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NURSING Maternity Review > Intrapartum Care > Flashcards

Intrapartum Care Flashcards

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1
Q

What does TORCH stand for?

A

Toxoplasmosis. Other viruses like measles and HIV. Rubella. Cytomegalovirus. Herpes.

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2
Q

True or false.

TORCH can cross the placenta.

A

True

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3
Q

What is caused from the consumption of raw/under-cooked meat or the handling of cat feces that causes flu-like symptoms, fever and malaise?

A

Toxoplasmosis

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4
Q

What is transmitted from person to person through body fluids and is a common herpes virus that can be asymptomatic?

A

Cytomegalovirus (CMV)

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5
Q

What disease may have mononucleosis-like symptoms such as fever, fatigue, and swollen glands?

A

Cytomegalovirus (CMV)

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6
Q

When babies have yellow skin and eyes, purple skin splotches or a rash, are SGA, have an enlarged spleen and liver and may have pneumonia, seizures, hearing loss* or vision impairment, what may they be diagnosed with?

A

Congenitcal CMV

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7
Q

What is airborne, replicates in nasopharyngeal, spreads by direct contact w/ nasal or throat secretions and can be contracted through infected children?

A

Rubella

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8
Q

If mom is immune to rubella when should you give the live virus vaccine?

A

After birth

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9
Q

A newborn may present with a fever, rash, mild lymphedema, or joint muscle pain and a fetus if contracted in 1st 12 wks can have congenital abnormalities, a miscarriage or death if their mother has what?

A

Positive Rubella

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10
Q

Bleeding that occurs in the 1st and 2nd trimester of pregnancy is known as what?

A

Spontaneous abortion, ectopic pregnancy

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11
Q

Bleeding that occurs in the 2nd half of pregnancy is known as what?

A

Placenta previa, placenta abruption

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12
Q

What is implanted in the fallopian tubes, has a stabbing pain, tenderness, and delayed/irregular menses w/ scant dark red or brown vaginal spotting?

A

Ectopic pregnancy

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13
Q

What is done to savage the fallopian tubes if they have not already been ruptured?

A

Salpingostomy/salpingectomy

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14
Q

What med is given in an ectopic pregnancy to inhibit cell division and embryo enlargement?

A

Methotrexate

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15
Q

In an ectopic pregnancy if vaginal spotting is bright red what is this indicative of?

A

Ruptured fallopian tubes

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16
Q

What is it called when the placenta abnormally implants in the lower uterine segment, near or completely covering the cervix os; is painless w/ red vaginal bleeding and has 3 diff types?

A

Placenta previa

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17
Q

What placenta previa is when the placenta is attached in the lower segment but doesn’t reach the cervical os?

A

Marginal low lying

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18
Q

What placenta previa only partially covers the cervical os?

A

Incomplete/partial

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19
Q

What placenta previa completely covers the cervical os?

A

Complete/total

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20
Q

What is it called when the placenta completely detaches from the uterus, is a sudden onset, has severely steady pain, bright red or dark vaginal bleeding, a board like abd, and a firm rigid uterus w/ c-section (ordered STAT)?

A

Placenta abruptio

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21
Q

When contractions get closer together (3-5min apart), last longer, and increase in intensity that do not stop w/ walking, discomfort in back and lower abd occurs and the cervix dilates, what is this indicative of?

A

TRUE labor

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22
Q

When contractions do not get closer together or increase in intensity, can be relieved w/ walking, discomfort is primarily in the lower abd and the cervix does not dilate, what is this indicative of?

A

FALSE labor

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23
Q

What uterine stimulant med stimulates the uterus to contract?

A

Oxytocin (Pitocin)

24
Q

What uterine relaxant med is given if a pt. is in pre-term labor to slow down labor?

A

Ritodrine hydrochloride

25
Q

What uterine relaxant med cannot be used if pt. is after 48-72 hrs of labor?

A

Terbutaline Sulfate

26
Q

What uterine relaxant med is a calcium channel blocker and should be monitored for HA?

A

Nifedipine (Procardia, adalat)

27
Q

What uterine relaxant med is an NSAID and blocks the production of prostaglandins?

A

Indomethacin (Indocin)

28
Q

What uterine relaxant med is a glucocorticoid given via IM in 2 inj, 24hrs apart and enhances fetal lung maturity?

A

Betanethasone (Celestone)

29
Q

What is fetal tachycardia?

A

> 160-180

30
Q

What is fetal bradycardia?

A

Less than 110

31
Q

When there’s uteral placenta insufficiency r/t a decrease in blood flow or O2 what is this indicative of?

A

Late decelerations

32
Q

If the umbilical cord becomes compressed (cord prolapse) what is this indicative of?

A

Variable decelerations

33
Q

What is the term used to describe a transient increase in the FHR normally caused by fetal movement?

A

Accelerations

34
Q

What is the term used to describe the pink tinged secretions resulting from a small amnt of blood from the exposed cervical capillaries during pregnancy?

A

Bloody show

35
Q

What is the term used to describe intermittent painless uterine contractions that may occur every 10-20min and occur more frequently near the end of pregnancy?

A

Braxton Hick contractions

36
Q

What is the term used to describe a series of changes in position that allow the fetus to move through the birth canal?

A

Cardinal movements

37
Q

What is the term used to describe during birth when the appearance of the newborns head or presenting fetal part is at the vaginal orifice?

A

Crowning

38
Q

What is the term used to describe the periodic decreases in FHR from the normal baseline?

A

Decelerations

39
Q

What is the term used to describe a paid caregiver who has received special training and may be certified in caring for laboring women?

A

Doula

40
Q

What is the term used to describe during birth, a condition that occurs when the fetal head is compressed and cerebral blood flow decreases, causing central vagal stimulation, usually associated w/ onset of uterine contractions?

A

Early decelerations

41
Q

What is the term used to describe the drawing up of the internal os and the cervical canal into the uterine side walls?

A

Effacement

42
Q

What is the term used to describe the passing of the fetus into the pelvic inlet in preparation for birth?

A

Engagement

43
Q

What is the term used to describe a surgical incision of the perineal body to enlarge the outlet?

A

Episiotomy

44
Q

What is the term used to describe the flexion or extension of the fetal body and extremities?

A

Fetal attitude

45
Q

What is the term used to describe the relationship of the cephalocaudal axis, or spinal column of the fetus to the cephalocaudal axis or spinal column of the mom; fetus may be longitudinal or transverse?

A

Fetal lie

46
Q

What is the term used to describe the relationship of the landmark on the presenting fetal part to the front, sides, or back of the maternal pelvis?

A

Fetal position

47
Q

What is the term used to describe the body part of the fetus entering the pelvis?

A

Fetal presentation

48
Q

What is the term used to describe the stimulation of uterine contractions before the spontaneous onset of labor, w/ or w/o ruptured fetal membranes for the purpose of accomplishing birth?

A

Labor induction

49
Q

What is the term used to describe a condition caused by uteroplacental insufficiency resulting from decreased blood flow and oxygen transfer to the fetus through the intervillous spaces during uterine contractions?

A

Late deceleration

50
Q

What is the term used to describe a systemic way to evaluate the maternal abd?

A

Leopold maneuvers

51
Q

.What is the term used to describe the effects that occur when the fetus begins to settle into the pelvic inlet?

A

Lightening

52
Q

What is the term used to describe a condition that occurs when a fetus passes into the pelvic inlet w/ a breech or shoulder presentation, usually associated w/ difficulties during labor?

A

Malpresentations

53
Q

What is the term used to describe the 1st part of the fetus to enter and settle in the pelvic inlet during fetal presentation?

A

Presenting part

54
Q

What is the term used to describe the location of the fetal presenting part in the maternal pelvis in relation to the ischial spine?

A

Station

55
Q

What is the term used to describe a change in FHR over a few sec. to a few min.?

A

Variability

56
Q

What is the term used to describe a condition that occurs if the umbilical cord becomes compressed, reducing blood flow b/t the placenta and fetus?

A

Variable decelerations

NURSING Maternity Review (19 decks)

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