Maternity Rationales Flashcards
_____ movements in one hour is considered typical fetal movement.
10 movements
epigastric pain and a frontal headache not relieved with acetaminophen is a sign of _____ _______.
severe preeclampsia
Severe preeclampsia manifest as ______ to right-upper quadrant pain suggestive of a _____ injury.
epigastric / liver
physiological anemia of pregnancy is a result of increase in ______.
plasma
The classic signs of abrupt placentae are _____ _____ and _____ ______.
severe pain and vaginal bleeding
Abruptio placentae is the premature separation of a _____ ______ from the uterus.
implanted placenta
Oxytocin should always be administered ____ as a _______ infusion pump.
IV as a piggyback infusion
By 20 weeks gestation, the fetus is approximately _____ cm long or _____ inches.
20 cm long or 7 1/2 inches
Fetal Heart tones cannot be heard with the doppler until about ____ - _____ weeks.
10-12 weeks
If the fetal HR decreases following a uterine contraction it’s considered a _____ ______.
late deceleration
Vitamin _____ increases the absorption of _____.
Vitamin C / iron
Take an iron supplement with ____ juice.
orange juice
A normal FHR typically ranges between ____ - ____ BPM.
120 - 160 BPM
A FHR or _____ - ____ bpm may indicate fetal distress.
90-100 bpm
A client admitted with placenta prevue should be on ____ _____.
bed rest ( to help reduce bleeding)
______ fetal monitoring is key in managing placenta prevue as bleeding episodes may trigger fetal distress. .
external fetal monitoring
_____ is an infusion fro correct fetal heart rate changes caused by umbilical cord compression.
Amnioinfusion
Several hours after birth the fund will be _____ or _____ _____ the umbilicus.
level or slightly above the umbilicus
After an hour the fundus should be ____, ______, and at the level of the _____.
hard, midline, and at the level of the umbilicus.
_____ ______ is a broad term indicating difficult labor that is not progressing.
Labor dystocia
______ is used in labor dystocia.
Oxytocin
Levonorgestrel is available over the counter for emergency _______.
emergency contraception
Clients with systolic HF have ______ heart tones and ____ _____.
S3 heart tone & peripheral edema
Clients with iron-deficiency anemia have a HA and _____ _____.
HA and restless legs
A client taking Ferrou Sulfate should be encouraged to increase her _____ _____.
water intake
A biophysical profile is commonly performed if a ___ ____ ___ is positive or a NST is non-reactive.
CST is positive
Ferrous Sulfate may cause _______.
constipation
CST requires the client to have contractions through oxytocin administration or _____ ______.
nipple stimulation
_____ ______ interval is a severe side effect of Ondansetron.
Prolonged QT interval
_____ ____ can cause the formation of valvular lesions, which can lead to cardiac stress during pregnancy.
Rheumatic Fever
_______ results from severe reduction in the amount of amniotic fluid.
Oligohydraminos
Oligohydramnios results in less than expected _____ ____.
fetal growth
_______ is defined a new born that I significantly larger than average.
Macrosomia
______ is a condition in which excessive amounts of amniotic fluid accumulates during pregnancy.
Hydramnios
______ ____ ______ is an acute collapse of mother and baby due to an allergic-type response to amniotic fluid entering the mother’s circulatory system.
Amniotic fluid embolism
Tamsulosin treats BPH and causes vasodilation. The biggest side effect is _____ _____.
orthostatic hypotentsion (change positions slowly)
Do you need to delay dental care when a woman is pregnant?
NO (second trimester is best though)
CVS is a test used to determine the presence of ______ abnormalities. And it involves the aspiration of small samples from the placenta.
chromosomal abnormalities
When doing a CVS test you should not empty your _____.
bladder
What is the priority nursing action when there is a prolapsed umbilical cord?
apply pressure to the presenting fetal part
With a prolapsed cord what position should the mother be in to keep the fetus off the cord and blood flow to the fetus continues?
Trendelenburg’s or knees to chest position.
A spinal change that is common I spregancy is _______.
lordosis
Most women see a decrease in their ___ & ___ levels during the pregnancy. It’s due to increased plasma volume in the maternal bloodstream.
Hgb & Hmct
High Alpha-fetoprotein level may indicate possible ____ _____ _____.
neural tube defect
Terbutaline may increase the clients _____ level.
BG level
The normal pad count after birth is ____ pad every ____ hours.
1 pad every 2 hours
Sexual pleasure is heightened during the _____ trimester of pregnancy.
2nd trimester
The mucus plug is passed?
several weeks before the onset of labor
Placenta Prevue typically manifests as ______ vaginal bleeding after 20 weeks gestation.
painless
When a FHM is showing late decels 1st the nurse should ____ _____ _____ before notifying the HCP.
reposition the client (left side-lying)
Nifedipine is a CCB that can be used for clients in _____ labor.
preterm
A client recovering from Preeclampsia will show signs of _____.
diuresis (excess fluid volume is now depleting)
Caffeine intake should be less than ____ mg/ day.
200 mg/ day
Can you take pictures of visitors coming to the nursery?
yes
The average weight gain during pregnancy with a normal BMI is _____ to _____ pounds.
25 to 35 pounds
One of the most accurate ways to determine gestational age during the 1st trimester is with an _________.
Ultrasonography
_____ is a maternal infection that is known to increase the risk that the fetus will have a congenital heart defect.
Rubella
A positive pregnancy test is a _____ sign.
probable sign
A ______ non stress test is a reassuring finding.
positive
Does a client have to fast prior to a NST?
No
Prolapsed cord also means ______ ______.
Cord compression
Early decels is a ______ response.
normal response
The expulsion of the placenta causes a ____ in ______ levels.
a decrease in progesterone levels
A seperation of the placenta prior to the delivery is known as _____ ______.
placental abruption
Name 3 signs of placental abruption.
- painful vaginal bleeding
- Hypotension - d/t bleeding
- Rigid Abdomen - d/t blood accumulation in the abdomen.
_____ _____ is an obstructed labor. The baby can not exit the fetus.
Labor Dystocia
______ is when the uterus fails to contract & return to its nonpregnant size & location.
Subinvolution
_____ decels, _____ _____ decels, and _____ are ok.
early decels, mild variable decels, and accelerations.
_____ does not cause the expulsion of the placenta.
oxytocin
_______ is indicated when the mom is undergoing chorionic villus sampling.
Rho (D)
The second stage of labor is known as the _____ stage.
pushing stage
Fetal tachycardia is a HR > _____.
160
Fetal Bradycardia is a HR <______.
110
______ is one of the causes labor dystocia because of the maternal fatigue it induces.
Hypoglycemia
Magnesium sulfate ______ the uterus and may decrease the intensity of _____ ______.
relaxes the uterus / uterine contractions
Obesity is a risk for ______.
PPH
When dealing with mastitis the mother should ______ each breast at each finding & complete an entire course of the prescribed _____.
Empty / ATB
________ is inflammation of the uterine endometrium.
endometritis
A client with ______ has fever, pelvic tenderness, malaise, anorexia, and foul-smelling lochia.
endometritis
Treatment of endometritis is with _____ antibiotics and antipyretics.
IV
RHo (D) Immune Globulin therapy is administered at _____ weeks of pregnancy and within ____ hours of delivery.
28 weeks / 72 hours of delivery
