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Women's Health > Lil bit of everything > Flashcards

Lil bit of everything Flashcards

1
Q

maternal outcomes of shoulder dystocia

A

4th degree laceration, postpartum hemorrhage

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2
Q

fetal outcomes of shoulder dystocia

A

facial bruising, clavicle injury, brachial plexus injury, brain injury d/t hypoxia, death d/t acidosis

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3
Q

nursing interventions of shoulder dystocia

A

have stool ready
position in McRobert’s to improve diameter of pelvic outlet
apply SUPRAPUBIC pressure from above (stand on stool)

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4
Q

maternal outcome of prolapsed cord

A

c section

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5
Q

fetal outcome of prolapsed cord

A

death d/t hypoxia and acidosis

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6
Q

how do you know there is a prolapsed cord

A

visible cord or pulsating rope like mass

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7
Q

nursing interventions of prolapsed cord

A

place pressure on presenting part
call for help
pt in Trendelenburg (use gravity)
stat C section

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8
Q

outcomes of amniotic fluid embolism

A

stroke or anaphylaxis of lungs d/t foreign material

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9
Q

nursing interventions of AFE

A

warch for LOC changes
respiratory distress
get ready to code pt
transfer to ICU

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10
Q

when PPH bleeding continues

A

1) oxytocin bolus IV to contract uterus
2) methergine IM to contract uterus
3) hemabate IM to contract uterus
4) cytotec tablets rectal
AND increase O2

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11
Q

what gauge is needed to replace blood that has come out of vasculature during PPH and what do you give

A

18 gauge and give normal saline or lactated ringers

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12
Q

what is methergine contraindicated in

A

hypertension

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13
Q

what is hemabate contraindicated in

A

asthmatics

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14
Q

what is cytotec contraindicated in

A

3rd and 4th degree perineal laceration

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15
Q

what can PROM cause

A

Oligohydramnios

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16
Q

deficiency of amniotic fluid

A

Oligohydramnios

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17
Q

what can increased maternal age cause

A

chromosomal abnormalities

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18
Q

fetal congenital abnormalities cause

A

polydramnios

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19
Q

excess of amniotic fluid

A

polydramnios

20
Q

what can abnormal placenta development cause

A

IUGR (fetoplacental)

21
Q

what can smoking, alcohol, and drugs cause

A

IUGR (maternal)

22
Q

temp elevation and infection risk start ______ after delivery and must be present on ______

A

24 hrs; 2 separate occasions

23
Q

12 hrs after birth, client temp is 100.4 F, what is the cause?

A

dehydration d/t expenditure of energy

24
Q

what does a BPP include and in general check

A

NST and ultrasound

checks fetal well being

25
Q

what specifically does a BPP monitor

A

fetal movement
fetal tone
fetal heart rate
amniotic fluid index

26
Q

what identifies IUGR

A

doppler blood flow analysis

27
Q

what identifies Down Syndrome

A

triple marker test

28
Q

what identifies the condition of the fetus

A

BPP

29
Q

what is MSAFP

A

indicates an elevated level of alpha fetoprotein

it is ONLY a screening tool and identifies if diagnostic testing needs to occur

30
Q

what is the next step if elevated MSAFP

A

ultrasound

31
Q

what may be necessary to administer after amniocentesis

A

Rho(D)

32
Q

what does amniocentesis determine

A

fetal lung maturity

33
Q

when is CVS performed and what is the benefit

A

10 wks

results come earlier than most

34
Q

what can DM cause and what does it indicate in pregnant women

A

polyhydraminos

the need for fetal diagnostic procedure

35
Q

what identifies chromosomal abnormalities in fetus

A

multiple marker screening

36
Q

what doe AFP (alpha fetoprotein) levels indicate

A

neural tube defects

37
Q

what does cell free DNA screening identify

A

fetal Rh status
fetal gender
paternally transmitted gene disorders
trisomy 21

38
Q

what is a PUBS

A

cordcentesis

aspiration of fetal blood from umbilical cord for diagnosis

39
Q

what does a PUBS identify

A

Rh disease
infection
karyotyping

40
Q

ultrasound before 20 wks..

A

needs full bladder

41
Q

ultrasound after 20 wks..

A

needs empty bladder

42
Q

what does a CST do

A

applies stressful stimulus to fetus

43
Q

what does a NST monitor

A

fetal heart activity

44
Q

describe daily fetal movement counts

A

need >3 kicks in 1 hr

fetal alarm signal goes off when fetal movements stop entirely for 12 hrs

45
Q

if preterm labor occurs what test may be needed

A

amniocentesis for fetal lung maturity

46
Q

describe ultrasound

A

ordered/offered for ALL pregnant women

used to determine presence of maternal abnormalities and ebryonic placement

Women's Health (31 decks)

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