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Maternal/Child > Final Review > Flashcards

Final Review Flashcards

1
Q

Physiologic Anemia

A

Hct – 32-42

Hgb – 10-14

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2
Q

True Anemia

A

Hct < 32

Hgb < 10

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3
Q

Rubella Titer > 1-8

A

patient is immune

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4
Q

Rubella Titer < 1-8

A

patient needs to be immunized

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5
Q

Dip stick urine for protein Trace =

A

spilling sugar

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6
Q

Dip stick urine for protein > trace

A

gestational DM

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7
Q

Overweight BMI

A

25-29.9

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8
Q

Obesity BMI

A

30-39.9

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9
Q

Recommended weight gain 1st Trimester

A

2-4lbs total

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10
Q

Recommended weight gain 2nd and 3rd Trimester

A

1 lb/week

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11
Q

Underweight weight gain during pregnancy

A

20-40 pounds

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12
Q

Overweight weight gain during pregnancy

A

15-25 pounds

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13
Q

Ideal weight - weight gain during pregnancy

A

25-35 pounds

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14
Q

Non stress test = client is admitted for a non-stress test – strip shows two accelerations in 20 minutes, what would you advise the client

A

Reassuring results = good!

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15
Q

Increased MSAFP indicates

A

Possible Neural Tube Defect

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16
Q

Decreased MSAFP indicates

A

Possible Downs Syndrome (trisomy 21)

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17
Q

Patient that has a history of previous child with spina bifida or neural tube defect will have what testing?

A

Amniotic fluid study - amniocentesis = more accurate

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18
Q

Recognize decelerations indicate

A

Placental insufficiency

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19
Q

V
E
A
L

C
H
O
P

A

Variable
Early decels
Accelerations
Late decels

Cord compression
Head compression
OK
Placental insufficiency

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20
Q

What is mother at risk for with hyperventilation during labor

A

Respiratory alkalosis

Sx – numbness, tingling in fingers/hands, dizziness

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21
Q

Interpreting different fetal heart patterns

A

FHR 110-160 (norm)

Variability = reliable indicator of fetal well being

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22
Q

Difference between true and false labor

A

cervical change

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23
Q

Fetal heart rate strip that shows decreased variability what would you do for that patient?

A

Sign of fetal compromise-
Possible c-section
Administer O2

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24
Q

Labor support – patient going into transition

A

Continue to encourage voiding every 2 hr.
☐ Continue to monitor and support the client and fetus.
☐Encourage a rapid pant-pant-blow breathing pattern if the client has not
learned a particular breathing pattern prenatally.
☐ Discourage pushing efforts until the cervix is fully dilated.
☐ Listen for client statements expressing the need to have a bowel movement.
This sensation is a sign of complete dilation and fetal descent.
☐ Prepare the client for the birth.

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25
Q

Signs and symptoms of transition phase

A 
	Cervix dilates 8-10 cm
	Short, but most intense phase
	Bloody show increases
	Contractions close, lengthy, intense
	Strong urge to bear down
	Leg tremors, nausea, vomiting common
	Behavior – irritable, loss of control, bothered
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26
Q

Normal contraction

A

( Every 2-3 minutes and lasting 60 seconds) and fetal heart pattern

Abnormal is hypertonic and hypotonic (irregular frequency)

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27
Q

Rationale for Vitamin K

A

to prevent clotting problems because liver can’t synthesize

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28
Q

Patient who had c-section with general anesthetic – what would be the biggest concern for MOM

A

hemorrhage

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29
Q

Rationale for pre-hydration with an epidural

A

to keep BP up & decrease risk for hypovolemia

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30
Q

Which drug is contraindicated in a Mom with an opiate addiction?

A

Nubain

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31
Q

Post C-section patient is complaining of dyspnea, diaphoretic and restless - What are these signs of?

A

Pulmonary Embolism

*Assess respirations/lung sounds – presence of or absence of lung sounds

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32
Q

Teaching after Rubella vaccination

A

Don’t get pregnant for at least 4 weeks

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33
Q

Patient at risk for hemorrhage

A

uterine atony, overdistention, multipara, induction, Pitocin, long labor

34
Q

Contraindications with Methergine

A

HTN – check blood pressure!

35
Q

Action if fundus is boggy

A 
	Massage
	Determine when last voided
	Express clots as needed
	Reassess fundus 
	Inform primary nurse/doctor
36
Q

Highest priority for immediate post op patient

A

Prevent hemorrhage

37
Q

Baby’s vitals are normal, but baby is a LARGE baby - Risk for ________

A

hypoglycemia

38
Q

Which baby would you assess first

A

All normal except one is large (LGA)

39
Q

Calculate percent of weight loss

A

BW – TW / BW x 100 = %

40
Q

Moro reflex

A

startle reflex (arms go up and in front)

41
Q

Warm stethoscope and hands to prevent heat loss due to ________

A

Conduction

42
Q

What is in breast milk that is vital

A

immunoglobulin’s

43
Q

Women with anxiety have

A

decreased milk production

44
Q

Nurse assesses which physiologic response to hypothermia in newborn

A

hypoglycemic (metabolic rate increases, they need to consume more O2)

45
Q

Because a mom is infected with HIV doesn’t mean that

A

the baby will be infected too

46
Q

34 week mother has vaginal bleeding

A

evaluate maternal and fetal oxygenation and circulation

47
Q

Term Mom (and fetus) with stable VS has large amount of bright red blood - what would you do?

A

Ultrasound

48
Q

S/Sx of Mag Sulfate Toxicity - Mom complains of

A

double vision

blurry vision

49
Q

Mag therapeutic levels

A

4-8mg/dl

50
Q

What causes hydramnios… Why do pregnant women with diabetes have excessive amniotic fluid?

A

Baby’s responding to sugar by excessively urinating

51
Q

Diet and insulin requirements

A

Vary during pregnancy

52
Q

What is the hormone that creates insulin resistance during pregnancy?

A

Human placental lactogen (HPL)

53
Q

Signs/Sx of PTL

A

Often painless menstrual cramps BACKACHE
possible ROM
pelvic pressure
“feels sick or not right”

54
Q

Posterior presentation – nursing care

A

Backache – counter pressure and back rubs

55
Q

Shoulder dystocia - R/F and Signs/Sx

A

LGA baby

turtles sign – head retracts back McRobert’s Maneuver

56
Q

Vacuum extraction indications

A

prolonged 2nd stage
fetal distress
maternal exhaustion

57
Q

Prolapsed cord

A

Always do vaginal exam 1st!!! Then knee to chest position

58
Q

R/F for hemorrhage

A 
uterine atony – multiparity
overdistention obesity
c-section
exhaustion
LGA
AMA
59
Q

Hematoma Sx/Tx

A

Perineal/Rectal pain (CARDINAL Sx), cold compresses to swelling

60
Q

Signs/Sx of Metritis

A

supra pubic tenderness
subinvolution
achy

61
Q

In order for there to be an ABO incompatibility – mother must be

A

type O and baby AB

62
Q

Necrotizing enterocolotis

A

measure abdominal GIRTH

63
Q

Babies at risk for hypoglycemia

A

SGA and LGA

64
Q

Calcium requirements-

A

 1200mg/day (11-24 year old)

 1000mg/day (24-50 year old and 50-64 year old taking HRT)

 1500mg/day (50-64 (not taking HRT))

 1500mg/day ( > 65 year old)

65
Q

Diet recommendations decrease atherosclerosis

A

whole grains

66
Q

Stop taking pill when - ACHES

A

Abdominal pain
Chest pain
Headaches
Eye (visual pain) Severe calf pain

67
Q

Natural family planning

A

Basal Body Temperature (+.4-.8 after ovulation due to increased progesterone)

68
Q

Hysterosalpingogram - when do you perform this test?

A

Do this in the first half of the cycle so if there is a fetus, it’s not “flushed out”

69
Q

When using Clomid - always check for

A

PREGNANCY

70
Q

R/F developing ovarian cancer

A 
	Diet high in fatty foods
	Nulliparity
	Genetics
	Age
	Hx of other cancers
	Infertility
71
Q

Hot flashes are related to

A

loss of estrogen

72
Q

ERT is never recommended for patient with

A

uterus and decreased progesterone

73
Q

Danasol indications

A

inhibits estrogen productions – causes endometrial tissue to shrink

74
Q

HSV

A

Transmission during prodrome and active lesions,

Teaching – air dry lesions, treat before birth

75
Q

R/F cervical cancer

A 
	Low SES
	Early Sexual Activity
	Multiple partners
	Smoking
	Exposure to DES in utero
76
Q

Rhogam is used with Rh- mother to prevent

A

Rh+ antibodies from forming
 Given to mother at 28 weeks and also after a trauma situation
 Given again AFTER delivery if baby is Rh+ to stop formation of Rh+ antibodies

77
Q

Most accurate way to determine gestational age

A

Physical Assessment

78
Q

IV antibiotics are indicated with

A

+ GBS - Group B Strep

79
Q

A c/section is indicated if a pt has

A

Active HSV lesions

80
Q

Fiber recommendations

A

25-35 grams/ day – fruits, veggies, whole grains, lean proteins

81
Q

Characteristics of cervical mucus during fertile period

A

stretchy

clear

82
Q

Fibrocystic disease – what age group is likely to develop this

A

Teens and 20s

Maternal/Child (2 decks)

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