High risk Antepartum

Question 1

what does having multiple sex partners increase your chance of?

Answer 1

ectopic pregnancy due to STI blocking fallopian tube

Question 2

placenta previa

Answer 2

placenta grows infront of the cervical OS instead of at the fundus, causing PAINLESS vaginal bleeding

Question 3

abruption of placenta (placenta abruptio)

Answer 3

the placenta becomes detached from the uterus. If there is alot of dark red blood you need to do a c section right away. if its only a bit then you just replace fluids. Board like abdomen and PAINFUL with or without bleeding.

Question 4

when is urine protein a emergency?

Answer 4

over 300 mg/dLb over 24 hours

or a +2 dipstick (200 mg/dLb)

Question 5

HELLP syndrome

Answer 5

the stage after eclampsia. Hemolysis, elevated liver, low platelets.

Question 6

how do you describe a woman 26 weeks gestation with a history of elevated BP who presents with a urine showing 2+ protein

Answer 6

chronic hypertension with superimposed preeclampsia

had HTN before 20 weeks with no proteinuria

Question 7

what does the tocotransducer measure

Answer 7

frequency and duration of contractions

Question 8

what are early decelerations usually caused by

Answer 8

increased ICP from head compression

Question 9

what is the most important nursing responsibility when preparing a client for a amnioinfusion

Answer 9

inserting a uterine pressure cath b/c uterine rupture can occur

Question 10

what is an amnioinfusion and what is it used for

Answer 10

instilling NS or LR when a patient has oligohydramnios

Question 11

amniotomy

Answer 11

artifical rupture of membrane

Question 12

tachysystole

Answer 12

contractions frequency 90 seconds

Question 13

what is the difference between precipitous labor and hypertonic contractions

Answer 13

precipitate labor produce cervical changes. A usual precipitate labor lasts 3 hours

Question 14

what documentation is needed during vacuum delivery

Answer 14

FHR, timing and number of applications, and position and station of fetal head

Question 15

explain the physiology of artifical rupture of membrane

Answer 15

release of arachidonic acid which converts to prostaglandins which stimulate oxytocin

Question 16

what is contraindicated with shoulder dystocia

Answer 16

fundal pressure

Question 17

rationale for using a local anesthetic with an opioid

Answer 17

to preserve great amount of motor function and reduce the amount of anesthetics required

Question 18

3 maternal phases

Answer 18

taking in, taking hold, letting go

Question 19

vitamin k

Answer 19

phytonadione

Question 20

when is RhoGam contraindicated

Answer 20

Rh Positive patients

Question 21

contraindication for birth control pills

Answer 21

over 35 and smoking

Question 22

what is critical during a fundal massage and why

Answer 22

to support the lower uterine segment b/c of risk of uterine inversion

Question 23

what are afterpains and what makes them worse

Answer 23

the uterus contracting in the process of involution. (going back to normal) breastfeeding, macrosomia, and multiparity make it worse.

Question 24

what is the normal dose of Rho Gram for a nonsensitized women. and what is the timeframe

Answer 24

300 ug

within 72 hours

Question 25

what causes diuresis postpartum

Answer 25

drop in estrogen

Question 26

heat and cold postpartum WHEN

Answer 26

cold first 24 hours. 15 mins on 45 minutes off.

Heat after 24 hours same time

Question 27

how long does the postpartum period last

Answer 27

6 weeks

Question 28

how do you treat syncope

Answer 28

put an AMMONIA ampule near the nostrils to wake the client up