maternal exam 1 review Flashcards
Nagele’s Rule is used to determine what?
estimated delivery date
How do you calculate estimated delivery date
LMP - 3 months + 7 days
What does Coomb’s test identify
Rh incompatibility
what does a direct coomb’s test look for?
maternal Rh antibodies in fetal cord (goes directly to the source)
What does an indirect coomb’s test look for?
Rh antibodies in maternal blood
what is given to prevent Rh incompatibility?
Rhogam
what is RhoGAM
ready made immunoglobulin
Rh(0) is?
RhoGAM
condition in which large amounts of fluid build up in a baby’s tissues and organs, causing extensive swelling is called
hydrops fetalis
what causes hydrops fetalis
Rh incompatability
what gloves should be used on pt w/ placenta previa
sterile gloves
what lab should be obtained for any pt w/ bleeding issue
CBC
what measures amount of surfacant in baby
l/s ratio
non painful vaginal bleeding can be an indication of what preg complication
placenta previa
painful vaginal bleeding can be an indication of what preg complication
abruptio placentae
how many times should fetus move in 12 hrs
10x
what preg complication increases risk of type 2 dm after pregnancy
gestational dm
frequent yeast infections can cause what preg complication
gestational dm
what oral hypoglycemic is given for preg pts with headaches
glyburide
why is glyburide given to preg pts instead of other oral hypoglycemics?
other hypoglycemics are teratogenic
if oral glucose test is over 130 what should you do
redo test after pt has a 3 hr fast
what do 2 abnormal oral glucose tests indicate
gestational dm
HbA1c results over 10% indicate a high risk of what
congenital anomalies
what effect does insulin have on potassium
it lowers potassium
what should you monitor when giving insulin to pt
potassium lvls
when does gestational dm appear during preg
by 20 weeks
is a primigravida pt that is 27 y/o at risk for gestational htn?
no only pts with age extremes
what are age extremes?
younger than 18 and older than 40
is protein deficiency a risk for gestational htn
yes
what happens to eclampsia pt if they go into a coma
hemolysis of blood cells
elevated liver enzymes
low platelets syndrome
what is the last resort treatment for eclampsia pt
deliver baby
surgery to remove fallopian tubes is called
salpingectomy
