NUR 238 - Exam 2 Teacher Review Flashcards
Dysfunctional labor - consider large baby (dystocia), macrosomia
Use of oxytocin - monitor amount of contractions because it is dangerous (on fetal monitor)
Stages of labor - 2nd stage (10cm-deliver)
Bishop Score (cervical ripening) - want high bishop score
Developmental tasks related to pregnancy (study that slide) - difference between taking in, taking hold, letting go)
Fundal check - if patient says I’m bleeding (you look under her buttocks, etc), if uterus is firm, but still bleeding - consider laceration or hematoma that exploded, if you have pain after delivering and pain medicine, consider she has a hematoma (think about post-partum pain)
Length of time determines post-partum depression (if it goes longer than 2 weeks, no longer post-partum)
Prenatal care and teaching important for lung maturity, etc
therapeutic communication SATA - communicate, support
platelet count should be 100k or more for laboring patients
terbutaline - do NOT give to post-partum hemmorhage
Previa doesn’t hurt - painless, bright red, abrupt pain, abdomen is hard, FHR is impacted
>160 is tachy for FHR
<110 is brady for FHR
SATA - Read
Postpartum - when they have the baby
If you have a large parity, watch the uterus because the uterus is morphing (more pain as you have more babies)
Know to teach pre-term labor proportions
Progesterone and estrogen
Labor process - empty the bladder always
Precipitous labor - Very fast labor (check for lacerations and fetal trauma to the baby)
Post-epidural assessment - save the mom (measure BP, baby movement, contraction)
complication of pregnancy marked by seizure activity - eclampsia
3 phases found in first stage of labor - latent, transitional, and active
This is the term when placenta detaches itself from the uterine wall - Placental abruption
Condition after 20 weeks of pregnancy that causes - preeclampsia
going into labor before 37 weeks of pregnancy - pre-term labor
HELLP this syndrome spelled out means - hemolysis, low platelets
ROM is used when this happens - rupture of membranes (water breaks)
pathological clotting condition resulting in depletion of platelets and clotting factors causing hemmorhage - DIC
too high blood sugar levels during pregnancy - gestational diabetes
term used when pregnant woman says the baby dropped - lightening
not to be confused w morphine, drug of choice for preeclampsia - magnesium sulfate
hallmark side effect of terbutaline given sub-q - tachycardia
term used to describe medications used to stop contractions or labor - tocolytics
hormone stimulates uterus to contract - oxytocin
placental disorders are diagnosed by this procedure - ultrasound
stage of labor when nurse tells patient she is ready to push - second stage
fertilized egg implants itself outside uterus - ectopic pregnancy
pattern of coercive beavior which can include phys, sexual, eco, psychological abuse exerted by an intimate partner - domestic violence
occurs when umbilical cord goes into vagina before fetal presenting part - umbilical cord prolapse
extreme sadness during pregnancy or after birth - postpartum depression
hormone driving force of pregnancy - progesterone
term quantifies amount of water around the baby during pregnancy - amniotic fluid index
surgical removal of uterus - hysterectomy
contributes to painless vaginal bleeding during 2nd or 3rd trimester - placenta previa
premature dilation of cervix - incompetent cervix
betamethasone - 2 doses within 24 hours
benign tumor or growth -
3 most common observation nurse makes for magsulf patient - BP, respiration, DTR
term describes opening of cervix soon before or during labor - dilation
