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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
Q

alternative to the calculation of pregnancy

A

add 7 days to LMP, count forward 9 month

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25
Q

viability range

A

21-22 weeks

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26
Q

What do EDD/EDC/EDB mean

A

due date

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27
Q

when is the soonest you can test for pregnancy

A

7 days after Missed period

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28
Q

When does HcG peak

29
Q

Goodell’s sign

A

softening of cervix

30
Q

Hegars sign

A

softening of cervix

31
Q

how to differentiate between morning sickness and hyperemesis

A

The pt will maintain weight with morning sickness and lose weight with hyperemesis

32
Q

What does the placenta do for the baby

A

metabolic exchange, gas exchange, blood supply, nutrient, o2, waste removal, ABx transfer, transfer of maternal hormones, endocrine function

33
Q

how many vessels are in the umbilical cord and what are they

A

2 arteries and 1 vein (AVA)

34
Q

weight gain in the first trimester

A

2.2-5.1 and 1lb per week

35
Q

Dangerous signs of pregnancy

A

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
Q

normal baby kick range

A

10-12 kicks

37
Q

diet advice for pregnancy

A

low caffeine (low 250), avoid deli meats bc of listeria risk, limit seafood

38
Q

when do we usually do an oral glucose tolerance test and what is the cutoff

A

24-28 weeks, 130

39
Q

what does Leopold’s maneuver test for

A

the fetal position

40
Q

GBS group B streptococcus testing is done when, what is treatment is positive

A

35-37 weeks, PCN or ampicillin 2g q 4hrs

41
Q

premonitory signs of labor

A

backache, cervical ripening, rupture of membrane, amniotic fluid assessment, bloody show, GI change, contractions, weight loss

42
Q

What are the triggers for labor

A

progesterone decrease, estrogen increase, prostaglandin (dilation or ripen cervix)

43
Q

When do you come to the hospital for nullipara or multipara for contractions?

A

nullipara- 5 min for one hour
multipara- 10 min apart for one hour

44
Q

what are the 5 p’s

A

passenger (fetus placenta), passageway (birth canal), power (ctx), position (maternal), psychological response

45
Q

what factors affect the passenger

A

head size, presentation, lie, attitude, position

46
Q

desired fetal HR

A

110-150 BPM

47
Q

when are Apgar scores taken

A

1 and 5 min

48
Q

what are the different levels of lacerations and what describes the,

A

1st- superficial
2nd- extends to muscle
3rd through anal sphincter
4th- through rectal mucosa

49
Q

When can an expecting mother begin to “show” her pregnancy

A

14 weeks depending on height and weight

50
Q

What does “lightening” describe in gestation

A

The descent of the uterus into the pelvis in the 38-40 week range to prepare for birth

51
Q

What nursing intervention can be done with a pt complaining about Braxton hicks contractions

A

walking or light exercise

52
Q

When can the mother expect to experience a quickening or “feeling of life”

A

14-16 weeks

53
Q

describe physiologic anemia of pregnancy

A

because of the increase in plasma levels, hemodilution decreases HCT and HgB

54
Q

What is the most accurate way to estimate the date of birth

A

measurement of the embryo or fetus via US during the first trimester

55
Q

What happens during the postpartum period

A
  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
Q

BUBBLEHEE

A

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
Q

What is the timing assessment for the fundus

A

q15min for 1st hour
q30 for 2nd hour
q4 hours 22 hours
every shift or protocol
more frequent if not WNL

58
Q

What are nursing interventions before assessing the fundus

A

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
Q

perineum interventions postpartum

A

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
Q

What medication is given typically postpartum

A

ibuprofen (bleeding/pain)
maybe norco, perc

61
Q

interventions for hemrroids

A

stool softeners
witch hazel pads
frozen peripads

62
Q

when does diuresis start and how much do you expect per day

A

12 hrs post pardum , 1500-3000 mL/day

63
Q

What is the longest a postpartum mom can go without pee

A

6 hrs then we are straight cathing, encourage urinating in the shower to reduce pain

64
Q

what immunization is encouraged for visitors

A

TDap for pertussis (Whooping cough)

65
Q

What are nursing interventions for first 24hr c section care

A

pain, immobile/bedbound for 8-12 hr, comfort

66
Q

What are some bonding behaviors

A

enface, call by name, talk and sing to baby, kiss baby, cuddle

67
Q

What are some attachment behaviors

A

respond to baby cries, the baby responds to comforting measures, parent stimulating and entertainment, parents become cue sensitive

68
Q

when can the pt resume intercourse or tampons

A

6 weeks :(

4040 maternal child (6 decks)

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