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NCLEX Review > Lecture ten- OB > Flashcards

Lecture ten- OB Flashcards

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1
Q

Naegeles rule

A

1st day of last menstrual period + 7 days - 3 months

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2
Q

in the 1st trimester mom should gain

A

1lb per month; 3lbs total

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3
Q

in the 2nd & 3rd trimester mom should gain

A

1lb per week

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4
Q

how to calculate ideal weight of mom

A

take week of gestation and - 9

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5
Q

the fundus is not palpable until

A

wk12 after 1st tri

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6
Q

the fundus should be at the umbilicus at

A

20-22wks

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7
Q

date of viability is between

A

22-24wks

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8
Q

positive signs of pregnancy

A

fetal skeleton on xray
fetal presence on ultrasound
auscultation of FHR (8-12wks)
examiner palpates fetal movement

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9
Q

Norm FHR

A

140bpm

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10
Q

a pos pregnancy test is not a pos sign of

A

pregnancy

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11
Q

probable signs of pregnancy

A

urine/blood tests

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12
Q

chadwicks sign

A

darkening/bluing of cervix

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13
Q

goodells sign

A

softening of cervix

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14
Q

hegars sign

A

softening of uterus

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15
Q

chadwicks, goodell, hegar signs in order of occurrence

A

chadwick
goodells
hegar

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16
Q

mom should visit ob __ times a month until wk 28

A

one time

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17
Q

after week 28 mom should visit every

A

2wks until 36

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18
Q

after 36 wks mom should visit

A

every week until delivery or 42wks

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19
Q

hgb in pregnancy

A

will drop; due to decreased cardiac output

norm:12-16

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20
Q

1st tri hgb

A

11 norm

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21
Q

2nd tri hgb

A

10.5 norm

22
Q

3rd tri hgb

A

10 norm

23
Q

1st tri discomforts

A

morning sickness, urinary incontinence, difficulty breathing

24
Q

2nd tri discomforts

A

back pain

25
Q

back pain ix

A

pelvic tilt or foot on stool

26
Q

3rd tri discomforts

A

urinary incontinence, difficulty breathing, back pain

27
Q

truest sign a woman is in labor

A

onset of regular progressive contractions

28
Q

ischeal spines

A

sm narrowest part of pelvis

if bby doesnt fit no vag delivery

29
Q

fetal lie

A

the relationship between the spine of mom and the spine of baby

30
Q

ideal fetal lie

A

vertical

31
Q

bad fetal lie

A

transverse & perpendicular

32
Q

fetal presentation

A

part of baby entering canal first

33
Q

ideal fetal presentation

A

ROA, LOA

occiput anterior

34
Q

4 stages of labor

A

Stage1;labor; 3 phases
Stage2;delivery of baby
Stage3;delivery of placenta
Stage4;recovery (2hrs)

35
Q

1st stage of labor; 3 phases

A

latent: 0-4cm; contractions 5-30min apart, 15-30sec, mild
active: control pain; 5-7cm, 3-5min apart, 30-60sec, moderate
transition: 8-10cm; check dilation, aid in breathing, pain mngmt; 2-3min apart, 60-90sec, strong

36
Q

purpose of contractions in the 1st stage of labor

A

dilate and efface cervix

37
Q

2nd stage of labor

A

push bby out

38
Q

3rd stage of labor

A

push placenta out

39
Q

4th stage of labor

A

stop bleeding

40
Q

postpartum technically starts

A

2hrs q placenta

41
Q

contractions should not be longer than __ sec and closer than every __ min

A

90 sec, 2 min

42
Q

contractions longer than 90sec and closer than every 2 min are signs of

A

uterine tetany and hyperstim

43
Q

contraction frequency

A

beginning of one contraction to the beg of next

44
Q

contraction duration

A

length of one contraction

45
Q

contraction intensity

A

strength of contraction

46
Q

painful back labor is __ priority

A

low priority

47
Q

painful back labor Ix

A

position mom in knee chest on all fours, push into moms sacrum to relieve pain

48
Q

prolapsed cord is __ prioriy

A

high

49
Q

prolapsed cord Ix

A

push head back in, position knees to chest until csec

50
Q

Ix for all other pregnancy/labor complications

LION

A

Left side
Increase iv
Oxygen
Notify dr

51
Q

do not administer pain meds to a mom in labor if the baby is likely to be born when

A

the med peaks

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