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Nursing School Pt 2 > Maternal/Newborn Exam 1 > Flashcards

Maternal/Newborn Exam 1 Flashcards

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1
Q
A
  • Transverse Lie shoulder presentation
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2
Q

A positive Triple/Quad Screen is what?

A
  • Estriole low
  • hCG is high

further testing necessary

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3
Q

Women are hypercoagulable during pregnancy, why?

A

protective for inevitable blood loss

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3
Q

What does Estrogen do? x6

A
  1. stimulates contractions
  2. increased elasticity of ligaments
  3. melanin
  4. decrease GI motility
  5. Alter’s F & E’s
  6. Breast Development
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3
Q

HEAD to TOE assesssment postpartum

A
  • Breasts
  • Uterus
  • Bowel
  • Bladder
  • Lochia (pad an hr too much)
  • Episiotomy (laceration)
  • Homans/hemorrhoids/hematoma
  • Emotions
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5
Q

What happens to peripheral vascular resistance during pregnancy?

A

It decreases

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5
Q

What are danger signs of preeclampsia? x4

A
  • severe headache
  • abdominal pain
  • visual disturbance
  • swelling
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6
Q

Interventions for Late Decelerations x6

A
  1. IV bolus of LR
  2. Discontinue oxytocin
  3. tocolytic drug
  4. oxygen 10L/min
  5. reposition
  6. Amnioinfusion
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7
Q

This is failure to decend due to placenta retention

A

sub involution

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7
Q

Should not be used if patient has asthma

A

hemobate

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8
Q

Etiology for early decelerations

A

fetal head compression

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9
Q

5 P’s of Labor

A
  1. Passage- type of pelvis
  2. Passenger- size of fetus, presentation
  3. Powers- contraction/relax uterus, voluntary efforts
  4. Psyche- maternal emotional status
  5. partners-relationship of passenger/passage
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11
Q

Why is there a UTI risk during pregnancy?

A

dilation of renal pevlis and ureters due to progesterone

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12
Q

What is a full term pregnancy?

A

37-42 weeks

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12
Q

What causes pseudo anemia

A

more plasma than rbc’s, but both increase

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13
Q

This is a block of sympathetic fibers, contraindicated for a women with hypovolemia?

A

spinal block

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14
Q

Meds used for bleeding

A
  • oxytocin
  • cytocec
  • hemobate
  • methergen
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15
Q
A

Longitudinal Lie Vertex Presentation

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15
Q

Meds used to induce labor x5

A
  • prostaglandins (rippening)
  • stripping cervix
  • rupturing membranes
  • catheter w/ balloon
  • pitocin (oxytocin)
17
Q

What does progesterone do?

A
  • gallbladder prolonged emptying
  • prevents bile salts from being released
  • softening of joints and ligaments
18
Q

Indications for Episiotomy

A
  • Redness
  • Edema
  • Ecchymosis (bruising)
  • Discharge
  • Approximation
19
Q

Disadvantages of epidural block

A

hypotension

21
Q

Why does blood volume increase during pregnancy?

A

to reserve blood loss at birth

22
Q

What does a non stress test show?

A
  • 2 fetal heart accelerations within 20 minutes
  • Intact CNS
23
Q

Etiology for variable deceleration

A

cord compression

24
Q

Where is false labor felt

A

in the abdomen or groin

25
Q

Types of Lochia

A

Rubra, Serosa, Alba

26
Q

What position allows greater perfusion to the fetus?

A

Wedged to the left

28
Q

What does hCG do?

A

maintains corpus luteum until placenta is functioning (21weeks)

29
Q

Para measures…

A

how many were living greater than 20 weeks

30
Q

Pre term

A

20-36.6 weeks

31
Q

Biophysical Profile Assess 5 Parameters

A
  1. NST
  2. Fetal breathing
  3. fetal movements
  4. fetal tone
  5. amniotic fluid volume
32
Q

What does relaxin do? x5

A
  • opening/softening of the cervix
  • prevents premature contractions
  • regulates CV and Renal system
  • relax vessels
  • excreted by placenta
33
Q

Why do you give IV fluids when administering epidural?

A

to keep BP stabilized

34
Q

What are the 7 cardinal movement of labor

A
  1. Descent
  2. Engagement
  3. Flexion
  4. Internal Rotation
  5. Extension
  6. Restitution
  7. External Rotation
  8. Expulsion
35
Q

Signs of malpresentation?

A
  • you can feel bony prominence of the head pushing on sacral nerves
  • back pain
37
Q

What are abnormal concentrations of Alphafetoproein associated with

A

fetal anomalies

38
Q

Advantages of using epidural block?

A

blocks pain and patient is fully awake

39
Q

Why do hematocrit and hemoglobin levels drop during 1st and 2nd trimester?

A

because of blood volume expansion

40
Q

How do you wake a baby up if sleeping?

A

Vibroacoustic Monitor

41
Q

What does amniotic fluid tell you?

A

good organ development, placental function

42
Q

What happens to heart rate during pregnancy

A

it increase 15-20 bpm

43
Q

How many arteries/veins does a fetus have

A
  • 2 arteries (deox to placenta)
  • 1 vein (oxgenated away)
44
Q

Should not be used if patient has preeclampsia

A

methergine

45
Q

Causes for late decelerations x4

A
  • uteroplacental insufficiency
  • impaired xchange of waste products
  • hypo/hypertension
  • excessive uterine stimuli

Nursing School Pt 2 (13 decks)

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