maternity exam 2 Flashcards
prenatal visit frequency for a normal pregnancy
conception to 28 weeks- every 4 weeks
29 to 36 weeks- every 2 to 3 weeks
37 weeks to birth- weekly
Chadwick’s sign
purplish or bluish discoloration of the cervix, vagina, and vulva caused by increased vascular congestion.
(sometimes it can be because of hormonal imbalance or infection)
how do you use nagele’s rule?
add three months add 7 days
fetal heart rate rate can be detected as early as
10 weeks (with a doppler)
fetal heart rate ranges from
110 to 160
fetal heart rate may drop in the late stages of pregnancy and this is normal
the amount of weight that should be gained by a healthy pregnant woman
24 to 35 lb ( 11.4 to 15.9 kg)
if a mother comes in and she gains 15 pounds from the prior visit
gestational hypertension
take blood pressure then notify the doctor
what are the positive signs of pregnancy
dark bluish or purplish discoloration of the vaginal tissue, vulva, or cervix, which is caused by an increase in venous (from the veins) blood flow to the area
what is a elderly primip
pregnancy after the age of 35
the rubella vaccination is contraindicated for
pregnancy
morning sickness and hyperemesis graviderum
morning sickness: mild nausea and vomiting
Gravidarum: excessive nausea and vomiting that interferes with food and fluid balance.
low-birth weight
dehydration leads to reduction of blood oxygen and nutrients to the fetus.
what is a ectopic pregnancy
pregnancy outside the uterus
s/s of upruptrio placentae
seperation from the placenta before birth
occurs if the uterus is overdistended with amniotic fluid when the membranes rupture.
a RH mother will receive RH immune globulin when?
rogam
at 28 weeks
also at birth
oral hypoglycemics cross the placenta
what does the nurse to do with a mom who has chronic diabetes?
give insulin
when the does preeclampsia become eclampsia
after more the second seizure
magnesium sulfate for
pre eclampsia
its a essential nervous system depressant
reversal agent of magnesium sulfate
calcium gluconate
a c-section is done for
total placenta previa
during the relaxation phase of labor the placenta
refills with oxygenated blood
green stain amniotic fluid means the
first stool has passed
meconium
indicator of fetal compromise
the difference between true and false labor
false labor is inconsistent
true labor contractions appear closer together
the four stages of labor
stage 1 is dilation and effacement: contractions every two minutes
stage 2 is expulsion of fetus: firm intensity, ends with birth of infant
stage 3 expulsion of placenta: umbilical is cut, 5- 30 minutes, and intermittent contractions.
stage 4 recovery: cramping, lochia is present, and chills
immediately after birth what is assessed for?
hemrrhage
cultural influences determine
how a woman feels about birth and the acceptable response to pain
side effcst of epidural block
bladder disitension
narcan
reverses a narcotic
to the infant through IV through the umbilical vein
pudendal block does not block pain from contractions
and is given just before birth
contraindications for a epidural
hypersensitivity or infection (local or systemic)
pressure form forceps may injure facial nerves
check for symmetry in teh newborns face
what is chorioamnionitis?
inflammation of the fetal membranes
the maternal side effects for terbutaline (brethine)
increased heart rate, transient hyperglycemia, hypokalemia, cardiac arrhythmias, and pulmonary edema
what will happen when magnesium sulfate is first administered?
facial flush
the signs of uterine rupture
needs to be reported immediately
glucocorticoids improve
lung maturity in a preterm fetus
what is a precipitate birth ?
baby is born within three hours of labor
different types of prenatal classes offered
c-section
vaginal birth after c-section
adolescent childbirth preparation
acrocyanosis
bluish color of the hands and feet of the newborn that is normal and is caused by sluggish peripheral circulation
