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

Maternal/Newborn Exam 1 Flashcards

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
Etiology for variable deceleration
cord compression
24
Where is false labor felt
in the abdomen or groin
25
Types of Lochia
Rubra, Serosa, Alba
26
What position allows greater perfusion to the fetus?
Wedged to the left
28
What does hCG do?
maintains corpus luteum until placenta is functioning (21weeks)
29
Para measures...
how many were living **greater** than 20 weeks
30
Pre term
20-36.6 weeks
31
Biophysical Profile Assess 5 Parameters
1. NST 2. Fetal breathing 3. fetal movements 4. fetal tone 5. amniotic fluid volume
32
What does relaxin do? x5
* opening/softening of the cervix * prevents premature contractions * regulates CV and Renal system * relax vessels * excreted by **placenta**
33
Why do you give IV fluids when administering epidural?
to keep BP stabilized
34
What are the 7 cardinal movement of labor
1. Descent 2. Engagement 3. Flexion 4. Internal Rotation 5. Extension 6. Restitution 7. External Rotation 8. Expulsion
35
Signs of malpresentation?
* you can feel bony prominence of the head pushing on sacral nerves * back pain
37
What are abnormal concentrations of Alphafetoproein associated with
fetal anomalies
38
Advantages of using epidural block?
blocks pain and patient is fully awake
39
Why do hematocrit and hemoglobin levels drop during 1st and 2nd trimester?
because of blood volume expansion
40
How do you wake a baby up if sleeping?
Vibroacoustic Monitor
41
What does amniotic fluid tell you?
good organ development, placental function
42
What happens to heart rate during pregnancy
it increase 15-20 bpm
43
How many arteries/veins does a fetus have
* 2 arteries (deox to placenta) * 1 vein (oxgenated away)
44
Should not be used if patient has preeclampsia
methergine
45
Causes for late decelerations x4
* **uteroplacental insufficiency** * impaired xchange of waste products * hypo/hypertension * excessive uterine stimuli

Nursing School Pt 2 (13 decks)

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