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Maternity > HESI Maternity > Flashcards

HESI Maternity Flashcards

1
Q

When is terbutaline used and what are the main side effects?

A
  • in preterm labor, to stop contractions

- tachycardia, increased CO, restlessness, headache, and a feeling of nervousness

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2
Q

What disease can cause infection in babies and can be prevented by an ophthalmic ointment after birth?

A
  • gonorrhea
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3
Q

What does a decrease in tenderness in the breast indicate in the first trimester?

A
  • hormone levels have declined and that a miscarriage is imminent
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4
Q

What are discharge instructions for a circumcision on an infant?

A
  • wash with warm water at each diaper change to remove any urine or feces
  • petroleum ointment to prevent diaper from sticking to the site
  • do NOT remove yellow exudate
  • if bleeding occurs, apply gentle pressure to the site with sterile gauze squares and call HCP
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5
Q

erythema toxicum

A

small red patches on the cheeks and trunk; normal finding

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6
Q

milia

A

small white papillose present on the nose and chin; disappear w/n a few weeks

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7
Q

acrocyanosis

A

blue color of the hands and feet; common finding in newborns

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8
Q

V C
E H
A O
L P

A
  • variable decelerations = cord compression
  • early decelerations = head compression
  • accelerations = oxygen
  • Late decelerations = placental insufficiency
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9
Q

When will a nulliparous woman feel fetal movements

A

18 weeks

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10
Q

Discharge teaching for someone with mild preeclampsia (of when to report to the HCP)

A
  • inc in BP
  • protein in the urine
  • weight gain greater than 1 pound per week
  • edema
  • 3 or fewer fetal movements in an hour
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11
Q

Signs of Magnesium Sulfate toxicity

A
  • THINK CNS depression
  • respiratory depression
  • loss of DTR
  • sudden decrease in FHR and/or maternal HR
  • sudden drop in BP
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12
Q

Methylergonovine (methergine)

A

prescribed for PPH

- the nurse must assess BP administering it because it causes arterial vasoconstriction

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13
Q

naegele’s rule

A
  • how to determine estimated date of delivery

- first day of LMP - 3 months + 7 days + 1 year

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14
Q

What is the most favorable pelvis for successful labor and birth?

A

gynecoid pelvis

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15
Q

ductus venousus

A

connects the umbilical VEIN to the inferior VENA CAVA

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16
Q

ductus arteriosus

A

connects the AORTA to the pulmonary ARTERY

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17
Q

When can the gender of the baby be determined?

A

Week 12- with the appearance of the external genitalia

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18
Q

What is the first thing that you should do with someone that is 38 weeks pregnant has a FHR of 174 bpm

A

notify HCP

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19
Q

normal FHR in the first trimester

A

160-170bpm

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20
Q

normal FHR

A

110-160bpm

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21
Q

G/P

A 
gravida = number of pregs
para = number of pregnancies that have reached 20 weeks regardless of viability
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22
Q

GTPAL

A 
G= gravida
T= term =>37 weeks
P= preterm 20-37 weeks
A= abortion = doesn't make it to 20 weeks
L= living
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23
Q

Prenatal Visits (for low-risk pregs)

A
  • q 4weeks until 28th week
  • q 2weeks 28-36th week
  • q 1 week 36 weeks and beyond
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24
Q

High Hematocrit levels may indicate what?

A

gestational HTN

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25
Q

Foods high in iron

A
  • fish and red meats
  • cereal and yellow veggies
  • green leafy veggies
  • citrus fruits
  • egg yolks
  • dried fruit
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26
Q

Healthy weight gain during pregnancy

A
  • 2-4 lbs in the first trimester
  • 1 lb per week after
  • total weight gain should be btw 25-35 pounds
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27
Q

fundal height

A
  • at week 18 the funds should be the same length in cm as the gestational weeks
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28
Q

When do nausea, fatigue, and urinary freq usually subside?

A

after 13 weeks

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29
Q

exercise in preg

A

as long as the woman is ale to easily hold a conversation when exercising

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30
Q

S/s of preeclampsia/ eclampsia

A
  • visual disturbances
  • swelling of face, fingers, or sacrum
  • severe, continuous headache
  • persistent vomiting
  • epigastric pain
31
Q

Bladder for amniocentesis

A

in early preg…the bladder must be full to help support the uterus and to help push the uterus up in the abdomen for easy access
in late pre….. it must be empty so it will not be punctured

32
Q

hegar’s sign

A

compressibility and softening of the lower uterine segment

33
Q

chadwich’s sign

A

violet coloration of the mucous membranes of the cervix, vagina, and vulva

34
Q

ballottement

A

rebounding of the fetus against the examiner’s fingers on palpation

35
Q

when will the nulliparous woman experience quickening?

A

18th week

36
Q

nonstress test

A
  • assess placental function and oxygenation (fetal well being)
  • reactive NST is normal, negative (a good sign)
37
Q

contraction stress test

A
  • negatve, normal means there are no late decals
38
Q

what labs are affected by pica

A

decreased hemoglobin

39
Q

What should you teach a pregnant woman to do when she has leg cramps?

A
  • extend the knee and dorsiflex the foot
40
Q

Pt teaching with rubella vaccine

A

-

41
Q

Pt teaching with rubella vaccine

A
  • effective birth control: cannot become preg 1-3 months after vaccine
  • avoid contact with immunosuppressed individuals
  • admin subcutaneously
  • no egg allergy
42
Q

Fetal Kick Count (when to notify her provider)

A

fewer than 10 kicks over two, 2-hour intervals or as instructed by HCP

43
Q

how to provide relief from hemorrhoids

A

ice packs

44
Q

how to provide relief from hemorrhoids

A

ice packs

45
Q

When should you suspect ectopic pregnancy?

A

in a childbearing age who presents at an ER with unilateral or bilateral abdominal pain

46
Q

Nursing Interventions ofr Abruptio Placentae

A
  • admin O2 by face mask
  • monitor for bleeding at IV sites and gums d/t inc risk for DIC
  • prepare for emerergency c/s
  • NO abdominal or vaginal manipulation
47
Q

toxoplasmosis

A

related to exposure to cats, gardening, or eating raw meat

=> stillbirth, microcephaly, hydrocephalus, blindness, deafness

48
Q

aclovir

A

not recommended during preg

49
Q

What is the desired effect of pitocin?

A
  • contractions every 2 to 3 mins, with duration of contractions no longer than 90 seconds
50
Q

What medication is given to prevent seizures in a preeclamptic pt to prevent seizures AND prevent preterm labor?

A

magnesium sulfate

51
Q

magnesium sulfate

A
  • CNS depressant

- hold if rest

52
Q

s/s of magnesium sulfate toxicity

A
  • absent DTRs

- 8 mg/dL

53
Q

What blood thinner can be safely taken during pregnancy

A

only heparin because it cannot cross the placenta

54
Q

What are the cardinal signs of preeclampsia?

A
  • HTN
  • generalized edema
  • proteinuria
55
Q

Trimesters

A

1st trimester: 1-13 weeks
2nd trimester: 14-26 weeks
3rd trimester: 27-40 weeks

56
Q

Prematurity Categories

A

Very Premature:

57
Q

Normal Birthweight

A

2500-3999 grams

58
Q

When is respiratory apnea concerning in a newborn

A

> 20 seconds

59
Q

Fetal BG

A

40-60

60
Q

Fetal RR

A

30-60

61
Q

Fetal O2 sat

A

> 95%

62
Q

Fetal temp

A

97.7 - 99

63
Q

What is the goal of labor augmentation

A

contractions 12-3 mins with a duration of 60-70 seconds without Fetal distress

64
Q

what is theophylline

A

used for asthma, infant apnea, and COPD

normal is 10-20 mg/dl

65
Q

how to calculate caloric need in children

A

caloric need is 108 kcal/kg/day

For every 1 degree over normal temp, give 10% extra of the total calories that they are supposed to receive for that day

66
Q

What meds do you give to someone to stop contractions when they are in pre-term labor

A

Think: Not my time!

Nifedipine
Mag Sulfate
Terbutamine

+ corticosteriods (for fetal lung development

67
Q

What do you need to do prior to giving epidural?

A
  • IV
  • Fluid Bolus (500 mL)
  • empty bladder
  • lab ((platelets - do not give if low)
68
Q

When can you give an epidural?

A

when 4 cm dilated

69
Q

If a women is coomb’s negative what do we do?

A
  • give rhogham (2nd injection) w/n 72 hours
70
Q

4 Ds of Epiglottis

A
  • drooling
  • dysphagia
  • dysphonia
  • distressed inspiratory air movement (stridor)
71
Q

craniosynotosis

A

premature

72
Q

triad for RSV

A
  • wheezing
  • retractions
  • cough
73
Q

TOF

A
  1. VSD
  2. R vent hypertrophy
  3. pulmonic stenosis
  4. overriding aorta
74
Q

What meds do you give to someone to stop contractions when they are in pre-term labor

A

Think: Not my time!

Nifedipine
Mag Sulfate
Terbutamine

+ corticosteroids (for fetal lung development

Maternity (4 decks)

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