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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

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24
Q

When should a mother receive a MMR

A

Clients status is non immune they should receive MMR postpartum

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25
Hyperemesis gravidarum
Extreme persistent nausea vomiting during pregnancy
26
How to prevent thrombophlebitis postpartum
Compression stockings, frequently walking, pain medication
27
Thrombophlebitis
Inflammatory process that causes a blood clot to form and block one or more veins usually in the legs
28
Genetic risks that should be included in the EHR
Medical history, genetic lineage, spouses medical history
29
Placenta previa indications
Painless, spontaneous, vaginal bleeding, determined by an ultrasound
30
Breast-feeding dietary recommendation
Protein, vegetables, fruits, whole grains
31
Late declarations during active labor
A gradual decrease in the fetal heart rate that occurs after a uterine contraction occurs
32
What position would you put a patient in if they are experiencing Utero placental insufficiency
Place patient on left side
33
Maternal gestational diabetes
The body does not produce or use insulin effectively
34
Complications of maternal gestational diabetes
Baby, born with hypoglycemia and preterm labor
35
Data collected on labor pain perception
(Highly subjective) comfort, anxiety, pain, length of labor
36
Severe preeclampsia manifestations
Severe headaches, visual changes, high BP vomiting, diarrhea, dehydration
37
Type one pre gestational diabetes
Bodies immune system attacks itself and destroys the cells in the pancreas that produce insulin
38
Type two pre-gestational diabetes
Body becomes resistant to insulin it does produce
39
Risk of pre-gestational diabetes, type one and two
Can cause an increase risk to fetus, developing congenial male formations
40
Newborn examine
Cracked, peeling skin, Moro reflex (spreads out arms and legs, throws head back, cries, palms, and thumbs flex)
41
Pregnancy and anxiety
Hormone changes, discomfort, fear of childbirth, life stressful events
42
Ways to control Pregnancy anxiety
Exercise, relaxation techniques, good sleep, support from partner
43
Baby facial presentation during labor
Abnormal (hyperflexion of fetal neck), prolong labor, facial and skull trauma
44
Fourth stage labor priorities
Be concerned about a pad weighing 310 g and blood loss of 300 mL
45
Distended bladder after delivery
Will push the uterus up out of the pelvis above the umbilical elevating the level of the fundus
46
Hyperthyroidism
Thyroid gland produces excessive thyroid hormones and can impact mom and baby
47
Hyperthyroidism symptoms
Fever, tachycardia, vomiting, restlessness, hypotension
48
hepatitisb positive B positive Mom
Can be transmitted to baby. baby will be given hep b immune globulin, and hep b vaccine within 12 hours after birth
49
When to administer Rho (D) immune globulin
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
(visual disturbances) the nurse would report to doctor
Blurred vision caused by vasospasms, decreased organ perfusion resulting in retinal arteriolar spasms, increase CNS irritability
51
(Deep tendon reflex’s) the nurse would report to doctor
Deep tendon reflexes of 3+, hyperrelexia caused from vasospasm and decreased organ perfusion resulting in cortical brain spasms
52
(Blood pressure) the nurse would report to doctor
Mom‘s blood pressure is above expected range requires immediate follow up to rule out preeclampsia
53
(Weight) the nurse would report to doctor
If Mom has gained 6 pounds in two weeks should be reported. Normal weight gain is 1 pound per week.
54
Dysfunctional labor intervention (contractions of inadequate strength and frequency)
Oxytocin, possibility of C-section, epidural anesthesia, non-reassuring FHR patterns
55
What is assessed during a vaginal exam during labor?
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
What is assessed during a vaginal exam during labor?
Cervix is dilated 3 cm, effaced 30%, presenting part is 1 cm above ischial spine,
57
First stage of labor
Cervix is 6 cm, 70% effaced, presenting part is 1 cm above the mom‘s pelvic ischial spine
58
Non-for logic pain management
Relaxation, breathing, counter pressure
59
Alpha-fetoprotein (AFP) test
Screening Blood test Done during pregnancy to check babies risk for birth defects and genetic disorders
60
Where is AFP protein produced
Developing fetuses liver
61
Ectopic pregnancy
Pregnancy that occurs outside of the uterus usually in the fallopian tubes
62
Ectopic pregnancy signs and symptoms
Vaginal bleeding, pelvic pain, nausea
63
Iron deficiency anemia
The body does not have enough iron to produce rbc can cause premature birth
64
Iron deficiency anemia medication
Ferrous sulfate (take with oj)
65
Six weeks gestation with severe abdominal pain, no bleeding and BP 86/58 and pulse of 132
The nurse should see this patient first
66
Hypothyroidism
Thyroid does not produce enough thyroid hormones can lead to complications if not treated nurse should monitor thyroid level levels
67
Endometriosis
Inflammation of the endometrium the inner lining of the uterus
68
(Temp)Baby symptoms that the nurse to the doctor
Below reference range
69
(Respiratory) Baby symptoms that the nurse to the doctor
If baby has tachypnea, grunting, nasal flaring, intermittentce retractions
70
(Glucose levels) Baby symptoms that the nurse to the doctor
Below normal
71
(Hemocrit) Baby symptoms that the nurse to the doctor
Normal range is 44% to 64%
72
For Mom, what findings to report to the doctor?
Temperature, foul odor to lochia,boggy uterus, tachycardia
73
DVT findings
Calf edema, tenderness, 2 cm greater in calf sizes, temperature
74
Biophysical profile during late pregnancy
Fetal movement, tone, breathing. amniotic fluid volume, fetal heart rate. score of 10 would be normal
75
Primiparous
Mom at her first birth. with contractions ask about fluid leaking
76
GI and GU changes during pregnancy
Nausea vomiting, constipation, urinary frequency, nocturia
77
Mastitis
Bacterial infection of breast tissue, redness, swelling, pain
78
Teaching with epidural removal
Tip of the catheter, bleeding at the site, pain during removal, signs/symptoms of infection
79
Phenylketonuria (PKU)
Where inherited disorder that causes an amino acid called phenylalanine to build up in the body
80
Foods not to eat with PKU
Peanut butter and avoid high protein
81
Newborn status to report to the provider
Prescriptions, oral morphine, swaddle, neonatal abstinence syndrome NAS scoring
82
Oral contraceptions contradictions
History of DVT, breast cancer, and high blood pressure
83
Placenta abruption
Serious condition where the placenta partially are completely separates from the wall of the uterus
84
Placental abruption risk factors
Hypertension, trauma, polydramnious
85
Teach back for discharging new newborn
Care of circumcision, adequate breast-feeding, urinating and stooling
86
Teaching about Rho (D) immune globulin
Prevents the mom’s immune system from forming antibodies, secondary to exposure to fetal blood during pregnancy and birth
87
Healthy 2030 maternal child goal
Decrease maternal deaths, improve access to care, improve prenatal care
88
Care of postpartum Mom education
Breast-feeding, bathing of the baby, emotional changes,perennial care

Peds/maternity (5 decks)

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