Maternal Newborn Flashcards
Contraception- strategies or devices used to reduce the risk of fertilization to prevent pregnancy.
Abstinence, withrawal, calandar rhytm method, standard days method, basal body temperature, cervical mucus ovulation detection method, 2 day method, male condom, female condom, spermicide, diaprhagm, cervical cap, contraceptive snge, combined oral contraceptives, progesting-only pills, emergency oral contraceptive, trandermal contraceptive patch, ingectable progestins, contaceptive vaginal ring, implantable progesting, intrauterine device, transcervial sterilation, female sterilization, male sterilation.
Expected Physiological Changes During Pregnancy
signs of pregnancy; presumptive, probable, positive.
Blood and urine tests verify pregnancy, nagele rule, measure of fundal height, gravidity, parity, viabiltiy, GTPAL.
Body systems- reproductive, cardiovascular, respiratory, musculoskelatl, gastrointestinal, renal, endocrine,.
Body image changes, expected vital signs,
Expected findings
Nursing interventions
Prenatal Care
Nutrition During Pregnancy
Determination of fetal well being
Ultrasound (abdominal, transvaginal, and doppler)
Biophysical Profile
Nonstress test
Contraction Stress Test
Amniocentesis
High-risk pregnancy percutaneous umbilical blood sampling
high risk pregnancy Chronic villus sampling
high risk pregnancy quad marker screening
High risk pregnancy maternal alpha-fetoprotein
Bleeding during pregnancy
Spontaneous Abortion- pregnancy ends as result of natural causes before 200 weeks weighs less than 500 g.
Risk Factors: Chromosomal abnormality, maternal illness, advanced maternal age, premature cervical dilation, chronic maternal infections, maternal malnutrition, trauma or injury, anomalies in the fetus or placentae, substance use, antiphospholipids syndrome.
Expected Findings- abdominal cramping or pain, rupture of membranes, dilation of the cervix, fever, manifestation of hemorrage (hypotension, tachycardia)
Lab tests- Hgb and Hct, clotting factors, WBC, serum human chronic gondrotpin (hcG) levels
Diagnstic and Therpatuic Procedures- ultrasound, examination of the cervix, dilation and curettge, dilation and evacution, prostoglandins and oxytocin
Nusring care- perform a pregnacy test, observe color and amount of bleeding, maintain client on bed rest, risk of falls to sedative meds, avoid vaginal exams, asist with an ultrasond, assist with adminstering medications, blood products, determine how much tissue has passed and save for examination, assist with termination of pregnancy (D&C, D&E) prostoglandin adminstration as indicated, miscarriage, provide emotional support and client education, asist with providing a referral for client and partner to pregnacy loss support gorups.
Medications-
analgesics and sefatives, prostoglanding as a vginal suppository, oxytocin, broad spectrum antibiotics,
Client education-
Ectopic Pregnancy
Gestational Trophoblastic disease
Placenta Previa
Abruptio Placentae
Vas Previa
Infections
HIV/AIDS
TORCH infections
Group B Streptoccus
Chlamydia
Gonorrhea
Syphyillis
Human Papilloma Virus
Tricomoniasis
Bacterial Vaginosis
Candidasis
Cerviacal Insufficency (premature cervical dilation)
Hyperemesis Gravidum
Iron-deficiency anemia
Gestational Diabetes Mellitus
Gestational Hypertension
Preterm Labor
Premature Rupture of membranes
Preterm premature rupture of membranes
Pain management
therapeutic procedures to assist with labor and delivery
External cephalic version
bishop score
induction of labor
Amnioinfusion
Augmentation of labor
Amniotomy
vacuum-assisted delievery
Episiotomy
Ceasaran Birth
Forceps-assisted Birth
Lacerations
Vaginal Birth after Cesaren Birth
Vaginal birth after cesarn (VBAC)
Complications related to the labor process
Prolapsed Umbilical Cord
Meconium stained amniotic fluid
Fetal distress
Leopold Manuveres
Intermittent auscultation and uterine contraction palpation
continous electronic fetal monitoring
continous internal fetal monitoring
Uterus
Cervix, vagina, and perineum
Lochia
Breasts
Cardiovascular system and fluid and hematologic status
Gastrointestinal system and bowel function
Immune system
Comfort level
Nutrition
Psycosocial
Discharge education
Pulmonary Embolus
Deep-vein thrombosis
Uterine atony
Postpartum Hemorrage
urinary system and bladder function
Musculoskeletal system
Subinvolution of the uterus
inversion of the uterus
Lacerations and Hematoma
Postpartum infections
Retained Placentae
Endometritis
Infections
mastitis
meconium aspiration
preterm newborn
samll for gestational age newborn
lareg for gestational age newborn macrosomic
Wound Infections
Urinary tract infection
Postpartum Depression
Nursing care of newborn
Newborn data collectioin
newborn nutrition
nursing care and reinforcing discharge teaching
neonatal substance withdrawal
Hypoglycemia
Respiratory Distress Syndrome
asphyxia
newborn infection, sepsis (sepsis nenatorum)
Birth trauma or injury
Hyperpilirubinemia
Congenital anomalies
postmature infant
tracheoesophageal fistula
Baby friendly care