Final Study Flashcards
Creatinine level
0.5-1.1
Severe preeclampsia
> 160/110 Urine < 400mL/24hr Proteinuria 3+4+ > 5g proteinuria Epigastric pain Nv Blurred vision Clonus
Hypermagnesia
> 8 Mg
Decreased DTR
Sweating/Flushing
Preeclampsia pregnancy complications
Sga baby
Abruptio
seizures
Non stress test reactive
Reactive with 2 accells of 15 and fetal movement
Contraction stress test negative
No late decels
Contraction stress test positive
Fetal compromise and frequent late decels
Biophysical profile
Ultrasound
Non invasive
Requires full bladder
BPP assess and how
Non stress test: Fetal Hr
Ultrasound: Breathing
Movement
Tone
Amniotic volume
Insulin and pregnancy
First trimester decrease
Gradual tolerance from hpl, placenta, estrogen and pro
Ectopic causes
Pid
Pill
Ectopic risk factors
Sti Partner Iud Pill Pid
Ectopic confirmed by
Ultrasound
Culdocentisis
Prolapsed cord risk factors
-2 station
Lbw
Membrane rupture
Breech
Folic acid
>600ûg Leafy greens Strawberries Oranges Beans seeds Lentils
Probable signs
Growing abdomen
Pregnancy mask
Positive signs
Fhr
Fetal movement by trained
Ultrasound
Presumptive signs
Subjective Amenorrhea Nv Fatigue Polyuria Breast changes
Chorionic villi sampling
8-10 weeks
Catheter in vagina
Empties bladder
Amniocentesis
14-16 weeks
<20 weeks full bladder
>20 weeks empty
Quickening
14-20 weeks
After requires investigation
AFP
Elevated suggests neural defects
Low indicate dS
Leopolds
Empty bladder
Supine with head elevated slightly
Chloasma
Mask of pregnancy caused by elevated P and E
Fundus height
12 weeks over symphysis
20 weeks @ umbilicus
36 weeks @ xiphoid
+1cm per week after
BF contraindicated diseases
Herpes Breast cancer Tb Hep BC HIV Active varicella
No stress test
Fetus moves, 15 beat increase for 15 seconds
10-20 minutes
Reactive is good
Stress test
Nipple rub for contraction
3 40 second contractions/10 min
Positive is bad!
Adolescent pregnancy complications
Preg induced HT Iron Anemia Preterm Cephalic disproportion Hemorrhaging
Taking in
First 3 days
Nurse performs care
Taking hold
Initiation but insecure
Nurse offers demonstrations
Letting Go
Defined as mother
1st trimester emotional
Accept pregnancy
Ambivalent
Sad
Angry
2nd semester emotions
Accepting baby
Separate baby from self
Quickening
Assess how well she follows instructions
3rd trimester emotions
Preparation
Nesting
Birthing education peaks
Prelabor
Lightening
Activity
Braxton Hicks
Cervix ripens
True labor
Lower back to abdomen contractions
Consistent and increasing
ROM
Show
Diagonal conjugate
Spine to symphysis
Transverse diameter
Hip to hip
Baby movement during birth
Descent/Engagement Flexion Internal rotation Extension External rotation Expulsion
Latent phase
20-40 sec
6 hours
0-3 cm
Encourage walking and non pharm relief
Active phase
40-60 seconds 4-7 cm 2 hours Rom Secretions
Transition phase
60-90 seconds 8-10 cm Full dilatation and effacement Nv Pushing urge
Second stage
1 hour
Crowning
Expulsion
Third stage
5 min
Placental delivery
300-500mL blood loss
Placental release observations
Cord lengthens
Blood gush
Uterus shape change
Firm contraction
Maternal Labor danger symptoms
Pulse > 100 Bp > 140/90 Contractions > 70 sec Meconium fluid Uterine ring Bladder distended
Baby labor danger signs
> 160 and < 110
Meconium staining
Hyperactive
O2 not between 40-70
Newborn physical measurements
Head 34-35
Chest 32-33
Weight 5.5-10
Length 18-22
Newborn vs
HR 110-170
Rr 30-60
Temp 97.7-98.9
Eclampsia
Seizure
20% fatality mom/baby
Abruptio
Preeclampsia labs/signs
Renal values
HCT rise
Weight
I&O
Cold stress cycle
Get cold Kick and cry to increase metabolism Increase RR Decrease GLU Increased acid
SIDS prevention strategies
Pacifier fan breastfeeding staying cool avoiding smoke empty crib
Aids risk factors
Vlbw preterm adolescent substance abuse being sick pulmonary edema
Coc contraindications
Thromboembolic disease CvA or cardiovascular accidents Smoking/over 40 increases clotting risks Cancer Pregnant/Breastfeeding/< 6 weeks postpartum Hypertension Hyperlipidemia Liver problems Diabetes
Implant contraindications
Cancer
IUD contraindications
Adolescent/never pregnant
Abnormal uterus
HX of ectopic, dysmenorrhea, menorrhagia, carditis, anemia
Multiple partners
Toxoplasmosis causes
Undercooked meat and cats
Rubella
Mild to mom
Anything in the head problems
Can’t be immunized while preg
Herpes and pregnancy
Cmv is droplet precaution
Genital causes abortion if contracted
Estrogen during pregnancy
Mammary development
Uterine enlargement
Progesterone during pregnancy
Maintains lining
Prevents labor
Hydramnios
> 2000 mL amniotic fluid
First month development
Spinal cord
Simple heart
2 month fetal development
Organs complete Heartbeat Limbs External sex Intestines bulge
Month 3 fetal development
Bone ossified
HB through Doppler
Month 4 fetal development
Hr stethoscope
Lanugo
Ultrasound sex determination
Month 5 fetal development
Quickening
Upper Meconium
Brown fat
Vernix
Month 6 fetal formation
Surfactant
Eyes open
Viability
Hearing
Month 7 fetal development
Alveoli mature
Testes descend
O2 therapy dangerous to retina
Month 8/9 fetal development
SubQ fat
Nutrient storage
Lanugo diminish
Lightening
Inversion therapies
Iv O2 VS CPR Meds Doc replaces uterus Antibiotics C section for future
Sharp lower back pain
Caused by LOP
Apply pressure to sacrum
Breathing through the stages
Deep chest for latent
Slow
Shallow chest during peak contraction
Rapid pant during transition
Late decel procedure
Stop oxytocin
Reposition
Fluid/O2
Prepare
Early decel
Rarely < 100
Normal if late
Possible CPD if early
Epidural administration
Side lying
Monitor for drop > 20 in 20 min
Epidural overdose procedure
Raise legs
O2/Iv
Ephedrine or vasoconstrictor
Abruptio
Sharp pain
Heavy bleeding-maybe hidden
Shock
Board like uterus
Abruptio therapy
Iv/O2
Fhr
Vitals Q5-15
No palpating
Previa therapy
Side lying bed rest
Never palpate
Vs Q5-15
Iv/O2 prn
Menses return
6-10 with bottle
12-16 breast feeding
Normal weight loss achieved at
6 weeks
