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Nursing > Maternity Final > Flashcards

Maternity Final Flashcards

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1
Q

Where does implantation occur Ch 2

A

The upper section of the uterine wall

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2
Q

(know) Women have all of their ova at the time they are born. Ch2

A

…

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3
Q

The most favorable pelvis for vaginal delivery Ch2

A

gynecoid

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4
Q

First sign of puberty in males and females Ch2

A

Increase in muscle mass and strength for men. Girls grow breasts. Puberty begins when secondary sex characteristics begin to appear

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5
Q

(know) There is sperm in preejaculate Ch2

A

…

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6
Q

What are fimbriae Ch2

A

fingerlike projections from the infundibulum that capture the ovum at ovulation and conduct it into the fallopian tube.

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7
Q

Number of chromosomes in a sperm or an ovum Ch3

A

23

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8
Q

Site of fertilization Ch3

A

Outer third of the fallopian tube near the ovary. Ampulla.

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9
Q

Vessels in the cord

A

2 small arteries and 1 large vein

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10
Q

Which one carries blood to the fetus AVA Ch4

A

vein

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11
Q

What is HCG

A

only found from the placenta and what makes an at home pregnancy test show as a positive

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12
Q

When is age of viability

A

20 weeks

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13
Q

What are gravida and para, know TPALM Ch4

A

Gravida is any pregnancy regardless of duration. Para is a woman who has given birth to one or more children over the age of viability

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14
Q

What is Chadwick’s sign Ch4

A

Chadwick’s sign is the purplish or bluish discoloration of the cervix, vagina, and vulva caused by increased vascular congestion

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15
Q

Nagel’s rule

A

minus 3 months plus 7 days, fix year if need be

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16
Q

When can i hear fetal heart rate with a doppler

A

10 weeks

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17
Q

Why do i take folic acid

A

to prevent neural tube defects

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18
Q

Positive signs of pregnancy

A

ultrasound and hearing a heartbeat

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19
Q

When are you considered geriatric pregnancy

A

35yr

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20
Q

What is supine hypotensive syndrome

A

laying woman flat on back and cutting oxygen off to the baby

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21
Q

Big difference between morning system and emesis gravidarum

A

loss of fluid and electrolyte

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22
Q

What is an ectopic pregnancy

A

A pregnancy that occurs outside of the fallopian tube

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23
Q

What is placenta previa

A

Where the placenta is not at the top of the uterus and it is low lying or covering the cervix and has to be a C section

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24
Q

Symptoms of abruptio placenta

A

Bleeding accompanied by abdominal or low back pain

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25
Q

Who is going to need rhogam

A

RH negative mother with an RH positive baby

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26
Q

What disease process causes macrosomic infants and polyhydramnios

A

gestational diabetes

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27
Q

What do i do for infants born to Hep B mom

A

immunoglobulins and vaccination

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28
Q

Why do i give mag for preeclampsia

A

seizures

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29
Q

(know) For mag infusions make sure you are watching respirations and reflexes, its a muscle represent and will knock your respiratory drive right out

A

…

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30
Q

Antidote for mag

A

calcium gluconate

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31
Q

What does frequency of contractions mean

A

measure from beginning of one to beginning of next

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32
Q

Why is it important to have relaxation phase between contractions

A

so baby can breathe and get oxygen

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33
Q

What does it mean if baby comes out and has already had a poop

A

fetal distress

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34
Q

False and true labor

A

true labor dilated cervix

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35
Q

(know) If women says baby is coming, believe her

A

…

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36
Q

What are accelerations

A

up 15 beats and hold for 15 to 20 seconds before coming back down

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37
Q

What do i do if patient is bleeding really bad postpartum

A

fundus assessment and make sure its not boggy

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38
Q

What does an APGAR score indicate

A

heart rate, respirations, reflexes, and color

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39
Q

(know) 0 station is engage, negative is between ischial spines, positive means its coming out

A

…

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40
Q

First intervention for a baby who is not looking good on the monitor

A

reposition mother and or baby

41
Q

Why are you worried about women having VBAC

A

uterine rupture

42
Q

(know) With an episiotomy Assess fluid, watch for prolapsed cord, watch fetal heart rate

A

…

43
Q

How to perform sacral pressure

A

put pressure over the sacrum, typically with a ball or something

44
Q

What should you have on hand if a baby comes out drugged

A

narcan

45
Q

(know) Remember for a C-section mom is NPO and are given meds to prevent vomiting and aspiration

A

…

46
Q

Why would a women not be able to have an epidural

A

abnormal clotting and low platelet count

47
Q

(know) 110-160 for neonate heart rate

A

…

48
Q

(know) Elevation in heart rate determines maternal infection, higher moms temperature, higher babies heart rate

A

…

49
Q

Tachysystole, what do i do if it happens

A

Excess uterine activity; stop oxytocin

50
Q

Where should i expect to find the fundus right after delivery

A

Can be felt midline at or below the level of umbilicus as a firm mass; after 24 hours the fundus begins to descend 1 cm a day

51
Q

What do you do if fundus is boggy

A

massage it

52
Q

What type of lochia should i see right after delivery

A

rubera

53
Q

(know) Remember, Lochia should never have bad odor and should never go from pink to white back to red

A

…

54
Q

When can mom get MMR

A

after birth

55
Q

What should i do about afterpains

A

breastfeeding causes more afterpains since it makes your uterus contract

56
Q

How do you check ID bands on babies

A

YOU must see it, no one else can tell you the number, you must look at both bands

57
Q

Hypoglycemic level for a baby

A

under 40

58
Q

If a mom wants to breastfeed her baby and she has had a C section how would you tell her to hold her baby so baby is not laying across the incision

A

Football hold

59
Q

What does hypovolemic shock look like and what would you see first

A

Caused by postpartum hemorrhage or blood clotting disorders. The first sign is tachycardia

60
Q

What is uterine atony

A

floppy uterus and wont firm up,, massage it and call the doctor if it doesn’t firm up

61
Q

(know) If bladder is too full at birth have mom pee

A

…

62
Q

(know) You can breastfeed with mastitis, if not at least pump

A

…

63
Q

What typically causes hematomas in the vaginal wall

A

large baby and traumatic birth

64
Q

(know) Lacerations, watch bleeding, it will be a trickling of blood

A

…

65
Q

Review homan’s sign

A

too see if DVT in calf, have patient lay flat and do a quick jerk on their foot

66
Q

What is caput and what is cephalohematoma

A

caput is if you have been dilated too long and the baby’s head kind of goes through and gains fluid.. Cephlahematomo does not cross suture line

67
Q

(know) Don’t do anything if baby’s head is molded, its normal

A

…

68
Q

(know) Babies have murmur, cyanosis, mucus coming from everywhere… respirations should never retract, grunt, cough, or sing

A

…

69
Q

a loud noise, bumping the surface of the crib, or suddenly lowering the infant’s head while holding him will cause the infant to symmetrically extend and abduct the arms and then adduct in an embracelike motion

A

moro reflex

70
Q

turn the infant’s head to one side, and the arm and leg will extend on that side, with flexion of the opposite arm and leg

A

tonic reflex

71
Q

place an object in the hand of the newborn, and he will grasp it tightly, works the same with toes but that would be called plantar reflex

A

palmar grasp reflex

72
Q

stroke the sole of the foot and the big toe will dorsifelx, and the toes will flare out

A

babinski reflex

73
Q

infant’s head turns in the direction of anything that touches the cheek, anticipation of food

A

rooting response

74
Q

infant will suck on a finger or nipple placed in the mouth

A

sucking response

75
Q

tipping him forward will induce eye opening

A

eye opening

76
Q

bringing an object close to the eye at a fast pace will induce blinking

A

blinking reflex

77
Q

hold the infant upright above a table and he will lift the foot up on contact with the firm surface of the table

A

stepping or dance reflex

78
Q

What should babies fontanels look/feel like

A

should not be sunken or bulging

79
Q

(know) Bathe baby from head down and save the hair for last, don’t use any oils or lotions due to the UV lights used in the nursey, oils and lotions can cause burns on the baby

A

…

80
Q

Normal vitals for a newborn

A

respirations 30-60, pulse 110-160, Blood pressure 80/46

81
Q

(know) Breastfed babies have yellow poop and bottle babies have greenish poop due to the iron

A

…

82
Q

(know) Neonates sleep 15-20 hours

A

…

83
Q

(know) Should have 6 wet diapers in a 24 hour period

A

…

84
Q

(know) Babies can only refuse one feeding a day

A

…

85
Q

What is milia

A

baby acne, no interventions needed

86
Q

How to teach parents how to use a bulb syringe

A

squeeze bottle in air then put in baby, do not squeeze air into baby

87
Q

(know) Remember that toxicum newborn rash is normal but jaundice is not normal, angel kiss or stork bites are normal, acrocyanosis is normal

A

…

88
Q

What does a mongolian spot look like

A

bruised butt

89
Q

(know) Pregos are high risk for blood clots, if traveling, get up and walk around frequently

A

…

90
Q

What are TORCH infections

A

Toxoplasmosis, Rubella, Cytomegaly ( CMV), Herpes simplex virus (HSV) infection

91
Q

Remember VEAL CHOP

A

VEAL: variable, early, accelerations, late CHOP: cord compression, head compression, okay, placental insufficiency

92
Q

Non Pharmacological methods to help with pain

A

guided imagery etc

93
Q

(know) When it comes to formulas baby before 1 yr old can ONLY have breastmilk or formula

A

…

94
Q

Ways to help a baby with pain

A

swaddle, rock, give pacey, etc…

95
Q

How to Care for a newly circumcised penis

A

Put vaseline in the diaper to prevent it from sticking and wash penis with warm water

96
Q

What is leopold’s maneuver

A

Palpate the uterus to determine the location of the fetus

97
Q

How long should you monitor fetal heart rate after amniotomy

A

1 minute

98
Q

What do you use CRIES, FLACC, PIPP, etc for

A

pain

Nursing (80 decks)

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