Maternity Nursing Flashcards

1
Q

First Trimester:

A

Week 1 -13

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2
Q

Presumptive signs of pregnancy:

A

amenorrhea, N/V, frequency, and breast tenderness

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3
Q

what is the name of the hormone that causes amenorrhea?

A

Progesterone

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4
Q

Probable signs of pregnancy:

A

positive pregnancy test, goodell, chadwick, hegar, uterine enlargement, braxton hicks contractions, pigmentation/changes of skin

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5
Q

Goodell’s Sign

A

softening of the cervix, second month

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6
Q

Chadwick’s sign

A

Bluish color of vaginal mucosa and cervix; week 4

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7
Q

Hegar’s Sign

A

softening of the lower uterine segment; 2nd/3rd month

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8
Q

Braxton Hicks contractions

A

throughout pregnancy; move blood through placenta

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9
Q

Pigmentation/Changes of Skin

A

Lina Nigra (dark line down abdomen), abdominal striae (stretch marks), facial chloasma (mask of pregnancy), darkening of areola

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10
Q

Positive Signs of Pregnancy

A

Fetal heartbeat (10-12 wks), Fetoscope (17-20wks), fetal movement, ultrasound

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11
Q

Gravidity:

A

number of times someone has been pregnant

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12
Q

Parity:

A

number of pregnancies in which fetus reaches 20 weeks

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13
Q

Viability

A

24 plus weeks= infant has ability to live outside uterus

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14
Q

Nutrition Teaching:

A

4 food groups, increase calories by 300 per day after 1st trimester, adolescent: increase calories by 500 after 1st trimester, increase protein 60g per day

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15
Q

Weight gain first trimester?

A

gain 4 pounds in first trimester

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16
Q

Why don’t women like to take iron?

A

Causes constipation and GI upset

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17
Q

You should take iron with what vitamin?

A

Vitamin C helps absorb

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18
Q

Folic acid prevents what defect?

A

Neural Tube Defect

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19
Q

Daily dose of vitamin?

A

400 mcg/day

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20
Q

Danger signs:

A

sudden gush of vaginal fluid, bleeding, persistent vomiting, severe headache, abd pain, increased temps, edema, no fetal movement

21
Q

Common discomforts:

A

N/V, breast tenderness, frequency, tender gums, fatigue, heartburn, increased vaginal secretions, nasal stuffiness, varicose veins, ankle edema, hemorrhoids, constipation, backache, leg cramps

22
Q

Weight gain second trimester?

A

4 pounds per month

23
Q

What is quickening?

A

Fetal movement

24
Q

Expected weight gain third trimester?

A

no more than 1 pound a week

25
Q

How is fetal position/presentation determined?

A

Leopold’s maneuver

26
Q

If pt is having contractions, should maneuvers be done during or between contractions?

A

Between

27
Q

Signs of Labor:

A

Lightening, engagement, fetal stations, braxton hicks contractions, softening of cervix, bloody show, sudden burst of energy (nesting), diarrhea, rupture of membranes

28
Q

What are we worried about if membranes rupture?

A

prolapsed cord

29
Q

Non-stress test

A

Want to see two or more accelerations of 15 beats/min or more w/fetal movement, each increase should last for 15 secs and recorded for 20 min, and want it to be reactive

30
Q

Accerlation:

A

FHR has an abrupt increase from baseline

31
Q

Biophysical Profile Test

A

done in last trimester, but can be done at 32-34 weeks in high risk pregnancy (high risk pregnancy may have BPP every week or twice week in 3rd trimester); measurements done by u/s, each parameter counts 2 pmts (10/10 great); BPP measurement (HR, muscle tone, movement, breathing, amniotic fluid); observation time is 30 min, results evaluated

32
Q

Contraction Stress Test (CST): Oxytocin Challenge Test

A

done when NST is nonreactive, performed on high risk pregnancies, determines if baby can handle stress of uterine contraction

33
Q

Uterine contraction causes what?

A

decrease blood flow to uterus and placenta

34
Q

What is deceleration?

A

blood flow decreases enough to cause hypoxia in fetus fetal heart rate will decrease from baseline HR

35
Q

Do not want to see late decelerations?

A

uteroplacental insufficiency (placenta weakening)

36
Q

Do you want a positive or negative CST?

A

negative

37
Q

Early Decelerations

A

caused by physiological hypoxia from fetal head compression

38
Q

Late Decelerations

A

caused by uteroplacental insufficiency

39
Q

True Labor

A

Regular contractions, increase contraction frequency and duration, discomfort in back and radiates to abdomen, pain level increases w/activity

40
Q

False Labor

A

irregular contractions, discomfort in just front abdomen, pain decreases w/activity

41
Q

Epidural Position

A

Lie on left side, legs flexed, not as arched as w/lumbar puncture

42
Q

When do you give an epidural?

A

Stage 1 at 3-4 cm dilation

43
Q

Major complication w/epidural?

A

hypotension (monitor BP)

44
Q

What should you give with epidural to help fight hypotension?

A

IVFS: Bolus w/1000mL of NS or LR

45
Q

What position to prevent vena cava compression?

A

semi-folwers on side (alternate side by side hourly)

46
Q

When should oxytocin be discontinued?

A

contractions are too often, contractions last too long, fetal distress

47
Q

What position should client receiving oxytocin be placed?

A

any position except flat on their back, if fetal HR is unreassuring then put on left side to enhance uterine perfusion

48
Q

What should be done w/infusion if late decelerations occur?

A

turn off