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OBSTETRIC NURSING > MATERNAL AND CHILD NURSING > Flashcards

MATERNAL AND CHILD NURSING Flashcards

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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
Q

Weight gain during 3rd trimester

A

10-11 lbs

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26
Q

Weight gain throughout pregnancy

A

20-30/20-35 lbs

27
Q

8 weeks to full term

A

Fetus

28
Q

Implantation to 8 weeks

A

Embryo

29
Q

Normal amniotic fluid

A

500-1000 mL

30
Q

<500 amniotic fluid

A

Polyhydramnios
Kidney problems

31
Q

> 1000 mL Amniotic fluid

A

Oligohydramnios
Esophageal Problem (TEF)

32
Q

Purpose of amniotic fluid

A
  1. Protection
  2. Temperature regulation
  3. Support Growth
  4. Fetal movement
33
Q

Protective covering of the umbilical cord

A

Wharton’s Jelly

34
Q

Non-stress test

A

Normal finding
15x15 rule- 15 beats increase in 15 beats duration
Reactive- normal
Non-reactive- abnormal

35
Q

Stress test

A

Done after NST
Induce contraction by nipple or oxytocin stimulation
Positive- bad result
Negative- good

36
Q

Early deceleration

A

Head compression

37
Q

Late deceleration

A

Uteroplacental insufficiency

38
Q

Variable deceleration

A

Cord compression

39
Q

First maneuver

A

Fundal frip
Fetal presentation

40
Q

Second maneuver

A

Umbilical grip
Fetal back (FHT)

41
Q

Third Maneuver

A

Pawlik’s grip
Fetal engagement

42
Q

Fourth Maneuver

A

Pelvic Grip
Fetak attidtue and lie

43
Q

Breast Tenderness

A

Wear firm fitting brassiere/ supportive bra

44
Q

Ptyalism

A

Offer mouthwash, gum, and hard candy

45
Q

Hemorrhoids

A

Warm sitz bath with witch hazel

46
Q

Shortness of breath

A

Pillows and left lateral recumbent/ side lying

47
Q

Most commonly used tocolytics

A

MTIN
Magnesium Sulfate
Terbutaline
Indomethacin
Nifedipine

48
Q

Expulsion of fetus below age of viability

A

Abortion

49
Q

Management of abortion

A

CBR
Avoid coitus
D&C

50
Q

Gestation Thropoblastic Disease

A

Hydatidiform Mole

51
Q

S/S of Hydatidiform Mole

A

High HCG
Increase in fundic height
Passage of clear fluid filled grapes size vesicles

52
Q

Drug of choice of Hydatidiform Mole

A

Methotrexate- preventing production of throphoblast

53
Q

Implantation outside the uterus (ampulla)

A

Ectopic Pregnancy

54
Q

S/s of ectopic pregnancy

A

Severe sharp like abdominal pain
Spotting
(+) Cullen’s sign

55
Q

Painless dilatation without contractions more than 20 weeks

A

Incompetent cervix

56
Q

Management of incompetent cervix

A

Cervical Cerclage- suturing of the cervix
Mcdonals- NSD
Shirodkar- CS

57
Q

S/s of Incompetent cervix

A

Prolapse of membranes
Without contractions

58
Q

Bright red painless bleeding

A

Placenta Previa

59
Q

Management of Placenta Previa

A

NO IE
No sex
CBR
FHT Monitoring
Double Set

60
Q

Premature separation of the placenta after 20th week AOG

A

Abruptio Placenta

61
Q

Triad symtomps of Toxemia/PIH

A

Proteinuria
Edema
Hypertension

62
Q

S/s of Magnesium Toxicity

A

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
Q

Anterior shoulder of the baby is unable to pass the maternal pelvis

A

Shoulder dystocia

64
Q

S/s of shoulder dystocia

A

Turtle’s sign

OBSTETRIC NURSING (1 decks)

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