

increase in ectopic
tubular factor infertility
PID

73
Q

2nd most common STI

A

gonorrhea

74
Q

neonatal infection with primary outbreak

A

HSV 2

75
Q

perinatal transmission of virus most threatening to fetus is

A

hep b

76
Q

TORCH

A

Toxoplasmosis
Other infections (Hepatitis, HIV)
Rubella virus
Cytomegalovirus (CMV)
Herpes simplex virus (HSV)

77
Q

meth dose

A

.2 IM 2-4 hr

78
Q

meth avoid in

A

HTN

79
Q

hematite dose

A

.25 IM

80
Q

hemabate avoid in

A

asthma

81
Q

common side effect of meth and hematite

A

diarrhea

82
Q

suspected previa

A

vag US

83
Q

rupture for 26 hours and APGAR is decrease and HR is 180 with minimal variability and dusky and blue

A

sepsis

84
Q

normal fetal HR

A

110-160

85
Q

when to induce

A

ROM
fetal death
choiro
post term

86
Q

GDM

A

marosomia

87
Q

Gravida

A

total number of confirmed preg

88
Q

Para

A

number of preg with the fetus reached 20 weeks

89
Q

Para X-X-X-X

A

full term-preterm-abortion-living

90
Q

first trimester

A

1-13

91
Q

second trimester

A

14-26

92
Q

this trimester

A

27-40

93
Q

term preg is when

A

37 or more

94
Q

neagles rule

A

first date of last menstral period
- 3 mo + 7 days

95
Q

presumptive

A

subjective
- fatigue
-brest changes
- quickening
amenorrhea
N/V
frequency

96
Q

probable

A

objective changes observed by examiner
- post preg
hegar
Chadwick
Braxton hick

97
Q

positive

A

fetal heart tones
US
fetal movement

98
Q

earliest mark for preg

A

beta HCG

99
Q

what is the first organ system developing

A

cardiovascular

100
Q

Rh when administer

A

26-30 weeks and 72 hour PP

101
Q

fetal lie

A

relationship of long axis

102
Q

attitude

A

relation of body parts

103
Q

position

A

presenting part to four quadrants

104
Q

cardinal moevemt of labor

A

engagement, decent, flexion, internal rotation, extension, resistitation/external rotation, expulsion

105
Q

what to need for internal monitoring

A

ROM
dilated 2 cm
presenting part must be head

106
Q

accerlation

A

> 15 for 15
10 for 10

107
Q

first date of labor

A

onset of regular contractions to full dilation

108
Q

second stage of labor

A

cervix fully dilated to birth of infant

109
Q

this stage of labor

A

birth of infant until placenta is delivered

110
Q

fourth stage of labor

A

delivery of placenta and the first 2 hours PP

111
Q

rubra time frame

A

1-3 days

112
Q

serosa time frame

A

4-10 days

113
Q

alba time Frame

A

10-14 days
3-6 weeks

114
Q

gestational hypertension tiem frame

A

20 weeks

115
Q

preeclampsia

A

hypertension with proteinuria

in absence of proteinuria
- thrombocytopenia
- renal insuff
- impaired liver function
- pulmonary edema
- cerebral or visual symptoms

116
Q

eeclampsia

A

development of seizures or coma

117
Q

can preeclampsia begin in PP

A

yes

118
Q

med for preeclampsia

A

Bp
- nifedepine
- labetol
- hydralazine
seizure acidity
- mag

119
Q

initial loading dose of mag

A

4-6g over 15 to 30 mins

120
Q

mainentce of mag

A

2-3g/hrt

121
Q

therapeutic for mag

A

4-7

122
Q

why is mag given

A

neuroprotection

123
Q

common SE of mag

A

feeling of warmth, flushing, diaphoresis, and burning at IV site

124
Q

what can cause mag toxicity

A

impaired renal function

125
Q

s/s of mag toxicity

A

absent DTR, decrease RR, decreased LOC

126
Q

reversal for Mag

A

ca gluclonate

127
Q

previa what is ti

A

implanted in lower uterine segment

128
Q

previa s/s

A

painless, bright red bleeding
soft contender uterus with normal tone

129
Q

placental abruption what is it

A

detachment of part or all of the placenta

130
Q

abruption manifestations

A

vaginal bleeding
abdominal pain
uterine tenderness
contractions
board like abdomen

131
Q

what size babies of GD

A

macosomia

132
Q
A

Maternity (25 decks)

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