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Nursing 113 > Final Study > Flashcards

Final Study Flashcards

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0
Q

Creatinine level

A

0.5-1.1

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1
Q

Severe preeclampsia

A 
> 160/110
Urine < 400mL/24hr
Proteinuria 3+4+
> 5g proteinuria
Epigastric pain
Nv
Blurred vision
Clonus
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2
Q

Hypermagnesia

A

> 8 Mg
Decreased DTR
Sweating/Flushing

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3
Q

Preeclampsia pregnancy complications

A

Sga baby
Abruptio
seizures

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4
Q

Non stress test reactive

A

Reactive with 2 accells of 15 and fetal movement

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5
Q

Contraction stress test negative

A

No late decels

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6
Q

Contraction stress test positive

A

Fetal compromise and frequent late decels

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7
Q

Biophysical profile

A

Ultrasound
Non invasive
Requires full bladder

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8
Q

BPP assess and how

A

Non stress test: Fetal Hr

Ultrasound: Breathing
Movement
Tone
Amniotic volume

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9
Q

Insulin and pregnancy

A

First trimester decrease

Gradual tolerance from hpl, placenta, estrogen and pro

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10
Q

Ectopic causes

A

Pid

Pill

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11
Q

Ectopic risk factors

A 
Sti
Partner
Iud
Pill
Pid
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12
Q

Ectopic confirmed by

A

Ultrasound

Culdocentisis

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13
Q

Prolapsed cord risk factors

A

-2 station
Lbw
Membrane rupture
Breech

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14
Q

Folic acid

A 
>600ûg
Leafy greens
Strawberries 
Oranges
Beans seeds 
Lentils
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15
Q

Probable signs

A

Growing abdomen

Pregnancy mask

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16
Q

Positive signs

A

Fhr
Fetal movement by trained
Ultrasound

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17
Q

Presumptive signs

A 
Subjective 
Amenorrhea 
Nv
Fatigue 
Polyuria
Breast changes
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18
Q

Chorionic villi sampling

A

8-10 weeks
Catheter in vagina
Empties bladder

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19
Q

Amniocentesis

A

14-16 weeks
<20 weeks full bladder
>20 weeks empty

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20
Q

Quickening

A

14-20 weeks

After requires investigation

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21
Q

AFP

A

Elevated suggests neural defects

Low indicate dS

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22
Q

Leopolds

A

Empty bladder

Supine with head elevated slightly

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23
Q

Chloasma

A

Mask of pregnancy caused by elevated P and E

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24
Q

Fundus height

A

12 weeks over symphysis
20 weeks @ umbilicus
36 weeks @ xiphoid
+1cm per week after

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25
Q

BF contraindicated diseases

A 
Herpes
Breast cancer
Tb  
Hep BC
HIV 
Active varicella
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26
Q

No stress test

A

Fetus moves, 15 beat increase for 15 seconds
10-20 minutes
Reactive is good

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27
Q

Stress test

A

Nipple rub for contraction
3 40 second contractions/10 min
Positive is bad!

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28
Q

Adolescent pregnancy complications

A 
Preg induced HT
Iron Anemia
Preterm
Cephalic disproportion
Hemorrhaging
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29
Q

Taking in

A

First 3 days

Nurse performs care

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30
Q

Taking hold

A

Initiation but insecure

Nurse offers demonstrations

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31
Q

Letting Go

A

Defined as mother

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32
Q

1st trimester emotional

A

Accept pregnancy
Ambivalent
Sad
Angry

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33
Q

2nd semester emotions

A

Accepting baby
Separate baby from self
Quickening
Assess how well she follows instructions

34
Q

3rd trimester emotions

A

Preparation
Nesting
Birthing education peaks

35
Q

Prelabor

A

Lightening
Activity
Braxton Hicks
Cervix ripens

36
Q

True labor

A

Lower back to abdomen contractions
Consistent and increasing
ROM
Show

37
Q

Diagonal conjugate

A

Spine to symphysis

38
Q

Transverse diameter

A

Hip to hip

39
Q

Baby movement during birth

A 
Descent/Engagement
Flexion
Internal rotation
Extension
External rotation
Expulsion
40
Q

Latent phase

A

20-40 sec
6 hours
0-3 cm
Encourage walking and non pharm relief

41
Q

Active phase

A 
40-60 seconds
4-7 cm
2 hours
Rom
Secretions
42
Q

Transition phase

A 
60-90 seconds
8-10 cm
Full dilatation and effacement
Nv
Pushing urge
43
Q

Second stage

A

1 hour
Crowning
Expulsion

44
Q

Third stage

A

5 min
Placental delivery
300-500mL blood loss

45
Q

Placental release observations

A

Cord lengthens
Blood gush
Uterus shape change
Firm contraction

46
Q

Maternal Labor danger symptoms

A 
Pulse > 100
Bp > 140/90
Contractions > 70 sec
Meconium fluid
Uterine ring
Bladder distended
47
Q

Baby labor danger signs

A

> 160 and < 110
Meconium staining
Hyperactive
O2 not between 40-70

48
Q

Newborn physical measurements

A

Head 34-35
Chest 32-33
Weight 5.5-10
Length 18-22

49
Q

Newborn vs

A

HR 110-170
Rr 30-60
Temp 97.7-98.9

50
Q

Eclampsia

A

Seizure
20% fatality mom/baby
Abruptio

51
Q

Preeclampsia labs/signs

A

Renal values
HCT rise
Weight
I&O

52
Q

Cold stress cycle

A 
Get cold
Kick and cry to increase metabolism
Increase RR
Decrease GLU
Increased acid
53
Q

SIDS prevention strategies

A 
Pacifier
fan
breastfeeding
staying cool
avoiding smoke
empty crib
54
Q

Aids risk factors

A 
Vlbw
 preterm
adolescent
substance abuse
being sick
pulmonary edema
55
Q

Coc contraindications

A 
Thromboembolic disease
CvA or cardiovascular accidents
Smoking/over 40 increases clotting risks
Cancer
Pregnant/Breastfeeding/< 6 weeks postpartum
Hypertension
Hyperlipidemia
Liver problems
Diabetes
56
Q

Implant contraindications

A

Cancer

57
Q

IUD contraindications

A

Adolescent/never pregnant
Abnormal uterus
HX of ectopic, dysmenorrhea, menorrhagia, carditis, anemia
Multiple partners

58
Q

Toxoplasmosis causes

A

Undercooked meat and cats

59
Q

Rubella

A

Mild to mom
Anything in the head problems
Can’t be immunized while preg

60
Q

Herpes and pregnancy

A

Cmv is droplet precaution

Genital causes abortion if contracted

61
Q

Estrogen during pregnancy

A

Mammary development

Uterine enlargement

62
Q

Progesterone during pregnancy

A

Maintains lining

Prevents labor

63
Q

Hydramnios

A

> 2000 mL amniotic fluid

64
Q

First month development

A

Spinal cord

Simple heart

65
Q

2 month fetal development

A 
Organs complete
Heartbeat
Limbs
External sex
Intestines bulge
66
Q

Month 3 fetal development

A

Bone ossified

HB through Doppler

67
Q

Month 4 fetal development

A

Hr stethoscope
Lanugo
Ultrasound sex determination

68
Q

Month 5 fetal development

A

Quickening
Upper Meconium
Brown fat
Vernix

69
Q

Month 6 fetal formation

A

Surfactant
Eyes open
Viability
Hearing

70
Q

Month 7 fetal development

A

Alveoli mature
Testes descend
O2 therapy dangerous to retina

71
Q

Month 8/9 fetal development

A

SubQ fat
Nutrient storage
Lanugo diminish
Lightening

72
Q

Inversion therapies

A 
Iv 
O2
VS
CPR
Meds
Doc replaces uterus
Antibiotics
C section for future
73
Q

Sharp lower back pain

A

Caused by LOP

Apply pressure to sacrum

74
Q

Breathing through the stages

A

Deep chest for latent
Slow
Shallow chest during peak contraction
Rapid pant during transition

75
Q

Late decel procedure

A

Stop oxytocin
Reposition
Fluid/O2
Prepare

76
Q

Early decel

A

Rarely < 100
Normal if late
Possible CPD if early

77
Q

Epidural administration

A

Side lying

Monitor for drop > 20 in 20 min

78
Q

Epidural overdose procedure

A

Raise legs
O2/Iv
Ephedrine or vasoconstrictor

79
Q

Abruptio

A

Sharp pain
Heavy bleeding-maybe hidden
Shock
Board like uterus

80
Q

Abruptio therapy

A

Iv/O2
Fhr
Vitals Q5-15
No palpating

81
Q

Previa therapy

A

Side lying bed rest
Never palpate
Vs Q5-15
Iv/O2 prn

82
Q

Menses return

A

6-10 with bottle

12-16 breast feeding

83
Q

Normal weight loss achieved at

A

6 weeks

Nursing 113 (10 decks)

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