Nursing 107 Final Flashcards

1
Q

What is the order of the cardinal movements that the baby undergoes during labor and delivery?

A
  1. Descent
  2. Flexion
  3. Internal Rotation
  4. Extension
  5. Restitution
  6. External Rotation
  7. Expulsion
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2
Q

What complications are most likely for the infant of a diabetic mother after birth?

A

Hypoglycemia

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3
Q

What are the s/s of hypoglycemia in neonates?

A
Tremors
Irritability
Lethargy
Apnea
Seizures
Poor feeding, suck
Pallor, cyanosis
Hypothermia
Hypotonia
High pitched cry
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4
Q

What is the appropriate treatment of hypoglycemia in a neonate?

A

Immediate feeding, either breast, formula or both
If <25mg/dl, may require D10 IV infusion
Follow up CBGs to monitor status.

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5
Q

What is the measurement of fetal station and descent during labor?

A

A measurement of the presenting part of the baby to the ischial spines of the mother’s spine. (-5, 0, +5).

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6
Q

Define postpartum hemorrhage?

A

Blood loss greater than 500ml in the 24 hours following delivery. There can also be late pp hemorrhage 7-14 day’s after delivery.

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7
Q

What are the causes of pp hemorrhage?

A
Uterine atony: most common cause
Lacerations
Hematoma
Retained placental fragments
Inversion of the uterus
Disseminated intravascular clotting
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8
Q

What are the s/s of pp hemorrhage?

A

Signs of shock
Bleeding can be slow, steady or perfuse
Large, boggy uterus
Clots

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9
Q

What is the management of pp hemorrhage

A

Assist the uterus to contract: massage, Rx
Monitor bleeding: weigh pads
Maintain fluid balance
Monitor vital signs
Admin O2
Physician may need to assess for retained placenta

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10
Q

What are the nursing management of a laboring pt and rationales related to each?

A

During transition: do not leave laboring pt alone
Pain management in labor inc:
Non-pharmacologic methods: effleurage, massage, water therapy, aroma therapy, hypnosis
Pharmacologic methods: Iv narcotic, admiin, epidural anesthesia, spinal, local, and general anesthesia
Evaluate bladder q 2hrs: bladder must be emptied to avoid inhibiting descent of the presenting part and to prevent bladder trauma from increased pressure
Frequent checks of fundus to determine if contracted

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11
Q

What are the health screenings done to a newborn at birth and at time they are discharged?

A
Phenylketonuria: PKU
Cystic fibrosis
Galactosemia: disorder how the body process sugar
Congenital hypothyroidism
Sickle cell trait
Hearing screening
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12
Q

What are the meds given at birth and time frame for admin

A

Erythromycin ophthalmic ointment: one dose at birth
Vit K: one time dose at birth unless mom has been on anticoags then a second dose may be ordered
Hep B: admin within 12hrs of birth.

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13
Q

Identify antenatal testing and why each would be performed?

A

?

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14
Q

What is the normal rate of blood volume expansion during pregnancy?

A

45% increase in blood volume and pulse increases 10-15 beats/min

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15
Q

What is the difference between postpartum blues, depression, and psychosis?

A

?

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16
Q

Differentiate between dilation, effacement, and station in labor.

A

5 from Labor Patient

17
Q

Explain the difference between acrocyanosis and central cyanosis.

A

6 Neonate

18
Q

What are the sources of heat loss in an infant and what actions can you take to prevent them?

A

?

19
Q

How do you calculate a woman’s due date and document her obstetrical history?

A

?

20
Q

What are the signs and symptoms related to the stages and phases of labor?

A

?

21
Q

What are the expectations for weight gain during pregnancy?

A

?

22
Q

What are the presumptive, probable, and positive signs of pregnancy?

A

?