Lecture eleven- FETAL HEART TRACINGS Flashcards
VEAL CHOP
Variable Cord comp
Early Head comp
Accel Okay + O2
Late Placenta previa
low FHR
<110 bad
low FHR Ix
LION
Left side
Iv
O2
Notify dr
high FHR
> 160
no big deal; document and take moms temp
low baseline variability
when FHR stays the same; doesnt change=bad
low baseline variability
LION
Left side
Iv
O2
Notify dr
high baseline variability
FHR changing; good; document
late decels
bad
LION
early decels
okay; document
variable decels
very bad; prolapsed cord; push, position
delivery of baby
- deliver head
- suction mouth, nose
- check nuchal cord
- deliver shoulders and body
- baby must have id band before leaving delivery area
placenta ensure
its all there, assess vessles
cord vessles
ava
2arteries
1vein
recovery
do 4 things, 4x an hr, in the 4th stage
recovery 4 things
- vitals
- fundus
- weigh perineal pads; assess if pad is 100% sat in 15min
- roll mom over; check for bleeds
BUBBLEHEAD
Breasts Uterus/fundus;firm & midline Bladder Bowel Lochia Episiotomy Hemoglobin/hct Extremities; thrombophlebitis assess calf circ Affect Discomforts
lochia colors
- rubia red
- serosa pink
- alba white/clear
caputs succidano (c.s)
crosses sutures, symmetrical
cephalohematoma
bruise on head
tocolytic drugs
terbutaline
mg sulfate
tocolytic drugs stop
preterm labor
terbutaline increases
HR of mom
mg sulfate can cause
decreased hr, bp, dtr, rr, and loc in mom
mg sulfate antidote
calcium gluconate
titrating mg sulfate
admin as long as rr >12 and +2 reflexes
oxytotic drugs are
pitocin/oxytocin, methergine
oxytotic drugs increase
labor
pit can cause
uterine hyperstimulation
methergine causes increased
BP
fetal lung maturing drugs
betamethisone
surfactant
betamethisone is given
to mom before birth
betamethisone is contraindicated for
pts with asthma
surfactant/cervanta is given to
baby via trans tracheal after birth
only antipsychotic that can be given to pregnant women
haldol
humulin 70/30 is
30% insulin R
70% INR
draw up mixed insulins clear to
clear to cloudy
RNs
reg first then n
IM injections pick answer w
1s in both options
Subq injection pick answer w
5 in both parts?
heparin is administered via
IV or subq
heparin works how fast
immediately
heparin cannot be given
long term; greater than 3wks
heparin antidote
protamine
heparin lab to check
PTT count on ur fingers
coumadin/warfarin is administered via
po
coumadin takes how long to work
a week
coumadin can be taken how long
for life
coumadin/warfarin antidote
vit k
coumadin/warfarin labs to check
PT/INR count on ur fingers
which blood thinner can be given to pregnant moms
heparin
any diuretic ending in “ex” wastes
K+
baclofin is a
muscle relaxer
SE muscle weakness, fatigue
piagets 1st stage
sensorimotor; 0-2yrs; present oriented teach as you do it verbally
piagets 2nd stage
preoperational=preschooler;3-6yrs;fantasy & play
piagets 3rd stage
concrete;7-11; 7/11s are made of concrete; rule oriented no abstract, can teach a day before w demonstration
piagets 4th stage
formal operations; 12-15yrs; abstract and cause/effect
teach like adults
psych pt tips; dos
do know your relationship
do keep them talking
do be empathetic
psych pt tips; donts
dont accept gifts
dont accept advice
dont guarentee
dont use slang
