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NCM-N 107 > MATERNAL LESSON 4 > Flashcards

MATERNAL LESSON 4 Flashcards

1
Q

MATERNAL BLOOD
begins to collect IN THE INTERVILLOUS SPACE of
the UTERINE ENDOMETRIUM

A

12th day OF PREGNANCY

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2
Q

O2 and other nutrients (glucose,
amino acids, fatty acids, minerals, vitamins, and
water OSMOSES from maternal blood through
CHORIONIC VILLI into the VILLI capillaries. From
there, nutrients are transported to embryo

A

3RD WEEK

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3
Q

uteroplacental blood
flow (amount)

A

50ml/min in 10 week

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4
Q

braxton hicks-maintains
pressure in the intervillous spaces

A

12week

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5
Q

placenta measurements

A

-15-20 CM IN DIAMETER
* 2-3 CM IN DEPTH
* COVERS HALF OF THE UTERUS AT TERM
* 400 to 600g at TERM

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5
Q

NORMAL AMNIOTIC FLUID:

A

800-1200ml

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6
Q

-Reduced placental circulation
● -Leads to _______
and ______

A

very low maternal BP |low uterine circulation

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7
Q

Polyhydramnios

A

> 2000ml

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8
Q

oligohydramnios

A

<500ml

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9
Q

a loose
loop of cord around the
neck

A

nuchal cord

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10
Q

gelatinous
monopolysaccharides cord’s body and prevents
pressure

A

wharton’s jelly

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11
Q

Hypocoiling-associated
with _____

A

maternal HPN

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12
Q

Hypercoiling-associated
with ______

A

FETAL RESP.
DISTRESS

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13
Q

6 weeks initial diagnose

A

UTZ

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14
Q

UTZ use

A

confirms the presence, size, and location.
establishes fetus’ health, sex, presentation, position
checks complications

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15
Q

A combination of UTZ and non-stress test done during 26-28 weeks of
gestation.

A

antepartum: biophysical profile

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16
Q

Stress test – to be done at

A

32 weeks

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17
Q

HGH RISK (BIOPHYSICAL PROFILE)

A

multiple pregnancy, HPN, DM,CVD,Previous pregnancy
complication, Rh incompatability, Obesity, Pregnancy >35 years ol

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18
Q

FHR NORMAL & ABNORMAL

A
  • 20min: > 2 Acceleration (2 points)
  • 40min: No acceleration (0 points)
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19
Q

Fetal breathing NORMAL & ABNORMAL

A

30 secs: + rhythm ( 2points)
: - rhythm (0 points)

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20
Q

Fetal Body
Movement NORMAL & ABNORMAL

A

➢ 3 movements (2 points)
➢ No movements (0points)

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21
Q

Fetal Leg Movement NORMAL & ABNORMAL

A
  • (+) extension from flexed position (2points)
  • No extension (0points)
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22
Q

Amniotic fluid NORMAL & ABNORMAL

A
  • index >5= (2 points)
    • pocket fluid (0points)
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23
Q

color of amniontic fluid

A

clear, pale yellow

24
Q

98% predictive of fetal lung maturity

A

lecithin/sphingomyelin ratio 2:1

25
Q

predictors of fetal lung maturity

A

phosphatidyl glycerol and desaturated phosphatidylcholine

26
Q

determines abnormal RBC breakdown or may have only a very mild anemia

A

bilirubin determination

27
Q

helps predict the likelihood of premature delivery within 7-14 days

A

fetal fibronectin

28
Q

INBORN ERRORS

A

down syndrome, cystic fibrosis, tay sach’s disease

29
Q

tests baby’s risk for having certain genetic problems and birth defects

A

alpha-fetoprotein

30
Q

complications of amniocentesis

A

cramping
bleeding/leaking amniotic fluid
infection
Miscarriage
preterm labor

31
Q

aka cordocentesis or funicentesis

to detect and treat blood conditions, such as fetal anemia/ fetal infections

A

percutaneous umbilical blood sampling

32
Q

checks for fetal heart’s acceleration

A

non-stress test

33
Q

non stress test results

A

reactive=normal (2 acc in 20 mins)
non-reactive= abnormal (0 acc in 20 mins)

34
Q

checks for fetal heart deceleration

A

stress test

35
Q

stress test results

A

negative for decelerations= 3 contractions for 20 mins (normal)
positive for decelerations= abnormal

36
Q

mother receives oxytocin to see how the FHR response during uterine contractions

A

stress test

37
Q

leads to serious fetal defects or death

A

radiation

38
Q

causes abnormalities in organs

A

syphilis and toxoplasmosis

39
Q

causes nerve damage

A

lead and mercury

40
Q

MMR, POLIO, HPV

A

live vaccines

40
Q

hearing impairment, cognitive and motor difficulty, cataracts, cardiac problem, IUGR, thrombocytopenia purpura, facial defects (clef lip/palate)

A

rubella

41
Q

causes severe vasocontriction, compromised placental flow

A

drugs

41
Q

vitamin b deficiency, neurological damage, still birth, low birth weights

A

alcohol and tobacco

42
Q

adequate and well controlled studies in pregnant women have failed to demonstrate a risk for the fetus in the first trimester of pregnancy

A

category A (doxylamine, folic acid, levothyroxine)

43
Q

animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well controlled studies in pregnant women, or animal reproduction studies have shown adverse effects but well controlled studies in pregnant women have shown no adverse effects to the fetus

A

category b (amoxicillin, loratadine, ondansetron)

44
Q

psotive evidence of fetal risk, risks clearly outweight any possible benefit

A

category X (methotrexate, simvastatin, warfarin)

44
Q

positive evidence of fetal risk, but benefits may outweigh risks

A

category D (lisinopril, lithium, phenytoin)

45
Q

animal reproduction studies have shown an adverse effect on the fetus, or there are no minimal reproduction studies and no well controlled studies in humans

A

category c (fluconazole, metoprolol, sertraline)

46
Q

in dental care what is recommended?

A

eat healthy snacks to reduce amount of sugar

47
Q

in bathing what is recommended?

A

shower is recommended than tub baths

48
Q

in breast care what is recommended?

A

wear firm supportive bra with wide straps
16 weeks, colostrum secretion begins- use breast pads
clean with tap water, no soap

49
Q

In perineal care what is recommended

A

Wipe from front to back
douching alters the pH of the vagina (no douching)

50
Q

in clothing what is recommended?

A

shoe modeerate low heel to minimize pelvic tilt
avoid tight jeans

51
Q

in sleeping what is recommended?

A

modified sims position or left-sided sims position

52
Q

in exercise what is recommended?

A

walking is the best exercise

53
Q

for sexual avtivity

A

coitus does not initiate labor
orgasm does not initate preterm labor
coitus does not cause PROM

54
Q
A

NCM-N 107 (11 decks)

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