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L&D postpartum > L&D postpartum > Flashcards

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
Q

immediate postpartum

A

1st 24 hours

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26
Q

early postpartum

A

first week

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27
Q

late postpartum

A

next 5 weeks

28
Q

What 2 dangers are in the first 1-2 hours

A

Hemorrhage, and hypovolemia

29
Q

after initial dager what do we watch for

A

Infection because of the open wound in uterus

30
Q

the first 1-2 hours how ofter do u check vitals

A

q15min

31
Q

BUBBLE HE

A

breast, uterus, bowel, bladder, lochia, episiotomy, homans, emotions

32
Q

Primary cause of involution is sudden withdrawal of ____________ &________

A

progesterone and estrogen

33
Q

What is the position of the fundas in 1-2hr?

A

midway between umbilicus and symphysis pubis

34
Q

What is the position of the fundas in 12hrs?

A

At umbilicus or 1 cm above it

35
Q

What is the position of the fundas in 3 days?

A

3 cm below umbilicus(descent coninues at 1 cm/day

36
Q

What is the position of the fundas in 10 days?

A

not palpable above the symphysis pubis

37
Q

Blood saturation on a peripad, if scant: 2inch stain

A

10mL

38
Q

Blood saturation on a peripad, if small: 4inch stain

A

10-25mL

39
Q

Blood saturation on a peripad, if moderate: 6inch stain

A

25-50mL

40
Q

Blood saturation on a peripad, if Large: >6inch stain

A

50-80mL

41
Q

how long PP should uterine contractions occur?

A

2-3days PP

42
Q

______ released by the pituitary gland strengthens contractions. compresses blood vessels and prevents excess blood loss

A

oxytocin

43
Q

______ stimulates oxytocin to be released.

A

breastfeeding

44
Q

____ _____ happens in days 1-3 PP with bright red bloody consistency, fleshy odor

A

lochia rubra

45
Q

numerous large clots; foul smell; saturation of perineal pad in days 1-3 PP

A

abnormal lochia rubra

46
Q

days 4-9 pinkish brown is of serosanguineous consistency

A

lochia serosa

47
Q

days 10 to appx 3 weeks creamy white; fleshy odor

A

lochia alba

48
Q

REEDA

A

redness, edema, ecchymosis, discharge, approximation

49
Q

tears involving the skin mucosa of the vagina and the fourchet, but not muscles

A

first degree

50
Q

tears extending from the skin and mucosa into the muscles of the perineal body

A

second degree

51
Q

tears extending from the skin, mucous membranes, and the perineal body involving the anal sphincter

A

third degree

52
Q

tears extending through the rectal mucosa, which may extend up the anterior wall of the rectum

A

fourth degree

53
Q

temperature for a sitz bath water should be?

A

100-105 degrees F

54
Q

5 lovenox guidelines

A
  1. pinch, 2. lovehandles, 3. 90 degree angle, 4. reclining position, 5. don’t aspirate
55
Q

how much blood is lost during vaginal birth

A

at least 300 mL

56
Q

how much blood is lost during cesarean births

A

about 600mL

57
Q

elimination of placenta diverts 500 to 750mL of blood flow in the maternal systemic circulation and could cause ___

A

CHF

58
Q

extra fluid is disposed of in 2 way:

A

PP Diuresis, and PP Diaphoresis

59
Q

decrease risk of blood clot by

A

early ambulation

60
Q

increased HR may mean one of 5 things

A

hemorrhage, infection, pain, anxiety, cardiac problems

61
Q

breasts sagging and swinging

A

pendulous

62
Q

mini pill is

A

progesterone only

63
Q

signs of a distended bladder

A

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
Q

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

A

taking-in phase

65
Q

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

A

taking-hold phase

66
Q

letting go of the carefree lifestyle,

A

letting-go phase

L&D postpartum (1 decks)

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