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Nursing Practice 2 > Maternal and Child Health Nursing. (Normal) > Flashcards

Maternal and Child Health Nursing. (Normal) Flashcards

OB Normals

1
Q

Creation of organs

A

Organogenesis

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2
Q

Safe Drugs for Pregnancy

A

Category A (Paracetamol, Saline nasal spray)

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3
Q

Ectoderm

A

Brain

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4
Q

Mesoderm

A

Heart

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5
Q

Endoderm

A

Brain

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6
Q

opposing feelings in the 1st semester of pregnancy

A

Ambivalcence

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7
Q

easiest part of pregnancy where mother has adopted with increase LIBIDo

A

2nd sem

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8
Q

Feeling of unattractiveness, low self esteem

A

3rd sem give support system

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9
Q

Presumptive signs (Subjective cues)

BAUN sa QC

A

Breast Changes
Amenorrhea
Urinary Changes
Nausea and Vomiting

Quickening
Chloasma/Melasma

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10
Q

felt by the mother at the 5th month of pregnancy

A

Quickening (presumptive)

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11
Q

Mask pregnancy, discoloration of face and NECk

A

Chloasma and Melasma

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12
Q

Probable signs (Obj)

HCG BB

A

Hegars Sign - Thinning uterus
Chadwicks sign - Bluish Vagina
Goodells sign - Softening uterus

Braxton Hicks - False labor
Ballotement - Bouncing

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13
Q

How hard? goodells sign

A

Non preg - nose
Pregnant - Earlobe
Labor - Soft as butter

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14
Q

False labor relived by ambulation
Contractions are painless and irregular

A

Braxton HIcks Contraction

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15
Q

Positive signs (Confirmation)
UFM

A

UTZ
FHT
Movement felt by examiner

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16
Q

Transvaginal utz intervention?

A

Done at early pregnancy
Empty bladder

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17
Q

Abdominal UTZ intervention?

A

Late pregnancy
Drink 3-4 glass of water
Abdomen must be distended

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18
Q

Gland in the breast that lubricated during breastfeeding that prevents nipple drynessq

A

Montgomery’s tubercle

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19
Q

Blackish line midline of the abdomen

A

Linea nigra

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20
Q

Whitish line after pregnancy

A

Linea alba

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21
Q

High cardiac output causes diluted blood what type of anemia?

A

Physiologic Anemia

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22
Q

Cardiovascular Changes in Pregnancy

A

High CO
Temporary palpitations
Edema
Varicose Veins

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23
Q

peri orbital edema (anasarca) are generalized edema that can be caused by?

A

PIH

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24
Q

Bipedal edema in late stages of pregnancy are normal or not>

A

Normal

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25
Q

Dorsiflexion of the foot causes pain in the calf

Called?
Intervention?
Complication?`

A

Homan’s Sign

Don’t Massage; ELEVATE
ELEVATE
DVT

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26
Q

Virchow’s triad (3Vs)

Interventions

A

DVT

Venous Stasis
Venous Wall damage
Vlood Coagulation

Intervention: Anti-embolic stocking and elevate

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27
Q

Gastrointestinal changes in Pregnancy:

MHCHH

A

Morning Sickness
Hyperemesis Gravidarum
Constipation and Flatulence
Hemorrhoids
Heartburn

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28
Q

Hypoglycemia in the morning

Interventions

A

Morning Sickness

Offer simple CHO: Crackers, Dry toast

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29
Q

Caused by high HCG

Interventions

A

Hyperemesis Gravidarum

Diet: SFF

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30
Q

Inhibition of peristalsis due to gravid uterus

A

Constipation and Flatulence

Inc fiber, OFI

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31
Q

Pressure int he perianal area can cause?

Interventions

A

Hemorrhoids

Internal: Painless, Asymp
External: Painful

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32
Q

Interventions for External Hemorrhoids

A

Sitz bath with Astringent (Witch hazel)

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33
Q

Respiratory Changes in P

Interventions

A

Shortness of Breath

Left side lying position in the morning for 1 hour
Dec urinary threshold

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34
Q

Pride of pregnancy, musculoskeletal change

Interventions

A

Lordosis
- Wear low heeled shoes to have a grip

Leg cramps

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35
Q

high bmr cause high glucose production main root is?

A

High temp

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36
Q

Skin changes

MLS

A

Melasma
Linea nigra
Striae gravidarum

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37
Q

stretch mark and its Interventions

A

Striae gravidarum
- cocoa butter inc collagen

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38
Q

Vaginal secretion that prevents infection

A

Leukorrhea

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39
Q

infection that causes preterm labor

A

UTI

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40
Q

Weight Changes in pregnancy

And recommendation of WHO

A

1st: 1.5-3lbs
2nd: 10-11 lbs
3rd: 10-11 lbs

WHO: 25-35 lbs normal weight gain throughout entire pregnancy

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41
Q

Psychological tasks of the mother per semester

A

1st: Ambivalence
2nd: Fantasize
3rd: Responsibilities

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42
Q

Where fertilization and implantation happpens?

A

Ferti: Ampulla
Impla: Uterus at Upper uterine segment

43
Q

Ovum is to

44
Q

Zygote is to

A

fertilization to implantation

45
Q

Embryo is to

A

Implantation up to 8 weeks

46
Q

Fetus

A

8 weeks to full term

47
Q

Chorion membrane

48
Q

Amnion

A

inner where amniotic fluid is

49
Q

Amniotic fluid

Normal
Oligo and its complication
Poly

A

Normal: 500-1000ml
Oligohydramnios: Less than 500
- Renal problems
Polyhydramnios
- more than 1L (tracheoesophageal fistula) not fully develop

50
Q

Purpose of amniotic fluid

A

Protection
Temperature regualtion
Supports growht
Fetal movement

51
Q

Umbilical cord normal?

A

2 arteries
1 vein

52
Q

Umbilical cord abnormal?

A

2 veins
1 artery
- Congenital heart defect

53
Q

Protective covering of umbilical

A

Wharton’s jelly

54
Q

conception up to onset of labor is called?

A

Antepartum stage

55
Q

Auscultation per month

A

3 mos: Doppler
4 mos: Fetoscope
5 mos: Stethoscope

56
Q

Electronic fetal heart monitoring: Non stress test

A

rule of 15x15
15 beats inc by 15 sec duration in the fetal strip

Good result: Reactive
If bad (non-reactive): Proceed to stress test

57
Q

Also called oxytocin challenge test

A

Stress test

Invasive (needs consent)
Nipple stimulation/Oxytocin

Results: Good (negative)
Bad (positive) - Notify!

58
Q

Decelerations of Stress test

A

Early - Head compression
Late - Uteroplacental insuff
Variable - Cord compression

59
Q

evaluates fetal maturity
Determine certain defects by AFP

A

Alpha feto protein by AMNIOCENTESIS

60
Q

Low AFP indicates?

A

Down syndrome

61
Q

High AFP indicates?

A

Neural tube defects

62
Q

direct visualization of fetus

63
Q

4 maneuvers of Leopold

FUPP

A

Fundal grip
Umbilical grip
Pawliks grip
Pelvic grip

64
Q

Determines position of the fetus

A

Cephalic, Breach, Rotling, Acromion

1st: Fundal grip

65
Q

determines fetal lie position

A

Pelvic grip (4th)

66
Q

Diagnostic procedures in pregnancy

A

UTZ
Leopolds Maneuver
Clean catch urine
Pap smear

67
Q

Class 1 pap smear

68
Q

Class 2 PS

A

Inflammation
no IE!

69
Q

Class 3

A

Mild-moderate dysplasia
No sex

70
Q

Class 4

A

Probably malignant (difficu;t to recover)

71
Q

Class 5

A

Possibly malignant (small chance of recovery)

72
Q

Discomforts of Pregnancy

A

N/V
Breast tenderness
Ptyalism
Ankle Edema
Backache
Constipation
Heartburn
Hemorrhoids
SOB

73
Q

Health teachings in nutrition

A

Calories

Pregnant: +300
Breastfeeding: +500 calories

74
Q

Smoking causes?

A

Low birth weight

75
Q

Drinking alcohol causes?

A

Fetal withdrawal syndrome (wasted infant)

76
Q

Sexual activity: rule of 6

A

6 weeks before delivery (x)
6 weeks after (/)
6 weeks normal involution

77
Q

Travel in pregnancy

A

get 15-30 mins rest every 2-3 hrs

78
Q

4Ps of components of Labor

A

Passenger
Passsageway
Power
PSyche

79
Q

Pelvis, Cervic, Vagina

Prone in>

A

Passageway

Cephalopelvic disproportion

80
Q

Stronger uterine contraction

81
Q

Secondary contraction intstruction

82
Q

Stages of Labor and Delivery (4)

DFPR

A

Dilatation and effacement
Fetal expulsion
Placental stage
Recovery and Post aprtum

83
Q

Phases of Stage 1

LAT

A

Latent
Active
Transition

84
Q

4-7 cm mother loses self control

A

Active phase

85
Q

Latent phase

A

0-3 cm mother able to communicate

DO HEALTH TEACHING HERE

86
Q

8-10 cm fully dilated effaced

A

Transition

TRANSFER MOTHER TO LABOR ROOM to DELIVERY

87
Q

Expulsion Stage
(Mechanisms of Labor)

EDFIRE ERE

A

Engagement
Descent
Flexion
Internal rotation
Extrusion (crowning)
External Rotation
Expulsion

88
Q

Lack of external rotation causes?

A

Shoulder dystocia

89
Q

Signs of Placental Separation

LSC

A

Lengthening of the cord
Sudden gush of Blood
Culkin’s sign

90
Q

Uterus becomes firm and globular

A

Culkin’s sign

91
Q

If soft and boggy uterus if massaging is ineffective give?

92
Q

If uterus is dislodged to the right?

A

Encourage to urinate or catheter

93
Q

If oxytocin is given and still boggy,

A

Reclean the uterus and check for placental fragments

94
Q

Uterus well contracted but with bleeding

A

Check perineum
for perinieal lacerations

95
Q

Types of Placents

A

Schultz: Shiny
Duncan; Dirty

96
Q

Higher risk of retained placental fragment?

A

Duncan

CHECK FOR COTYLEDONS MUST BE 20-30

97
Q

Recovery and Bonding Stage 4

A

1-4 hrs after delivery
Most critical stage
Caused by shock

98
Q

reddish discharge

A

Rubra 0-3 days

99
Q

Pinkish to brownish discahrge

A

4-9 days
Serosa

100
Q

Lochia Alba

A

Whitish 10 days max of 6 weeks

101
Q

blood loss during delievry

A

NSD: 500ml
CS: 800-1000 ml

102
Q

Episiotomy care (4)

A

Ice pack (first 24 hrs)
Sitz bath (After 24 hrs)
Use cotton underwear
Inc fiber and OFi

103
Q

what position opens vena cava and increases circulation

A

Left sife lying position

Nursing Practice 2 (5 decks)

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