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OB - Napier > final exam pt 3 > Flashcards

final exam pt 3 Flashcards

1
Q

what complication is the mother at risk for after the delivery of a macrosomic fetus (>8.8 lb)?

A

uterine atony

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2
Q

what are 4 classic signs of abruptio placentae?

A
  • sudden vaginal bleeding
  • abdominal pain
  • uterine tenderness
  • contractions
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3
Q

why can we begin doing amniocentesis around 14 wk of gestation?

A

that is when amniotic fluid becomes available

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4
Q

what type of patients are given Rh immunoglobulin (RhoGAM)?

A

Rh negative

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5
Q

what is the priority nursing action following an amniotomy?

A

assess fetal HR

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6
Q

when is a glucocorticoid injection given to mothers?

A

premature preterm rupture of membranes

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7
Q

what is the focus of care for premature rupture of membranes prior to 32 weeks?

A

prolonging pregnancy to reduce risk of preterm complications

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8
Q

what FHR pattern is suspected with umbilical cord compression?

A

variable decelerations

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9
Q

what should the nurse do if the patient is experiencing hyperstimulation of the uterus due to oxytocin administration?

A

discontinue oxytocin

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10
Q

what order would these events occur in:
- amenorrhea, lightening, Goodells sign and quickening ?

A
  1. amenorrhea
  2. Goodells sign
  3. quickening
  4. lightening
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11
Q

what intervention should the nurse take to decrease the likelihood of hypotension caused by epidural anesthesia?

A

admin IV fluid bolus

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12
Q

what complication is the priority of care for a macrosomic newborn whos mother has diabetes mellitus?

A

hypoglycemia

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13
Q

what is the cause of newborn hypoglycemia?

A

hyperinsulinemia

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14
Q

what actions can the nurse take to promote development for the preterm newborn?

A
  • cluster care
  • dimming lights
  • use both hands to reposition
  • prone position (promote flexion)
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15
Q

what action should be taken first for late decelerations?

A

change position

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16
Q

what indicates a reactive nonstress test?

A

2 qualifying accelerations (+15 bpm/15 secs) within 20-mins

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17
Q

what is indicates a nonreactive nonstress test?

A

< 2 accelerations in 20 mins

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18
Q

when is the FHR audible by doppler?

A

8 - 17 weeks

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19
Q

what gestational parameter is lanugo an expected finding?

A

20 - 36 weeks

20
Q

when may quickening begin?

A

14-16 weeks

21
Q

what are 3 medications that are indicated for preterm labor?

A
  • indomethacin
  • magnesium sulfate
  • terbutaline
22
Q

what is the priority for the newborn after assuring airway patency?

A

drying the baby’s skin

23
Q

what action should be taken first after the nurse observes the umbilical cord protruding from the vagina?

A

insert a gloved hand into the vagina to relieve pressure on the cord

24
Q

what is the priority assessment when admin magnesium sulfate?

A

resp rate

25
Q

how should fetal station of 0 be interpreted?

A

lowermost portion of the fetus is at level of the ischial spine

26
Q

what is the priority action for a mother 3 week postpartum who is feeling “down,” no energy and wanting to cry?

A

ask about SI/HI
wanting to harm newborn?

27
Q

when should nurse report contractions to the provider?

A

> 90 sec

28
Q

what are some physical traits with postmature newborns?

A
  • positive moro reflex
  • cracked, peeling skin
  • long, hard fingernails
29
Q

what education should be provided for the newly pregnant mother?

A
  • expected/unexpected manifestations
  • postpartum care
  • newborn care
  • prenatal visit schedule
  • when to contact provider
30
Q

what nursing actions should be taken for those with severe preeclampsia?

A
  • bed rest, quiet, nonstimulating
  • continuous fetal monitoring
  • daily weight
  • assess DTR Q1hr
31
Q

what is the priority nursing action following amniotomy?

A

assess FHR pattern

32
Q

what action should be taken for supine hypotension?

A

position client with one hip elevated

33
Q

why would a stat ultrasound be ordered for a patient who has reported heavy, red vaginal bleeding?

A

to determine the location of the placenta

34
Q

what is the priority action for the nurse for the newborn who is SGA?

A

monitor BG levels

35
Q

what is the priority nursing action for the patient who has saturated a perineal pad within 10 min?

A

massage the fundus

36
Q

what action should the nurse take to promote the emotional well being of a client who is having an inevitable abortion?

A
  • offer option to view products of conception
  • possible grief responses
  • refer support group
37
Q

what is methylergonovine given to prevent?

A

pph

38
Q

why is ultrasound performed prior to an amniocentesis?

A

identify location of placenta and fetus

39
Q

what type of abortion is characterized by fetal death, but retained products of conception?

A

missed miscarriage

40
Q

what characterized an incomplete miscarriage?

A

passed some, but not all products

41
Q

what type of miscarriage is characterized by heavy bleeding, cervical dilation and often, ROM?

A

inevitable

42
Q

what type of miscarriage have all products of conception been expelled?

A

complete

43
Q

what FHR assessment should the nurse obtain prior to administration of spinal epidural anesthesia?

A

30 min EFM strip

44
Q

how can the nurse elicit a moro reflex?

A
  • sharp clap near infant
45
Q

how should the client be positioned for fetal heart tone assessment?

A

head supported with pillow

46
Q

how can cold stress be prevented?

A

place newborn under radiant heat warmer

47
Q

what are expected findings of severe preeclampsia?

A
  • headache
  • burred vision
  • photophobia
  • RUQ pain
  • +clonus
  • proteinuria

OB - Napier (7 decks)

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