Maternity Flashcards
probable signs of pregnancy
Goodell's - softening of the cervix Hegar's - softening of uterus Chadwick's - violet discoloration of MM Ballottment - rebounding of fetus during palpation braxton hicks contractions uterine enlargement
presumptive signs
breast tendnerness amenorrhea nausea vomiting quickening urinary frequency
positive
ultrasound - FHR with doppler
If a woman is bottle feeding:
avoid stimulation of breasts, which causes engorgment:
- pumping breasts
- infant sucking
- running warm water over breasts
Should:
- use ice packs
- wear tight fitting bra
- take mild analgesics for pain
if the patient has sustained contractions, what action should the nurse take?
DISCONTINUE the IV oxytocin
- sustained contractions can lead to ruptured uterus or fetal distress
precipitous labor is a risk factor for early _______ and ______ .
postpartum hemorrhage
and
amniotic fluid embolism
what are risk factors for a precipitous labor?
multipara status
small fetus in favorable position
hx of rapid labors
signs of ectopic pregnancy
unilateral dull abdominal pain and vaginal spotting
correct way to palpate uterine contractions
place on hand on abdomen over fundus and press gently with fingertips
post-vaginal delivery, it is MOST important to do what?
check the client’s lochial flow to assess for hemorrhage
normal weight gain during pregnancy
1st trimester: 2-5 lbs
2nd + 3rd: 0.66-1.1 lb per week
what does persistent fetal bradycardia indicate?
FETAL DISTRESS - cord compression or separation of the placenta
position on left side
give O2
start IV
position for cord prolapse
trendelenburg position
O2
force fluids
5-digit system
1st: # of pregnancies
2nd: # of term deliveries
3rd: # of preterm deliveries
4th: # of abortions
5th: # of living children
what position should the child with Tetralogy of Fallot take?
squatting with arms wrapped around legs?
