Final Exam New Material Review & Study Guide Flashcards
1
Q
uterus returning to pre pregnant state
A
involution
2
Q
when can you not feel fundus PP
A
2 weeks
3
Q
who is more likely to have afterpains
A
breast feeding, macrosomia, increase amniotic fluid, twins
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
5
Q
most frequent cause of excessive bleeding after birth
A
atony
6
Q
who is going to have atony
A
bladder dis
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
8
Q
common complaint of PP
A
headache
9
Q
stimulate RR
A
mechnical
chem
sensory
thermal
10
Q
hyperbili risk
A
exlucsive breast feeding
- decrease volume going in and decrease going out
no pass mec, ABO, Rh, bruising, polycytothemia
11
Q
do cross
A
caput
12
Q
not do cross
A
hematoma
13
Q
CCHD
A
R hand - pre ductal
either food - post
>95% with less than 3% change
14
Q
LATCH
A
latch
audible swallowing
type of nip
comfort
hold
15
Q
what is indicative of feeding
A
output
16
Q
late sign of feeding
A
crying
17
Q
early signs
A
smacking, sucking, rooting, hand to mouth
18
Q
when to see mom outpatient
A
2-6 weeks
19
Q
baby is seen when outpatient and why
A
2-3 days
bili and weight
20
Q
what is late cause of PPH
- 24hr plus
A
subinvol
21
Q
where is fundus felt 12 hours
A
U or 1 above U
22
Q
vag blood loss
A
500
23
Q
C/S blood loss
A
1000
24
Q
increase HR and decrease BP means what and we are going to give what
A
shock
fluids
25
shifted fundus means
bladder
26
free flowing bright red blood
laceration
27
preg is what state
hypercoag
28
most critical change of new born
imitation of breathing
29
100% Po2 may take how long
10 min
30
if baby isn't breathing do we bag or CPR
bag
31
non shivering thermogenesis and what do we need
brown fat metabolism
O2 gluc
- grunting flaring and retract may just be cold
32
tremor vs seizure
hold down and tremor stops
33
BF enogrment
keep going, don't pump cause you'll make more
hand express
34
NBF engorment
ice, don't face warm shower, tight bra
35
when APGAR
1, 5, 10
- 15, 20
36
APGAR of what 2, 4, 6, mean what
not adjusting
not long term
- long term pH/ABG
37
heat loss
conduction, convection, radiation, evaporation
38
what crosses placenta
glue not insulin
39
hormone for milk
prolactin
- highest in first 10 days
40
5 P
passenger
powers
psych
postion
passageway
41
Leopold tells us
presentation
lie
attitude
42
risk for rupture before -3
prolapse
43
primary
involuntary
- effacement, dilation, descent
44
secondary
maternal effort
45
3cm/50%/-3
3 cm dilated
50% effaced
-3 station
46
4 types of variability
absent, minimal, moderate, marked
47
KNOW VEAL CHOP AND LIONS PIT
48
what is the priory to asses with ROM
FHR
49
what is something else to assess with ROM
Time color odor
50
condriaindaiction of epidural
decrease platelets
51
what to do before epidural to prevent vasodilation and hypotension
IV bolus
52
closed glotis does what
decrease perfusion
vlasalva
53
what to do if cord prolapse
knee to chest
finger in
C/S
54
rupture greater than >18 hr
choiro
55
what to decrease when ROM
vag exams, introduce bacteria
56
evidence based pushing
open glotis for 60 seconds and when you feel like it
57
if you have epidural and decrease BP
LIONS PIT
58
what does holding breath while pushing do
decrease person
59
where is toco at
fundus
60
where is external fetal monitor
fetal back
61
tahcysysole and treatment
greater than 5 in 10 min period
- decrease pit
62
FSE placement
scalp
63
IUPC placement
just in there floating
64
we need what for FSE and IUPC
rupture
65
increase fear and anxiety does what
catehcolhmines
66
coping with labor
swaying
calm
breathing
rocking
67
most common violence
IPV
68
greatest risk of IPV
pregnancy
69
3 phases of walker cycle
tension
batter inciedence
loving
70
3 phases of rape trauma
disorg
outward adjustment
long term reorg
71
most common cause of cognitive impair
alcohol
72
serious complication of chlamydai
increase in ectopic
tubular factor infertility
PID
73
2nd most common STI
gonorrhea
74
neonatal infection with primary outbreak
HSV 2
75
perinatal transmission of virus most threatening to fetus is
hep b
76
TORCH
Toxoplasmosis
Other infections (Hepatitis, HIV)
Rubella virus
Cytomegalovirus (CMV)
Herpes simplex virus (HSV)
77
meth dose
.2 IM 2-4 hr
78
meth avoid in
HTN
79
hematite dose
.25 IM
80
hemabate avoid in
asthma
81
common side effect of meth and hematite
diarrhea
82
suspected previa
vag US
83
rupture for 26 hours and APGAR is decrease and HR is 180 with minimal variability and dusky and blue
sepsis
84
normal fetal HR
110-160
85
when to induce
ROM
fetal death
choiro
post term
86
GDM
marosomia
87
Gravida
total number of confirmed preg
88
Para
number of preg with the fetus reached 20 weeks
89
Para X-X-X-X
full term-preterm-abortion-living
90
first trimester
1-13
91
second trimester
14-26
92
this trimester
27-40
93
term preg is when
37 or more
94
neagles rule
first date of last menstral period
- 3 mo + 7 days
95
presumptive
subjective
- fatigue
-brest changes
- quickening
amenorrhea
N/V
frequency
96
probable
objective changes observed by examiner
- post preg
hegar
Chadwick
Braxton hick
97
positive
fetal heart tones
US
fetal movement
98
earliest mark for preg
beta HCG
99
what is the first organ system developing
cardiovascular
100
Rh when administer
26-30 weeks and 72 hour PP
101
fetal lie
relationship of long axis
102
attitude
relation of body parts
103
position
presenting part to four quadrants
104
cardinal moevemt of labor
engagement, decent, flexion, internal rotation, extension, resistitation/external rotation, expulsion
105
what to need for internal monitoring
ROM
dilated 2 cm
presenting part must be head
106
accerlation
>15 for 15
>10 for 10
107
first date of labor
onset of regular contractions to full dilation
108
second stage of labor
cervix fully dilated to birth of infant
109
this stage of labor
birth of infant until placenta is delivered
110
fourth stage of labor
delivery of placenta and the first 2 hours PP
111
rubra time frame
1-3 days
112
serosa time frame
4-10 days
113
alba time Frame
10-14 days
3-6 weeks
114
gestational hypertension tiem frame
20 weeks
115
preeclampsia
hypertension with proteinuria
in absence of proteinuria
- thrombocytopenia
- renal insuff
- impaired liver function
- pulmonary edema
- cerebral or visual symptoms
116
eeclampsia
development of seizures or coma
117
can preeclampsia begin in PP
yes
118
med for preeclampsia
Bp
- nifedepine
- labetol
- hydralazine
seizure acidity
- mag
119
initial loading dose of mag
4-6g over 15 to 30 mins
120
mainentce of mag
2-3g/hrt
121
therapeutic for mag
4-7
122
why is mag given
neuroprotection
123
common SE of mag
feeling of warmth, flushing, diaphoresis, and burning at IV site
124
what can cause mag toxicity
impaired renal function
125
s/s of mag toxicity
absent DTR, decrease RR, decreased LOC
126
reversal for Mag
ca gluclonate
127
previa what is ti
implanted in lower uterine segment
128
previa s/s
painless, bright red bleeding
soft contender uterus with normal tone
129
placental abruption what is it
detachment of part or all of the placenta
130
abruption manifestations
vaginal bleeding
abdominal pain
uterine tenderness
contractions
board like abdomen
131
what size babies of GD
macosomia
132
