mat + child Flashcards

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1
Q

what formula can you use to come up with the ideal weight gained during pregnancy

A

take the number of weeks gestation minus 9

ex. 12W - 9 = should have gained 3lbs

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2
Q

when can you palpate fundal height

A

after week 12

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3
Q

where will the fundus be between week 20-22

A

at the umbilicus

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4
Q

what are considered positive signs of pregnancu

A

fetal skeleton on xray
fetus on ultrasound
auscultation of FHR
examiner palpates fetus

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5
Q

what are presumptive signs of pregnancy

A

amenorrhea, fatigue, enlarged breasts, sore breasts, nausea and vomiting

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6
Q

what are probable signs of pregnancy

A

positive pregnancy test, chadwick sign (bluish colouration of cervic), goodell sign (soft cervix), hegar sign (uterine softening)

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7
Q

what is the most common presentation of a fetus in utero (pick this choose on the nclex)

A

ROA

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8
Q

what are the 4 stages of labour

A

onset of labour, delivery of baby, delivery of placenta, recovery

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9
Q

what are the 3 phases within the onset of labour. what are the signs of that stage (dilation, contractions)

A

latent: cervical dilation 0-4 cm, contractions 5-30min apart, last 15-30 seconds

active: cervical dilation 5-7cm, contations 3-5 min apart, last 30-60 seconds

transition: cervical dilation 8-10 cm, contrations 2-3 min apart, last 60-90 seconds

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10
Q

uterine contraction should be ___ __________ than _____ seconds and _____ _________ than ____ minutes

A

no longer than 90 seconds, no closer than 2 minutes

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11
Q

nursing interventions for painful back labour

A

knee-chest position
push fist into sacrum to provide counter pressure

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12
Q

nursing interventions for prolapsed cord

A

push head off cord
go knee-chest or trendelenburg
prep for c-section

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13
Q

nursing intervention for complications other than painful back labour or prolapsed cord

A

LION
Left side
IV fluids
Oxygen
Nofiy HCP

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14
Q

what fetal heart tracings are bad

A

the ones that start with “L”

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15
Q

for fetal heart tracings starting with “L”, what is the nursing intervention

A

LION

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16
Q

when do early decels happen

A

before the contraction

17
Q

when to late decels happen, what causes them

A

FHR slows down at the end of the contraction
occurs due to reduced blood flow to the placenta

18
Q

what causes variable decels

A

prolapsed cord

19
Q

what are the steps in the second stage of labour to deliver the fetus

A
  1. deliver the head
  2. suction the mouth then nose
  3. check for nuchal (around the neck) cord
  4. deliver the shoulder then the body
  5. put ID band on baby before it leaves the delivery area
20
Q

what do you do during the delivery of

A