MATERNAL AND CHILD NURSING Flashcards

1
Q

BREAST CHANGES

A

PRESUMPTIVE

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2
Q

QUICKENING

A

PRESUMPTIVE SIGN

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3
Q

CHLOASMA

A

PRESUMPTIVE SIGN

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4
Q

URINARY CHANGES

A

PRESUMPTIVE

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5
Q

NAUSEA AND VOMITING

A

PRESUMPTIVE

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6
Q

QUICKENING

A

PRESUMPTIVE
5TH MONTH OF PREGNANCY

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7
Q

URINARY CHANGES

A

PRESUMPTIVE

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8
Q

HEGAR’S SIGN

A

PROBABLE
Thinning of the uterus

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9
Q

CHADWICK’S SIGN

A

PROBABLE
Purplish/bluish vagina

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10
Q

GOODELL’S SIGN

A

PROBABLE
Softening of the cervix

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11
Q

HCG

A

PROBABLE

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12
Q

BALLOTEMENT

A

PROBABLE

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13
Q

ULTRASOUND

A

POSITIVE
HAPPEN AT 2-3 MONTHS

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14
Q

FETAL HEART TONE

A

120-140 BPM
POSITIVE

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15
Q

DVT

A

Wear anti-embolic stockings

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16
Q

Varicose Veins/ Varicosities

A

Do not massage it can cause embolism
Elevate to increase venous return and decrease venous stasis

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17
Q

Morning sickness

A

Offer simple carbs such as dry crackers

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18
Q

Hyperemesis gravidarum and Heart burn

A

Offer small frequent feedings

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19
Q

Constipation and Fatigue

A

Offer high fiber diet and increase oral fluid intake

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20
Q

Shortness of breath

A

Left side lying position to open vena cava

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21
Q

Lordosis

A

Encourage to wear low heeled shoes with grip

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22
Q

Striae Gravidarum

A

Cocoa butter to decrease scarring and enhances collagen matrix

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23
Q

Weight gain during 1st trimester

A

1.5-3 lbs

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24
Q

Weight gain during 2nd trimester

A

10-11 lbs

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25
Weight gain during 3rd trimester
10-11 lbs
26
Weight gain throughout pregnancy
20-30/20-35 lbs
27
8 weeks to full term
Fetus
28
Implantation to 8 weeks
Embryo
29
Normal amniotic fluid
500-1000 mL
30
<500 amniotic fluid
Polyhydramnios Kidney problems
31
>1000 mL Amniotic fluid
Oligohydramnios Esophageal Problem (TEF)
32
Purpose of amniotic fluid
1. Protection 2. Temperature regulation 3. Support Growth 4. Fetal movement
33
Protective covering of the umbilical cord
Wharton’s Jelly
34
Non-stress test
Normal finding 15x15 rule- 15 beats increase in 15 beats duration Reactive- normal Non-reactive- abnormal
35
Stress test
Done after NST Induce contraction by nipple or oxytocin stimulation Positive- bad result Negative- good
36
Early deceleration
Head compression
37
Late deceleration
Uteroplacental insufficiency
38
Variable deceleration
Cord compression
39
First maneuver
Fundal frip Fetal presentation
40
Second maneuver
Umbilical grip Fetal back (FHT)
41
Third Maneuver
Pawlik’s grip Fetal engagement
42
Fourth Maneuver
Pelvic Grip Fetak attidtue and lie
43
Breast Tenderness
Wear firm fitting brassiere/ supportive bra
44
Ptyalism
Offer mouthwash, gum, and hard candy
45
Hemorrhoids
Warm sitz bath with witch hazel
46
Shortness of breath
Pillows and left lateral recumbent/ side lying
47
Most commonly used tocolytics
MTIN Magnesium Sulfate Terbutaline Indomethacin Nifedipine
48
Expulsion of fetus below age of viability
Abortion
49
Management of abortion
CBR Avoid coitus D&C
50
Gestation Thropoblastic Disease
Hydatidiform Mole
51
S/S of Hydatidiform Mole
High HCG Increase in fundic height Passage of clear fluid filled grapes size vesicles
52
Drug of choice of Hydatidiform Mole
Methotrexate- preventing production of throphoblast
53
Implantation outside the uterus (ampulla)
Ectopic Pregnancy
54
S/s of ectopic pregnancy
Severe sharp like abdominal pain Spotting (+) Cullen’s sign
55
Painless dilatation without contractions more than 20 weeks
Incompetent cervix
56
Management of incompetent cervix
Cervical Cerclage- suturing of the cervix Mcdonals- NSD Shirodkar- CS
57
S/s of Incompetent cervix
Prolapse of membranes Without contractions
58
Bright red painless bleeding
Placenta Previa
59
Management of Placenta Previa
NO IE No sex CBR FHT Monitoring Double Set
60
Premature separation of the placenta after 20th week AOG
Abruptio Placenta
61
Triad symtomps of Toxemia/PIH
Proteinuria Edema Hypertension
62
S/s of Magnesium Toxicity
Blood pressure of less than 90/60 Urinary output of <39 mL/hr Respiratory rate of less than 12 cpm Patellar reflex of less than 2
63
Anterior shoulder of the baby is unable to pass the maternal pelvis
Shoulder dystocia
64
S/s of shoulder dystocia
Turtle’s sign