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Peds/maternity > Maternity Final > Flashcards

Maternity Final Flashcards

1
Q

Gestational hypertension

A

Bp readings higher than 140/90

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2
Q

Gestational hypertension complications

A

Congenital anomalies, preterm birth, stillbirth

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3
Q

Abortion complications

A

Hemorrhage, infection, ongoing pregnancy

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4
Q

Fetal oxygennation

A

Where oxygen is transported to the fetus in the womb

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5
Q

Amniocentesis

A

A sample of amniotic fluid to screen for developmental abnormalities
(Best way to determine fetal lung maturity)

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6
Q

Urinary frequency in pregnancy

A

Starts in early pregnancy and disappears around week 12 then returns in late pregnancy

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7
Q

Tocodynamometer (TOCO) transducer

A

Medical device used to measure frequency, duration, strength of uterine contraction

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8
Q

Ruptured membranes

A

Breaking of the amniotic sac

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9
Q

Ruptured membrane’s complications

A

Infection(monitor temperature once an hour) preterm birth

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10
Q

Newborn behaviors

A

Sleep 16-18 hours a day, irregular sleep patterns, sleeping at night starts 2-3 months

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11
Q

Fetal development week:10

A

Fetus has all major organs and body systems

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12
Q

Fetal development week:12

A

Sex of the fetus can be determined

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13
Q

Fetal development week:16

A

Fetus can hear and respond to sounds

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14
Q

Fetal development week: 20

A

Fetus has regular sleep-wake cycle, can dream

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15
Q

Fetal development week: 28

A

Fetus is viable, chance of survival if born premature

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16
Q

Fetal development week:32

A

Fetus stores fat for energy after birth

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17
Q

Fetal development week:36

A

Fetus is fully developed and rest for birth

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18
Q

Nutrient rich blood from the placenta is carried to the fetus by what?

A

Umbilical vein

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19
Q

Visceral pain during labor

A

Uterine contractions that put pressure on the cervix, uterus, other pelvic organs

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20
Q

Von willebrand disease

A

Low lvls of Von willebrand factor a protein that helps blood clot
(Can’t be cured)

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21
Q

Headache during pregnancy

A

Third trimester, watch for preeclampsia, avoid NSAIDS

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22
Q

Rh immune globulin

A

Will be administered if patient is rh negative, a second dose given following birth if newborn is rh positive

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23
Q

Antibiotics during labor

A

during labor because of their group b strep results, decrease risk to transmit baby during delivery

24
Q

MMR

A

Clients status is non immune they should receive MMR postpartum

25
Q

Hyperemesis gravidarum

A

Extreme persistent nausea vomiting during pregnancy

26
Q

How to prevent thrombophlebitis postpartum

A

Compression stockings, frequently walking, pain medication

27
Q

Thrombophlebitis

A

Inflammatory process that causes a blood clot to form and block one or more veins usually in the legs

28
Q

Genetic risks that should be included in the EHR

A

Medical history, genetic lineage, spouses medical history and genetic lineage

29
Q

Placenta previa indications

A

Painless, spontaneous, vaginal bleeding, determined by an ultrasound

30
Q

Breast-feeding dietary recommendation

A

Protein, vegetables, fruits, whole grains

31
Q

Late declarations during active labor

A

A gradual decrease in the fetal heart rate that occurs after a uterine contraction occurs

32
Q

What position would you put a patient in if they are experiencing Utero placental insufficiency

A

Place patient on left side

33
Q

Maternal gestational diabetes

A

The body does not produce or use insulin effectively

34
Q

Complications of maternal gestational diabetes

A

Baby, born with hypoglycemia and preterm labor

35
Q

Data collected on labor pain perception

A

(Highly subjective) comfort, anxiety, pain, length of labor

36
Q

Severe preeclampsia manifestations

A

Severe headaches, visual changes, high BP vomiting, diarrhea, dehydration

37
Q

Type one pre gestational diabetes

A

Bodies immune system attacks itself and destroys the cells in the pancreas that produce insulin

38
Q

Type two pre-gestational diabetes

A

Body becomes resistant to insulin it does produce

39
Q

Risk of pre-gestational diabetes, type one and two

A

Can cause an increase risk to fetus, developing congenial male formations

40
Q

Newborn examine

A

Cracked, peeling skin, Moro reflex (spreads out arms and legs, throws head back, cries, palms, and thumbs flex)

41
Q

Pregnancy and anxiety

A

Hormone changes, discomfort, fear of childbirth, life stressful events

42
Q

Ways to control Pregnancy and anxiety

A

Exercise, relaxation techniques, good sleep, support from partner

43
Q

Baby facial presentation during labor

A

Abnormal (hyperflexion of fetal neck), prolong labor, facial and skull trauma

44
Q

Fourth stage labor priorities

A

Be concerned about a pad weighing 310 g and blood loss of 300 mL

45
Q

Distended bladder after delivery

A

Will push the uterus up out of the pelvis above the umbilical elevating the level of the fundus

46
Q

Hyperthyroidism

A

Thyroid gland produces excessive thyroid hormones and can impact mom and baby

47
Q

Hyperthyroidism symptoms

A

Fever, tachycardia, vomiting, restlessness, hypotension

48
Q

hepatitisb positive B positive Mom

A

Can be transmitted to baby. baby will be given hep b immune globulin, and hep b vaccine within 12 hours after birth

49
Q

When to administer Rho (D) immune globulin

A

Medication used to prevent Rh isoummunication in Rh in Rh negative pregnant women. Given when mom is Rh negative and baby is Rh positive.

50
Q

(visual disturbances) the nurse would report to doctor

A

Blurred vision caused by vasospasms, decreased organ perfusion resulting in retinal arteriolar spasms, increase CNS irritability

51
Q

(Deep tendon reflex’s) the nurse would report to doctor

A

Deep tendon reflexes of 3+, hyperrelexia caused from vasospasm and decreased organ perfusion resulting in cortical brain spasms

52
Q

(Blood pressure) the nurse would report to doctor

A

Mom‘s blood pressure is above expected range requires immediate follow up to rule out preeclampsia

53
Q

(Weight) the nurse would report to doctor

A

If Mom has gained 6 pounds in two weeks should be reported. Normal weight gain is 1 pound per week.

54
Q

Dysfunctional labor intervention (contractions of inadequate strength and frequency)

A

Oxytocin, possibility of C-section, epidural anesthesia, non-reassuring FHR patterns

55
Q

What is assessed during a vaginal exam during labor?

A

Cervical dilation: the degree of cervical opening measured in cm
Cervical effacement: how cervix is described as a percentage
Fetal presentation: what part of the baby is presenting first
Fetal station: how far the baby has descended into pelvis
30cm, 30% and -1

56
Q

What is assessed during a vaginal exam during labor?

A

Cervix is dilated 3 cm, effaced 30%, presenting part is 1 cm above ischial spine,

Peds/maternity (4 decks)

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