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MARK KLIMEX > Maternal & Pediatric > Flashcards

Maternal & Pediatric Flashcards

1
Q

Definition of Abruptio Placenta?

A

PREMATURE SEPARATION of the Placenta from the Uterine Wall

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2
Q

When is Abruptio Placenta most common in pregnancy and at what age level?

A

MULTIGRAVIDA, 35 y.o.

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3
Q

Common causes of Abruptio Placenta?

A 
Age 35 & above
Trauma
Amniotic sac problem
Cocaine
Hypertension
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4
Q

How is bleeding of Abruptio Placenta different from Placenta Previa?

A

ABRUPTIO PLACENTA Painful, Dark Red Vaginal Bleeding happens at the 3rd Trimester

PLACENTA PREVIA: Painless, Bright Red Vaginal Bleeding happens at the 3rd Trimester

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5
Q

What is Placenta Previa?

A

A condition in which the Placenta is attached to/or covering the cervix

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6
Q

Common causes of Placenta Previa?

A

Scarring of Uterine wall from previous pregnancies
Women w/ fibroids and abnormalities of the uterus
Previous surgeries and Cesarean deliveries
Age 35 and above
African-American
Smoking
Placenta previa in previous pregnancies
Male fetus

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7
Q

What guage would you use to start an IV to client with Abruptio Placenta?

A

Guage 18 (in prep. to give blood if necessary)

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8
Q

How often should you measure/check the Vital Signs, Vaginal Bleeding, Fetal Heart Rate during Abruptio Placenta?

A

Every 5-15 minutes for Bleeding, Maternal Vital Signs, and continuous Fetal Monitoring

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9
Q

What is the end of the 1ST TRIMESTER?

A

WEEK 12

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10
Q

How do you get the woman’s IDEAL WEIGHT GAIN per WEEK of Gestation in WEIGHT MONITORING during Pregnancy?

A

Week of Gestation - 9 = Weight/Week
3 lbs. off - assess
4 lbs. off - trouble (complicated delivery)

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11
Q

What is the IDEAL WEIGHT of a Pregnant woman on the 1ST TRIMESTER?

A

28 lbs.(-3 (loose) or +3 (gain) normal)

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12
Q

If the woman’s IDEAL WEIGHT gets below more than 4 lbs. than suppose to be her IDEAL WEIGHT, what should she do?

A

She should undergo a BIO-PHYSICAL PROFILE on the BABY (because baby might have died last month)

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13
Q

Where is the FUNDUS LOCATED?

A

TOP PART OF THE UTERUS (not palpable until WEEK 12 meaning cannot palpate on the 1st Trimester)

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14
Q

When is the HEAD of the baby palpable at the BELLY BUTTON (Umbilicus)?

A

20-22 WEEKS of Gestation

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15
Q

When can you PALPATE the FUNDUS?

A

At the END of the 1ST TRIMESTER

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16
Q

Why is it important for the nurse to know the FUNDIC HEIGHT of the BABY & when can you palpate the fundus?

A

To know the DATE of VIABILITY (20-24 WKS-end of the 2nd Trimester)

17
Q

What is the END of the 2nd TRIMESTER?

A

Week 24

18
Q

A PREGNANT woman was brought in because of vehicular accident, UNCONSCIOUS and DID NOT KNOW that she is PREGNANT or DID NOT have PRENATAL CARE, How could you put her in a correct TRIMESTER?
Who should be a PRIORITY to SAVE if you CANNOT PALPATE the FUNDUS?

A

PALPATE her FUNDUS

WOMAN because the baby just on the 1st TRIMESTER

19
Q

If a PREGNANT woman who was in an ACCIDENT came in and the FUNDUS was PALPATED AT/BELOW the BELLY BUTTON, who is the PRIORITY to SAVE?

A

WOMAN because the baby is just on the 2nd Trimester

20
Q

If a PREGNANT woman was brought in due to a MAJOR ACCIDENT and the FUNDUS was PALPATED ABOVE the BELLY BUTTON, who is the PRIORITY to SAVE?

A

BABY because mother is already on the 3rd Trimester

21
Q

Important key points in Preeclampsia?

A

P = Protenuria
R =Rising BP
E = Edema

Symptoms: Facial edema, Headache, Visual disturbance

22
Q

What is the DRUG of CHOICE for SEIZURE in PREECLAMPSIA?

A

MAGNESIUM SULFATE. (Hyporeflexia = toxicity)

23
Q

What are the SIGNS of IMPENDING PREECLAMPSIA?

A

HYPERREFLEXIA or CLONUS

24
Q

What is ECTOPIC PREGNANCY?

A

The fertilized ovum implants OUTSIDE the UTERINE CAVITY

25
Q

What are the RISK FACTORS of ECTOPIC PREGNANCY?

A

Previous tubal surgeries
Intrauterine devices
Tubal damage/scarring
Sexually transmitted infections

26
Q

Common CLINICAL FEATURE of ECTOPIC PREGNANCY?

A

Hypotension
Unilateral abdominal pain
Referred shoulder pain

MARK KLIMEX (7 decks)

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