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4040 maternal child > module 1 > Flashcards

module 1 Flashcards

1
Q

Antepartum

A

begins with the first day of last mental period til onset of labor

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2
Q

Gravidum

A

number of time pregnant despite outcome

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3
Q

parity (para)

A

number of pregnancy in which fetus have reached viability

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4
Q

gestational age

A

number of complete weeks from the first day of LMP

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5
Q

Preterm

A

pregnancy the had reach 20 weeks of gestation but before the complete of 37 week of gestation

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6
Q

late-preterm

A

35-37 weeks

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7
Q

term

A

pregnancy from beginning of week 37 of gestation to the end of week 42 of gestation

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8
Q

postdate or post-term

A

pregnancy that goes beyond 42 weeks of gestation

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9
Q

trimesters

A

1st- first day of LMP to 14 weeks
2nd- 15 weeks to 28 weeks
3rd- 29 weeks to 40 weeks

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10
Q

primigravida (nullipara)

A

first ever pregnancy

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11
Q

multigravida

A

two or more pregagncy

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11
Q

primipara

A

completed one pregnancy with the fetus reaching viability

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12
Q

multi para

A

two or more pregnancy with viable fetus

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13
Q

GTPAL

A

Gravida
Term
Preterm
Abortion
Live birth

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14
Q

GPAL

A

Gravida
Parity
Abortion
Live birth

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15
Q

Estrogen

A

growth of uterus breast inhibits milk production and relaxes pelvis ligaments

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16
Q

progesterone

A

induces growth of Fallopian tubes lining to nourish embryo

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17
Q

Luteinizing hormone

A

secrete estrogen and progesterone for 12 days of egg is not fertilized- if it is then placenta will take over and secrete hormones

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18
Q

Prolactin

A

prepare breast for lactation

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19
Q

oxytocin

A

stimulate uterus contractions, milk ejection

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20
Q

Presumptive signs of pregnancy

A

amenorrhea, fatigue, breast change, N/V, urinary frequency

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21
Q

probable signs of pregnancy

A

uterine enlargement, positive test, cervical change (goodell’s sign, Chadwick sign) ballottement, hears sign, skin changes lines nigra, chloasma, nipples and areola darken, Braxton hicks contractions

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22
Q

positive signs of pregnancy

A

fetal heart, US, fetal movement

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23
Q

Naegele’s rule of calculation of pregnancy

A

1st day of LMP, minus 3 months, add 7 days and one year

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24
alternative to the calculation of pregnancy
add 7 days to LMP, count forward 9 month
25
viability range
21-22 weeks
26
What do EDD/EDC/EDB mean
due date
27
when is the soonest you can test for pregnancy
7 days after Missed period
28
When does HcG peak
2 months
29
Goodell's sign
softening of cervix
30
Hegars sign
softening of cervix
31
how to differentiate between morning sickness and hyperemesis
The pt will maintain weight with morning sickness and lose weight with hyperemesis
32
What does the placenta do for the baby
metabolic exchange, gas exchange, blood supply, nutrient, o2, waste removal, ABx transfer, transfer of maternal hormones, endocrine function
33
how many vessels are in the umbilical cord and what are they
2 arteries and 1 vein (AVA)
34
weight gain in the first trimester
2.2-5.1 and 1lb per week
35
Dangerous signs of pregnancy
bleeding, cramping, lower back pain, pelvic pressure, severe N/V, baby's activity declines, weak leaking or gushes from vagina, persistent HA, epigastric pain, visual disturbance, swelling of face or hands, hyper/hypoglycemia, seizure, flu symptoms
36
normal baby kick range
10-12 kicks
37
diet advice for pregnancy
low caffeine (low 250), avoid deli meats bc of listeria risk, limit seafood
38
when do we usually do an oral glucose tolerance test and what is the cutoff
24-28 weeks, 130
39
what does Leopold's maneuver test for
the fetal position
40
GBS group B streptococcus testing is done when, what is treatment is positive
35-37 weeks, PCN or ampicillin 2g q 4hrs
41
premonitory signs of labor
backache, cervical ripening, rupture of membrane, amniotic fluid assessment, bloody show, GI change, contractions, weight loss
42
What are the triggers for labor
progesterone decrease, estrogen increase, prostaglandin (dilation or ripen cervix)
43
When do you come to the hospital for nullipara or multipara for contractions?
nullipara- 5 min for one hour multipara- 10 min apart for one hour
44
what are the 5 p's
passenger (fetus placenta), passageway (birth canal), power (ctx), position (maternal), psychological response
45
what factors affect the passenger
head size, presentation, lie, attitude, position
46
desired fetal HR
110-150 BPM
47
when are Apgar scores taken
1 and 5 min
48
what are the different levels of lacerations and what describes the,
1st- superficial 2nd- extends to muscle 3rd through anal sphincter 4th- through rectal mucosa
49
When can an expecting mother begin to "show" her pregnancy
14 weeks depending on height and weight
50
What does "lightening" describe in gestation
The descent of the uterus into the pelvis in the 38-40 week range to prepare for birth
51
What nursing intervention can be done with a pt complaining about Braxton hicks contractions
walking or light exercise
52
When can the mother expect to experience a quickening or "feeling of life"
14-16 weeks
53
describe physiologic anemia of pregnancy
because of the increase in plasma levels, hemodilution decreases HCT and HgB
54
What is the most accurate way to estimate the date of birth
measurement of the embryo or fetus via US during the first trimester
55
What happens during the postpartum period
1. The uterus goes back to size 2. lochia (bright red to pink then white) takes about 6 weeks to resolve 3. breast changes (sports bra to hold them thangs tight, turn away from the hot shower) 4. GI changes (constipation) we want a BM 4-day post-delivery 5. CV (heart goes back down)
56
BUBBLEHEE
Breast Uterus (at or near the umbilicus) Bowel (important for C section) Bladder Lochia (in response to fundal check, smaller than golfball) Episiotomy (DC, odor, lidocaine spray) Homan's or Hemorrhoids (DVT check) Emotions (warning for shaken baby syndrome) Edema (diaphoretic, diuresis)
57
What is the timing assessment for the fundus
q15min for 1st hour q30 for 2nd hour q4 hours 22 hours every shift or protocol more frequent if not WNL
58
What are nursing interventions before assessing the fundus
empty bladder, lower head and foot so she is flat, support the lower segment with hang at the symphysis pubis, locate fundus with other hands, determine tone: soft or boggy, measure distance from the umbilicus
59
perineum interventions postpartum
apply ice for 24 hr, encourage side lying, use glute muscles as she sits down, weak peripads snuggly, warm sitz bath after 24 hr
60
What medication is given typically postpartum
ibuprofen (bleeding/pain) maybe norco, perc
61
interventions for hemrroids
stool softeners witch hazel pads frozen peripads
62
when does diuresis start and how much do you expect per day
12 hrs post pardum , 1500-3000 mL/day
63
What is the longest a postpartum mom can go without pee
6 hrs then we are straight cathing, encourage urinating in the shower to reduce pain
64
what immunization is encouraged for visitors
TDap for pertussis (Whooping cough)
65
What are nursing interventions for first 24hr c section care
pain, immobile/bedbound for 8-12 hr, comfort
66
What are some bonding behaviors
enface, call by name, talk and sing to baby, kiss baby, cuddle
67
What are some attachment behaviors
respond to baby cries, the baby responds to comforting measures, parent stimulating and entertainment, parents become cue sensitive
68
when can the pt resume intercourse or tampons
6 weeks :(
69

4040 maternal child (6 decks)

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