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NCLEX Review > Lecture eleven- FETAL HEART TRACINGS > Flashcards

Lecture eleven- FETAL HEART TRACINGS Flashcards

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1
Q

VEAL CHOP

A

Variable Cord comp
Early Head comp
Accel Okay + O2
Late Placenta previa

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2
Q

low FHR

A

<110 bad

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3
Q

low FHR Ix

LION

A

Left side
Iv
O2
Notify dr

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4
Q

high FHR

A

> 160

no big deal; document and take moms temp

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5
Q

low baseline variability

A

when FHR stays the same; doesnt change=bad

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6
Q

low baseline variability

LION

A

Left side
Iv
O2
Notify dr

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7
Q

high baseline variability

A

FHR changing; good; document

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8
Q

late decels

A

bad

LION

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9
Q

early decels

A

okay; document

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10
Q

variable decels

A

very bad; prolapsed cord; push, position

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11
Q

delivery of baby

A
  1. deliver head
  2. suction mouth, nose
  3. check nuchal cord
  4. deliver shoulders and body
  5. baby must have id band before leaving delivery area
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12
Q

placenta ensure

A

its all there, assess vessles

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13
Q

cord vessles

A

ava
2arteries
1vein

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14
Q

recovery

A

do 4 things, 4x an hr, in the 4th stage

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15
Q

recovery 4 things

A
  1. vitals
  2. fundus
  3. weigh perineal pads; assess if pad is 100% sat in 15min
  4. roll mom over; check for bleeds
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16
Q

BUBBLEHEAD

A 
Breasts
Uterus/fundus;firm & midline
Bladder
Bowel
Lochia
Episiotomy
Hemoglobin/hct
Extremities; thrombophlebitis assess calf circ
Affect
Discomforts
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17
Q

lochia colors

A
  1. rubia red
  2. serosa pink
  3. alba white/clear
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18
Q

caputs succidano (c.s)

A

crosses sutures, symmetrical

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19
Q

cephalohematoma

A

bruise on head

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20
Q

tocolytic drugs

A

terbutaline

mg sulfate

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21
Q

tocolytic drugs stop

A

preterm labor

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22
Q

terbutaline increases

A

HR of mom

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23
Q

mg sulfate can cause

A

decreased hr, bp, dtr, rr, and loc in mom

24
Q

mg sulfate antidote

A

calcium gluconate

25
Q

titrating mg sulfate

A

admin as long as rr >12 and +2 reflexes

26
Q

oxytotic drugs are

A

pitocin/oxytocin, methergine

27
Q

oxytotic drugs increase

A

labor

28
Q

pit can cause

A

uterine hyperstimulation

29
Q

methergine causes increased

A

BP

30
Q

fetal lung maturing drugs

A

betamethisone

surfactant

31
Q

betamethisone is given

A

to mom before birth

32
Q

betamethisone is contraindicated for

A

pts with asthma

33
Q

surfactant/cervanta is given to

A

baby via trans tracheal after birth

34
Q

only antipsychotic that can be given to pregnant women

A

haldol

35
Q

humulin 70/30 is

A

30% insulin R

70% INR

36
Q

draw up mixed insulins clear to

A

clear to cloudy
RNs
reg first then n

37
Q

IM injections pick answer w

A

1s in both options

38
Q

Subq injection pick answer w

A

5 in both parts?

39
Q

heparin is administered via

A

IV or subq

40
Q

heparin works how fast

A

immediately

41
Q

heparin cannot be given

A

long term; greater than 3wks

42
Q

heparin antidote

A

protamine

43
Q

heparin lab to check

A

PTT count on ur fingers

44
Q

coumadin/warfarin is administered via

A

po

45
Q

coumadin takes how long to work

A

a week

46
Q

coumadin can be taken how long

A

for life

47
Q

coumadin/warfarin antidote

A

vit k

48
Q

coumadin/warfarin labs to check

A

PT/INR count on ur fingers

49
Q

which blood thinner can be given to pregnant moms

A

heparin

50
Q

any diuretic ending in “ex” wastes

A

K+

51
Q

baclofin is a

A

muscle relaxer

SE muscle weakness, fatigue

52
Q

piagets 1st stage

A

sensorimotor; 0-2yrs; present oriented teach as you do it verbally

53
Q

piagets 2nd stage

A

preoperational=preschooler;3-6yrs;fantasy & play

54
Q

piagets 3rd stage

A

concrete;7-11; 7/11s are made of concrete; rule oriented no abstract, can teach a day before w demonstration

55
Q

piagets 4th stage

A

formal operations; 12-15yrs; abstract and cause/effect

teach like adults

56
Q

psych pt tips; dos

A

do know your relationship
do keep them talking
do be empathetic

57
Q

psych pt tips; donts

A

dont accept gifts
dont accept advice
dont guarentee
dont use slang

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