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NUR 202 > High Risk Pregnancy > Flashcards

High Risk Pregnancy Flashcards

1
Q

What are Hydralazine maternal/fetal effects?

A

Mom: tachycardia, headache, palpitations
Baby: tachycardia, late decels

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2
Q

What are Hydralazine nursing indications?

A

Check bp, check urinary output, place mom in side lying position

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3
Q

What are Labetalol Hydrochloride maternal/fetal effects?

A

Mom: Lethargy, fatigue, sleep disturbances, orthostatic hypotension
Baby: None

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4
Q

What are Labetalol nursing indications?

A

Do not use for women with asthma, or heart problems.

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5
Q

What are Methyldopa maternal/fetal effects?

A

Mom: Sleepiness, postural hypotension, constipation
Baby: After 4 months will have positive coombs test

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6
Q

What are Methyldopa nursing indications?

A

Check bp, check urine output, place mom in side lying position

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7
Q

What does Methyldopa, Hydralazine, Nifedepine, and Labetalol treat?

A

Hypertension in pregnant mom

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8
Q

What are Nifedipine maternal/fetal effects?

A

Mom: Headache, flushing, tachycardia
Baby: None

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9
Q

What are Nifedipine nursing indications?

A
  • Don’t give with magnesium sulfate
  • Don’t give sublingually because hypotension can become profound
    Same indications as hydralazine
  • Will relax uterus (acts as a tocolytic)
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10
Q

The presence of which substance in vaginal secretions may indicate an increased risk for premature rupture of membranes (PROM)?

A

Fetal Fibronectin

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11
Q

What is the procedure for a Non-stress test?

A

Mom connected to a fetal heart monitor. Test will last for 20 mins. We are looking for 2 elevations in FHR from baseline of 15 beats for 15 seconds. There should be 2 of those elevations within the 20 mins to be deemed reactive.

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12
Q

What is the procedure for a Contraction stress test?

A

Mom connected to a fetal heart monitor. Oxytocin will be given IV to stimulate contractions. Look for late decelerations in baby. We want the test to be negative for late decels.

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13
Q

What does VEAL CHOP MINE stand for?

A

-Variable acceleration -Mother changes position
-Early acceleration -Intervention not needed
-Acceleration. -No intervention needed
-Late acceleration. -Execute actions
-Cord compression
-Head compression
-Okay
-Placental insufficiency

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14
Q

What do late decelerations indicate?

A

Placental insufficiency

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15
Q

What are signs and symptoms of hypoglycemia?

A

Cold, shaky, clammy, sweaty

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16
Q

What are signs and symptoms of hyperglycemia?

A

Hot, dry, polyphagia, polyuria, polydipsia

17
Q

What drugs speed up lung maturity of infant?

A

Betamethasone, Dexamethasone

18
Q

What are nursing indications for corticosteriods?

A

They spike blood sugar so monitor it.

19
Q

Time frame for fasting blood glucose?

A

60-105

20
Q

Time frame for glucose 1 hour post meal?

A

<140

21
Q

What are the rapid acting insulins?

A

Humalog (Lispro)
Novolog (Aspart)

22
Q

What is a short acting insulin?

A

Regular Humalin

23
Q

What is the onset, peak, and duration of Regular (humalin) insulin?

A

Short staffed nurses went from 30 patients to (2) 8 patients
Onset:30 min
Peak: 2 hours
Duration: 8 hours

24
Q

Which disease will have ketones in urine?

A

Gestational diabetes

25
Q

Which disease will have protein in the urine?

A

Preeclampsia

26
Q

What blood pressure reading can signal preeclampsia?

A

Systolic over 30
Diastolic over 15

27
Q

What are the hallmark signs of preeclampsia?

A

Headache, blurred vision, overactive reflexes, protein in urine, edema

28
Q

What are some preeclampsia risk factors?

A

Gestational diabetes, obesity, hx of hypertension, family hx, first pregnancy, age under 18, age over 30

29
Q

What are some interventions for preeclampsia?

A

Bedrest in lateral position, seizure precautions, magnesium sulfate, hydralazine, lobetalol, nifedipine, methyldopa, pad side rails, limit sodium intake, maintain quiet environment

30
Q

What are magnesium sulfate nursing indications?

A
  • Monitor for mag toxicity
  • Monitor respiratory status
  • Start a foley prior to mag admin
  • Calcium gluconate at bedside
31
Q

Mag toxicity signs?

A

-Low RR
-Low urine output
-Low deep tendon reflexes

32
Q

When do we give Rhogam IM injection to mom?

A

Once at 28 weeks, again 72 hours after birth

33
Q

What is Methotrexate?

A

Dissolves ectopic pregnancy by dissolving rapidly dividing cells

NUR 202 (1 decks)

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