Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Maternity > Maternity NURS242 > Flashcards

Maternity NURS242 Flashcards

1
Q

Lochia Rubra

A

3-4 days dark red with small clots, no bad odor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Lochia Serosa

A

4-10 days, pink/brown no foul odor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Lochia Alba

A

11 days- 6 weeks yellow/light brown to white, stale odor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Cause of postpartum hemorrhage

A

Uterine atony, retained placenta, tract lacerations, placenta accreta, increta, percreta, uterine inversion, coagulopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Symptoms of postpartum hemorrhage

A

Cumulative blood loss >1000mL or symptoms of hypovolemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How do you treat postpartum hemorrhage

A

Pitocin, methergine, hemabate, cytotec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Risk factors for Postpartum hemorrhage

A

Prolonged labor, uterine over distention, intrapartum infection, previous cesarean section, placenta issues, polyhydramnios, severe pre-eclampsia operative vaginal deliveries, maternal obesity, grand multiparity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Signs of early attachment

A

Feeding infant, consistency, seeking information, sensitive to newborns needs, cultural factors or barriers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Risk factors for postpartum depression

A

Prenatal depression, low self esteem, stress of child care, prenatal anxiety, life stress, lack of social support, marital problems, history of depression, single, low socioeconomic status, unplanned pregnancy, young maternal age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Symptoms of postpartum depression

A

Significant weight loss, insomnia, loss of interest or pleasure in daily activities, decreased energy or fatigue, feelings of worthlessness or guilt, persistent feelings of sadness intense mood swings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Expected physical findings taught at discharge

A

Involution, after pains, progression of lochia, breast changes, weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Signs of complications after pregnancy

A

Breast tenderness, warm and reddened, blurry vision or severe headaches, leg pain or chest pain, thoughts of harming self or infant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Risk factors for vaginal hematoma

A

Vacuum or forceps delivery, prolonged second stage labor, episiotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Risk factors for metritis

A

C-section, prolonged rupture of membranes, prolonged labor, internal monitoring, meconium stained fluid, obesity, multiple cervical exams

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Symptoms of metritis

A

Elevated temp, lower abdominal pain, uterine tenderness, tachycardia, subinvolution, lochia heavy and foul smelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Nursing actions for infection

A

Up fluid intake, early ambulation, proper hand hygiene and peri care, antibiotics, pain management, remind to void, warm compresses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Risk factors for cystitis

A

Epidural anesthesia, overdistended bladder, Foley, operative vaginal deliveries, macrosomnia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Risk factors for wound infection

A

Obesity, diabetes, malnutrition, premature rupture of membranes, preexisting infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Risk factors for thrombosis

A

C-section, metritis, decreased mobility, obesity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Nursing action for newborn with low temperature

A

Skin to skin, warm blankets, feed, increase room temp, preheated warmer with skin probe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

SIDS recommendations

A

Lay on back to sleep, firm safe sleep surface, do not sleep with your baby, keep objects and blankets out of crib, prenatal care, avoid smoking and smoke exposure, avoid alcohol and drugs, breastfeed, offer pacifier at nap time and bed time, avoid over heating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How to breast feed

A

Pillow to support, newborn should completely face breast, ear shoulder and hip and aligned, woman should support breast, baby’s lips flang out and mouth around areola is wide open

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Bottle feeding

A

1/2-1 oz per feeding during first few days of life feed every 3-4 hours. 2.5-3 oz per feeding by day 4 and gradually to 32 oz per day. Hold newborn during each feeding, burp half way through feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Three unbilical vessels that close after pregnancy

A

Ductus venosus, foramen ovale, ductus arteriosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Presumptive signs of pregnancy

A

Amenorrhea, fatigue, breast tenderness, nausea, vomiting, urinary frequency, hyperpigmentation of the skin, fetal movements, uterine enlargement, breast enlargement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Probable signs of pregnancy

A

Softening of the lower uterine segment, softening of the cervix, bluish purple coloration of vaginal mucosa and cervix, changes in shape and size of uterus, abdominal enlargement, Braxton hicks, ballottment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Probable signs of pregnancy

A

Uterine shape and size consistency can be changed by uterine tumors, polyps, infection, pelvic congestion, positive pregnancy tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Positive signs of pregnancy

A

Ultrasound verification, auscultation of fetal heart tones, fetal movements felt by clinician

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Maternal risks for gestational diabetes

A

Hydramnios, hyper/hypoglycemia, ketoacidosis, dystocia, retinopathy, pre-eclampsia, induction, cesarean, spontaneous abortion, preterm labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Fetal risks for gestational diabetes

A

Macrosonmia, hypoglycemia, iugr, respiratory distress, cardiac, CNS, skeletal defects, hyperbilirubinemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Risk factors for preeclampsia

A

Teens, over 35, existing hypertension, multiple gestation, obesity, gravida 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

How do you care for a newborn with withdrawal?

A

Do not over stimulate, provide quiet environment, swaddle, assess NAS, frequent small feedings, pacifier, meds as needed.

33
Q

What are diagnostic tests for hyperbilirubinemia?

A

Total serum bilirubin, direct, coombs test, hemoglobin and hematocrit, blood incompatibility, electrolytes.

34
Q

Symptoms of pre-eclampsia

A

BP over 140/90, proteinuria more than 300mg in 24hr urine, edema, headache, hyper-reflexia, clonus, blurred vision.

35
Q

Pre-eclampsia to eclampsia

A

Thrombocytopenia, pulmonary edema, epigastric pain, confusion, seizures

36
Q

How do you manage pre-eclampsia

A

Early identification, monitor BP, weight, urine protein, NST’s, CBC, LFT, kidney function, urine protein, magnesium sulfate, CNS depressant, antihypertensive, emergency delivery

37
Q

Antidote for magnesium sulfate

A

Calcium gluconate

38
Q

HELLP syndrome

A

Hemolysis, elevated liver enzymes, low platelets, RUQ pain, malaise, flu symptoms, hemolytic anemia, liver necrosis, bleeding, stabilize, protect infant, blood products

39
Q

What is the difference between placenta previa and abruptio placentae

A

Placenta previa is painless bleeding and can resolve on its own

40
Q

Infertility risks for men

A

Toxic substance exposure, smoking, alcoholic, genitals exposed to high Temps, hernia repair, obesity, cycling, running, STI, undescended testicle, mumps after puberty

41
Q

Infertility risks factors for women

A

Over or underweight, hormone imbalance, uterine fibroid, tubal blockage, cervical stenosis, chromosomal abnormalities, immune system disorders, chronic illness, STI, endometriosis, PID, smoking, alcohol, chemo, miscarriages, psychological stress

42
Q

Male infertility management

A

Hormone therapy, lifestyle changes, antibiotics, surgical repair

43
Q

Female treatment for infertility

A

Lifestyle changes like stress reduction, better nutrition, no smoking or alcohol, meds to stimulate egg production, surgery, antibiotics

44
Q

Artifical insemination

A

Insertion of sperm directly into uterus best outcome when used with clomiphene

45
Q

Gamete intrafallopian transfer

A

Removing egg outside body combine with sperm then place in fallopian tube and fertilization happens naturally

46
Q

In vitro fertilization

A

Eggs fertilized in lab and transferred to uterus indicated for tubal obstruction, endometriosis, pelvic adhesions, and low sperm counts

47
Q

Intracytoplasmic sperm injections

A

One sperm injected into cytoplasm in egg to fertilize it indicated for male infertility

48
Q

Preimplantation genetic diagnosis

A

Identify genetic defects in embryos created through IVF

49
Q

Gestational carrier

A

Lab fertilization with embryos transferred to a woman who will carry the pregnancy, legal issues

50
Q

Psychological aspects of infertility

A

Crisis, stress, anxiety, depression, relationship strain, stress with extended family, social isolation, self esteem issues

51
Q

Types of contraception

A

Subdermal implant, intrauterine device, injectable, combined hormonal contraceptives, barrier methods, standard days method, emergency contraception, female sterilization, male sterilization, abstinence

52
Q

Pros to implant contraceptive

A

Long duration, low hormone dose, reversible, estrogen free

53
Q

Cons of implant contraceptive

A

Irregular bleeding, weight gain, breast tenderness, difficult removal

54
Q

IUD pros and Cons

A

Pros: immediately effective, can use during lactation
Cons: menstrual irregularities, unknowingly expelled, increased risk of pelvic infection, check string placement

55
Q

Injectable pros and cons

A

Pros: can be used by smokers and lactating women
Cons: menstrual irregularities, office visit Q3 months, weight gain, depression

56
Q

Male and female condom failure rate

A

Male 18%

Female 21%

57
Q

Maternal and fetal risk for premature rupture of membranes

A

Maternal- infection

Fetal- low AFI, infection, cord issues

58
Q

Treatment for premature rupture of membranes

A

Watch vitals, fetal monitoring, maternal lab values, bedrest with BRP, antibiotics if indicated

59
Q

Preterm labor signs and symptoms

A

Abdominal, back, and pelvic pain, menstrual like cramps, pelvic pressure, urinary frequency, diarrhea

60
Q

How to manage preterm labor

A

Tocolytic drugs, modified bedrest, IV hydration, antibiotics, corticosteroids

61
Q

Betamethasone for fetal lung maturity

A

12mg IM q 24 hr x 2 stimulates the production of more mature surfactant in fetal lungs

62
Q

It’s Not My Time (tocolytics)

A

Indomethacin, Nidefipine, Magnesium, Terbutaune

63
Q

Risks of a vaginal birth after cesarean and nursing actions

A

Uterine rupture baby dies,
Assess fetal HR, ensure IV access, ensure blood products available, assess scar for separation, ensure OR team readily available

64
Q

Risk of forceps assisted delivery

A

Cephalohematoma, nerve injuries, skin lacerations or bruising, skull fractures, intracranial hemorrhage

65
Q

Risks for vacuum assisted delivery

A

Lacerations, hemorrhage, bladder trauma, extension of episiotomy

66
Q

Why would someone need a C-section

A

Previous C-Section, placental abnormalities, dystocia, previous uterine surgeries, unsuccessful vacuum or forceps delivery, malpresentation, FHR difficulties, underlying medical condition

67
Q

VEAL CHOP

A

Variable. Cord compression
Early. Head compression
Accelerated. Okay
Late. Placenta insufficient

68
Q

Latent first stage of labor

A

0-6cm contractions 30-45 seconds and 5-30 minutes apart

69
Q

First active stage of labor

A

6-8 cm contractions 2-5minutes apart lasting 45-60 seconds

70
Q

First transition stage of labor

A

8-10 cm contractions last 60-90 seconds and are 1-3 min apart

71
Q

Why would someone get induced

A

Chorionamnionitis, gestational diabetes, pre-eclampsia, eclampsia, premature rupture of membranes, post term pregnancy, fetal compromise, maternal medical conditions, fetal demise

72
Q

Risks of pharmacological cervical ripening

A

Uterine hyperstimulation, nonreassuring fetal heart rate

73
Q

Risks of amniotomy

A

Umbilical cord prolapse, cesarean birth, variable deceleration, infection, fetal injury, bleeding

74
Q

Transcervicle balloon catheter risk

A

Infection, cervical trauma

75
Q

Risks for osmotic dilators

A

Chorioamnionitis, cervical trauma

76
Q

Primary infertility

A

Not able to conceive after one year of frequent attempts in women under 35 and 6 months in women older than 35

77
Q

Secondary infertility

A

Women who have been pregnant in the past but cannot conceive or carry a baby presently

78
Q

Six infant reflexes

A

Sucking, rooting, Moro, Palmar grasp, plantar grasp, babinski

Maternity (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions