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L&D postpartum Flashcards

1
Q

What medication is put in the cervix and pt must stay in bed for 30 min-2 hrs after administration?

A

cytotec - prostaglandin

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2
Q

What medication is given orally to cause abortion?

A

Methrotrexate

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3
Q

Methrotrexate is what kind of drug?

A

Antineoplastic

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4
Q

What does an Antineoplastic do?

A

a cancer drug that kills cells

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5
Q

What drug is used in small doses in PP to control bleeding and maintain uterine firmness?

A

Methergine

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6
Q

____ can not be given to a patient with PIH.

A

Methergine

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7
Q

What do Cervidil do?

A

Causes cervical softening and dilation

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8
Q

What must you watch for if giving cervidl?

A

NVD, and Orthostatic Hypotension and to check this just check lying down and sitting not standing cause it is vaginally inserted

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9
Q

What does Pitocin do?

A

stimulates the smooth muscle of the uterus to induce labor and prevent PP hemorrage

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10
Q

What nursing care would you do for Pitocin?

A

monitor contraction >90 sec dc flow rate and give NS, turn pt to left side and put oxygen on

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11
Q

What is normal FHR

A

110-160

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12
Q

What does a Uterine Relaxant do?

A

stops premature labor

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13
Q

Give and example of a Uterine Relaxant

A

Terbutaline or Brethine

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14
Q

What kind of stimulant is a Uterine Relaxant?

A

Beta-adrenergic receptor

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15
Q

What nursing care do you do with a uterine relaxant

A

monitor for tachycardia, hypotension, and assess for glycosuria

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16
Q

Read Clomid notes

A

-

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17
Q

Why do we give Magnesium Sulfate?

A

raises the threshold for a seizure

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18
Q

What nursing care is given for magnesium sulfate?

A

assess for hypotention, depressed patellar, cardiac depression and respiratory paralysis

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19
Q

What is the antidote for magnesium sulfate?

A

Calcium Gluconate

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20
Q

How do u give RhoGAM

A

1 standard dose IM at 28 weeks. Then a dose within 72 hours after delivery

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21
Q

look at notes about how to give IM and put in ointment drops

A

-

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22
Q

What is the word for blindness caused by gonorrhea in neonates?

A

ophthalmia neonatorum

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23
Q

What is the word for blindness caused by to much oxygen?

A

Retrolental Fibroplasia

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24
Q

Another word for Postpartum

A

puerperium

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25
immediate postpartum
1st 24 hours
26
early postpartum
first week
27
late postpartum
next 5 weeks
28
What 2 dangers are in the first 1-2 hours
Hemorrhage, and hypovolemia
29
after initial dager what do we watch for
Infection because of the open wound in uterus
30
the first 1-2 hours how ofter do u check vitals
q15min
31
BUBBLE HE
breast, uterus, bowel, bladder, lochia, episiotomy, homans, emotions
32
Primary cause of involution is sudden withdrawal of ____________ &________
progesterone and estrogen
33
What is the position of the fundas in 1-2hr?
midway between umbilicus and symphysis pubis
34
What is the position of the fundas in 12hrs?
At umbilicus or 1 cm above it
35
What is the position of the fundas in 3 days?
3 cm below umbilicus(descent coninues at 1 cm/day
36
What is the position of the fundas in 10 days?
not palpable above the symphysis pubis
37
Blood saturation on a peripad, if scant: 2inch stain
10mL
38
Blood saturation on a peripad, if small: 4inch stain
10-25mL
39
Blood saturation on a peripad, if moderate: 6inch stain
25-50mL
40
Blood saturation on a peripad, if Large: >6inch stain
50-80mL
41
how long PP should uterine contractions occur?
2-3days PP
42
______ released by the pituitary gland strengthens contractions. compresses blood vessels and prevents excess blood loss
oxytocin
43
______ stimulates oxytocin to be released.
breastfeeding
44
____ _____ happens in days 1-3 PP with bright red bloody consistency, fleshy odor
lochia rubra
45
numerous large clots; foul smell; saturation of perineal pad in days 1-3 PP
abnormal lochia rubra
46
days 4-9 pinkish brown is of serosanguineous consistency
lochia serosa
47
days 10 to appx 3 weeks creamy white; fleshy odor
lochia alba
48
REEDA
redness, edema, ecchymosis, discharge, approximation
49
tears involving the skin mucosa of the vagina and the fourchet, but not muscles
first degree
50
tears extending from the skin and mucosa into the muscles of the perineal body
second degree
51
tears extending from the skin, mucous membranes, and the perineal body involving the anal sphincter
third degree
52
tears extending through the rectal mucosa, which may extend up the anterior wall of the rectum
fourth degree
53
temperature for a sitz bath water should be?
100-105 degrees F
54
5 lovenox guidelines
1. pinch, 2. lovehandles, 3. 90 degree angle, 4. reclining position, 5. don't aspirate
55
how much blood is lost during vaginal birth
at least 300 mL
56
how much blood is lost during cesarean births
about 600mL
57
elimination of placenta diverts 500 to 750mL of blood flow in the maternal systemic circulation and could cause ___
CHF
58
extra fluid is disposed of in 2 way:
PP Diuresis, and PP Diaphoresis
59
decrease risk of blood clot by
early ambulation
60
increased HR may mean one of 5 things
hemorrhage, infection, pain, anxiety, cardiac problems
61
breasts sagging and swinging
pendulous
62
mini pill is
progesterone only
63
signs of a distended bladder
fundus above umbilicus or above base line level; fundus ove to side, displaced from midline area; bulge of bladder above symphasis; excess lochia; tenderness of bladder area; frequent voidings of less than 150mL of urine indicating urinary retention with overflow
64
this phase is focused mainly on the mother's need for food, fluid and sleep, lasts 2-3 days, depends on others to meet her needs
taking-in phase
65
the mother becomes more independent as she takes an interest in and responsibility in her own physical care, her focus shifts to the care of her infant, lasts apprx 10 days
taking-hold phase
66
letting go of the carefree lifestyle,
letting-go phase

L&D postpartum (1 decks)

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