Goad test 1 deck 2 Flashcards

1
Q

What can prenatal education teach pregnant mom

A

abdominal and perineal excercises, tailor sitting, squatting, kegels, pelvic rocking

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2
Q

Gate control pain managemnt techniques

A

cutaneous stimulation, distraction, anxiety reduction

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3
Q

type of cutaneous stimulation

A

effleurage -light abdominal or thigh patterns

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4
Q

how do you reduce labor anxiety

A

telling women what to expect

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5
Q

Whats the diff betw LDR and LDRP

A

labor delivery recovery vs. labor delivery recovery postpartum

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6
Q

When can you first palpate fundus of uterus. How much does it rise per week?

A

12-14 weeks, 1 cm

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7
Q

what is diagonal conjugate, what is the minimum

A

Distance between the anterior surface of sacral prominence & anterior surface of inferior margin of symphysis pubis, 12.5 cm

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8
Q

how do you figure true conjugate

A

subtract 1.2 to 2 from diagonal conjugate

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9
Q

What distance is needed between ischial tuberosities?

A

11 cm

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10
Q

What antibody titers would a pregnant woman get? What serological? What vag cultures?

A

rubella, hep B, syphilis VDRL, chlamydia & gonorrhea,

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11
Q

what is vdrl

A

venereal disease research lab’s test for syphilis

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12
Q

how to screen mom’s blood for birth defects. WHat does high result mean, what does low mean?

A

increased alpha-fetoprotein AFP for neural tube defects, decreased with fetal chromosome abnormality

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13
Q

What is the test they give Rh neg women to see if they have Rh antibodies

A

Coombs test

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14
Q

What week would you do a group B strep test?

A

35-38

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15
Q

why is oral care a pregnancy issue

A

gingival hyperplasia

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16
Q

what is leukorrhea

A

vaginal discharge in pregnancy

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17
Q

Can I still have socks while I am pregnant? What could go wrong?

A

Yes, but no garters or knee highs. Tight socks could give you varicose veins.

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18
Q

Saunas and hottubs and tanning beds?

A

Heck no. Increased temp can cause birth defects.

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19
Q

What’s that one knee up sleep position i use?q

A

Sim’s poition

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20
Q

How many weeks do you get from family Leave Act?

A

12

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21
Q

WHy get out and walk every 2 hours when pregnant driving?

A

circulation

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22
Q

nonpharm help for breast tenderness

A

keep em warm

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23
Q

Why am I nauseous during preganancy?

A

hormones, smoth muscle relaxation, less gastric motility, low blood glucose, vitamin B6 deficit

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24
Q

Morning sick: when should I drink fluids

A

betw meals

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25
Q

Why am I so tired if preg

A

^ metabolism, hormonal change

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26
Q

WHy cant I work on my feet all day if preg and stand around in warm areas

A

VTE and blood pooling in legs and pelvis-could faint

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27
Q

why do I get musc cramps if preg?

A

low calcium, high phosphorus, circulation changes, uterus pressure

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28
Q

leg cramp! what now

A

lie down and dorsiflex foot

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29
Q

Why would I get amphojel?

A

inclower phosphorus and stop leg cramps

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30
Q

What does uterus flatten in supine hypotension

A

vena cava

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31
Q

What vitamin can help varicosity?

A

C

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32
Q

what position relieves hemorrhoid pain?

A

knee-chest

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33
Q

What way to walk decreases backache

A

pelvic tilt forward to support fetal weight

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34
Q

preg headache advice

A

nutritious snack, change position slowly, cold comress on head, tylenol

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35
Q

if preg woman has edema, check for what

A

HTN and proteiuria

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36
Q

list danger signs of preg

A

bleeding, persistent vomiting, chills & fever, sudden relase of clear fluid from vag, chest or abd pain, increase or decrease in fetal movement, HTN

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37
Q

Pregnancy Induced HTN signs

A

HTN, proteinuria, edema, weight gain over 2 lbs/wk second trimester and 1 lb/wk 3rd trimester, flashes of lights or eye spots or blurring, continuous headache, decreased urine output

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38
Q

lead and mercury attack what in fetus

A

nervous system

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39
Q

tetracycline attacks what in fetus

A

tooth and bone

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40
Q

disease that attacks the most fetal organs

A

rubella

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41
Q

how does alcohol hurt fetus

A

vit b deficiency

42
Q

how does early preg (4-6 weeks) fever hurt fetus

A

can affect brain devel, cause seizures, cause hypotonia, cause skeletal deformity

43
Q

how fast can I gain weight

A

1 lb per month inf the first three months, then 1 lb per week

44
Q

How many more calories/day for preg

A

300

45
Q

Why not eat low protein in preg

A

ketoacidosis will happen break down proteins for energy when there is no cho for energy, and that can cause neuro disorders

46
Q

How many grams protein a day for preg. what is normal

A

71, usually around 46

47
Q

What is the most critical fatty acid and where does it come from? Why stress over it?q

A

linoleic acid, veggies, The body does not make it

48
Q

How many mgs of calcium a day if preg? what’s normal

A

1300

49
Q

Iron rda per day

A

27g

50
Q

what are foods high in iron

A

eggs, organ meat, green leafy vegs, dried fruit, whole grains

51
Q

best thing to gulp down your iron tablet

A

OJ

52
Q

WIC eligibility

A

pregnant, PP 6 monts w/ bottle and 12 months w/breast , children birth to 5

53
Q

why would my cholesterol shoot up in pregnancy. What risks are created?

A

progesterone, gallstones & cardiovascular disease

54
Q

For underweight preg, why notuse protein drinks and hi cal supplements?

A

too hard on kidneys, and the ratio of carbs to protein is low and can cause ketoacidosis

55
Q

what is fetal macrosomia and which mom is most at risk for it

A

excessive fetal growth and obese women are more at risk

56
Q

What if the client is lactose intolerant?

A

Can give her lactase before she drinks milk. Or use substitutes.

57
Q

Hyperemesis gravidarum may be related to problems with this gland. What bacteria is it associated with? What do labs show? WHat should go in their IV?

A

thyroid overstimulated. H pylori. elevated ketones, elevated hematocrit (dehydration) low sodium, potassium, chloride: Give her Lactated Ringer’s with vit. B, maybe Zofran or Reglan

58
Q

What triggers labor?

A

prostaglandins from uterus stretching, oxytocin from pressure on cervix

59
Q

primipara lightening when? multipara when

A

10-14 days in advance. Multiparas can be day of labor or sooner.

60
Q

What causes nesting?

A

decreased progesterone increases epinephrine and energy

61
Q

What is cervical softening called?

A

Goodells sign

62
Q

how does primip know its time to go to the hosp? what a bout multip?

A

5 minutes apart and 45-60 seconds long and increasing intensity. Multip same but 10 minutes apart.

63
Q

How does true labor feel? what signs?

A

back to front wave, cerv dilation, bloody show, ROM

64
Q

What station is engagement?

A

0

65
Q

what is caput succedaneum

A

fetal head edema from pressing on cervix

66
Q

who gets external version?

A

mom whose baby is breech

67
Q

RSA is

A

Right sacral anterior, a breech presentation where the butt is pointing right and forward (anterior)

68
Q

What is LOP and why is it a problem?

A

Left occiput posterior, the back of the head points to mom’s left and her back, meaning labor will be long with a lot of back pain.

69
Q

List cardinal movements of labor

A

descent, flexion, internal rotation, extension, external rotation,

70
Q

when is full descent reached. Where will head be?

A

at vagina: head in on sacral nerves oh my god i gotta push

71
Q

internal rotation from what to what

A

from the head’s anteroposterior diameter being transverse to being occiput anterior

72
Q

What’s flexion

A

chin to chest

73
Q

What’s extension

A

opposite of flexion, head thrown back

74
Q

What are the 3 phases of a contraction

A

increment, acme, decrement

75
Q

What is the duration and the relaxation interval for very late contractions?

A

Up to 90 seconds long with 2-3 minutes between.

76
Q

When does 1st stage labor begin and end?

A

beginning with true labor contractions & ending when the cervix is fully dilated (10 cm)

77
Q

When does 2nd stage labor begin and end? What is it called?

A

from full dilatation until the baby is born. Expulsion stage.

78
Q

When does 3rd stage labor begin and end?

A

from the time the baby is born until the placenta is expelled

79
Q

When does 4th stage labor begin and end

A

the first 1-4 hours after the delivery of placenta

80
Q

Which stage of labor has its own stages, and what are they?

A

1st, latent, active, and transition

81
Q

Latent phase of 1st stage- begins with ____, ends with ____. How long are the contractions? How long does it last for new moms? Old moms?

A

begins w reg contractions, ends at effacement and dilation of 0-3cm. Contractions are 20-30 seconds. Lasts 6 hours for new moms and 4.5 in multips.

82
Q

Active phase of 1st stage- ___cm dilation to ___cm. Contractions last _____ and occur every ______ min. How long is this phase?

A

4-7cm, lasting 40-60 seconds and happening every 3-5 minutes. Phase lasts 2-3 hours.

83
Q

Transition phase of 1st stage- __cm dilation to __cm. Contractions last ____ and occur every ___ min. What signals the end of this phase?

A

8-10cm, lasting 60-90 sec and happening every 2-3 min. Ends at 10 cm and the irresistible urge to push.

84
Q

How much blood is lost when placenta is delivered, and why is this ok?

A

300-500ml, pregnancy shoots blood volume up anyway so it’s ok.

85
Q

How much can SBP increase with a contraction?

A

15 mm Hg

86
Q

What happens to WBCs at birth (for mom)

A

increase to 25,000 to 30,000

87
Q

How do contractions affect fetal HR?

A

decrease up to 5 bpm

88
Q

WHy can the vaginally delivered baby breathe better?

A

gunk is squeezed out of lungs and labor process increases surfactant.

89
Q

What color meconium is a danger sign?

A

green

90
Q

Why worry if fetus is actively moving in labor?

A

Usually quiet, hyperactivity cd be hypoxia.

91
Q

Why test fetal scalp blood? Whatt’s a sign of distress?

A

fetal acidosis- pH below 7.2

92
Q

What’s materal BP danger signs?

A

SBP over 140 or more than 30 over baseline, DBP over 90 or more than 15 over baseline. Or falling BP could show hemorrhage.

93
Q

What’s maternal (non BP) danger signs?

A

pulse over 100, fever, inadequate contractions, increasing maternal apprehension

94
Q

DO NOT do a vaginal exam if there is this. Why?

A

fresh bleeding, could show placenta previa

95
Q

How often do you take temp after ROM?

A

q2h

96
Q

what is normal FHR

A

110-160bpm

97
Q

What’s wrong with late decelerations?

A

Suggests uteroplacental insufficiency or reduced blood flow through the intervillous spaces of uterus during uterine contractions, May be caused by hypertonia or abnormal uterine tone R/T administration of oxytocin

98
Q

What are the interventions for late decelerations

A

If oxytocin is being used—stop it or slow rate
– Turn woman to left lateral side—will send more blood to uterus—take pressure off of vena cava & aorta
– Increase IV rate & O2 administration
– Report any pattern changes—especially prolonged decelerations & persistent patterns
– Prepare for birth—C-section

99
Q

What’s wrong with variable decelerations?

A

Cord compression—most common cause

– Oligohydramnios—post term preg or intrauterine growth restriction

100
Q

What are the interventions for variable decelerations?

A

Change of position—left lateral or knee chest—to relieve pressure on the cord
– Administer IV fluids & O2 – Aminoinfusion may be prescribed