Maternity2 Flashcards
Self-care instruction for a pregnant woman to lessen backache should include
Wearing low-heeled shoes
Fetal weight increases most during the
third semester
Alcohol
considered a terotogen
technique that involves the palpating the uterus in such a way that the rebound of the floating fetus is felt by the examining finger
Ballotment
Constipation
factor which can contribute to varicose veins
Gestational hypertension
development of hypertension in a normotensive client without proteinuria
Gestational hypertension
blood pressure returns to normal by postpartum day 10
preeclampsia
term may be used when pregnancy induced hypertension (PIH) includes proteinuria and edema
Preeclampsia progresses to eclampsia when
convulsions (seizures)
Preeclampsia progresses to
eclampsia
Seizures and coma are associated with an
eclamptic condition
common sign of mild pregnancy induced hypertension (PIH)
Generalized edema-especially in the face, fingers, hands and ankles
Blurred vision
symptom of pregnancy-induced hypertension
Blurred vision
should be reported to health care provider
To prevent supine hypotensive syndrome and to promote fetal perfusion during pregnancy the teaching plan should include an advice to
lie on the left side
The primary concern with pica in pregnant women is that non-food items may be substituted for
nutritious foods
High risk groups for preeclampsia
African Americans and young primipara
Magnesium Sulfate
used in treating PIH is an anti-convulsant given to prevent seizure
Excess magnesium first cause
loss of deep tendon reflex followed by respiratory depression
Calcium gluconate
reverses the effects of Magnesium
Gestational diabetes
abnormal glucose tolerance due to decreased effectiveness of insulin during the second and third trimesters
Untreated diabetes in pregnancy may lead to
polyhydramnios
Calcium gluconate
should be available for immediate use when a woman receives magnesium sulfate
(excessive amniotic fluid) or macrosomia (large fetus)
polyhydramnios
Uncontrolled glucose metabolism
also associated with an increase incidence of preeclampsia, stillbirth, neonatal hypoglycemia, respiratory distress syndrome, and premature delivery
Painless vaginal bleeding
placenta previa
abruption placentae
Bleeding is dark red
placenta previa
usually bright red is the main characteristics
Bleeding accompanied by abdominal or low back pain is typical characteristic of
abruption placentae
placentae previa
Pain is an important symptom that distinguishes abruption placentae from
The major complication of a fetus in a breech position
a prolapsed umbilical cord
A normal fetal heart rate
120 and 160 heats/minute
The temperature drop just before it rises at the time of
ovulation
Magnesium Sulfate
given parentally
Magnesium Sulfate
central nervous depressant that can prevent seizures in a client with pregnancy-induced hypertension
A woman can continue having sexual intercourse though out her pregnancy as long as she remains
comfortable
Human Chorionic Gonadotropin (HCG) hormone
increases in a woman’s blood
Human Chorionic Gonadotropin (HCG) hormone
Increases urine in fairly large concentrations until the 15th week of pregnancy
Increase in (HCG) human chorionic gonodotropin in a woman blood and urine is indicative of
pregnancy
four components of the birth process
powers, the passage, the passenger and the psyche
passage of mucus plug or bloody show as the cervix ripens
early sign of labor
four P’s”
powers, the passage, the passenger and the psyche
Lightening
early indication of labor
Progressive uterine contractions
definite signs of true labor
True labor is differentiated from false labor by the
dilatation of the cervix
Urine test kit purchased at the pharmacy to test for pregnancy, detects for the presence of
HCG
A pregnant client with known cardiac problems should be observed for
dyspnea and increased heart rate
Magnesium
inhibits uterine contraction
Magnesium inhibits uterine contraction so women receiving the drug must also receive
oxytocin to strengthen labor contractions
more likely than others to have infection or hemorrhage after birth
woman with placentae previa
If a vaginal examination is done when placentae previa is suspected, the physician will do it with
preparation for both vaginal and caesarian delivery (double setup) in place
Ambivalence
having mixed feelings
Ambivalence or having mixed feelings
normal reaction in the first trimester of pregnancy as a woman attempts to adjust to her new role
Guidelines for intermittent auscultation of the fetal heart rate (FHR) during labor include the use of an
ultrasonic device or a fetoscope
For a healthy pregnancy outcome, the recommended weight gain during pregnancy should be
3 to 4 Ibs each month in the first trimester
For a healthy pregnancy outcome, the recommended weight gain during pregnancy should be
1 Ib per week for a total of 25 to 35 Ibs
