Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS 2910 > Nursing Care of the Childbearing Family > Flashcards

Nursing Care of the Childbearing Family Flashcards

1
Q

Gravida

A

a woman who is pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Nulligravida

A

A woman who has never been pregnant and is not currently pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Primigravida

A

A woman who is pregnant for the first time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Multigravida

A

A woman who has had two or more pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Nullipara

A

A woman who has not completed a pregnancy with fetus who have reached 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Primapara

A

A woman who has completed one pregnancy with fetus who have reached 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Multipara

A

A woman who has completed two or more pregnancy with fetus who have reached 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Preterm

A

20 weeks- 37 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Late preterm

A

34 weeks- 36 weeks 6 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Full term

A

37 weeks- 41 weeks 6 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Postterm

A

42 weeks +

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Viability

A

The capacity to live outside the uterus: Ectopic Pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Para

A

A mother who delivered a child at 20+ weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

5 Digit

A

gravida, term birth, preterm birth, abortion/ miscarriage, and living children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

2 digit

A

gravida and para

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Gravida 4, Para 2

A

Been pregnant 4 times, delevered 2 children past 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Gravida 4 / 1112

A
  • pregnant 4 times
  • 1 term birth
  • 1 preterm birth
  • 1 abortion/miscarriage before 20 weeks
  • 2 living children
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Subjective(presumptive) changes

A
  • Amenorrhea
  • Nausea and Vomiting
  • Excessive fatigue
  • Breast tenderness and enlargement
  • Quickening(fetal mov’t)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Objective(probable) changes

A
  • Enlargement of the abdomen
  • Cervical changes
  • Uterine changes> Braxton hicks, fetal outline, ballottement
  • Pregnancy tests
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Positive(diagnostic) changes

A
  • Completely objective
  • conclusive proof of pregnancy
  • Fetal heartbeat
  • Fetal mov’t palpated by examiner
  • visualization of the fetus> transvaginal ultrasound
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Initial prenatal visit questions

A
  • Desired pregnancy?
  • How are you feeling?
  • What support do you have?
  • health/ family history?
  • safe in a relationship?
  • changes in mental health?
  • what meds are you taking?
  • drugs/ alcohol?
  • occupational history? Sit/ stand?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Psychological adaptations as a mother

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Psychosocial adaptations as a mother

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Cultural values and reproductive behavior

A
  • Everyone is unique with their culture
  • Each culture has their own health and healing belief system
  • prenatal care may not be a priority for some woman and cultures
  • should NOT assume or expect certain behavior but anticipate cultural norms/ practices
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Maternal Screening Tests

A
  • Glucose Screen(GCT test)
  • Blood Type
  • Group B Streptococcus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Glucose screening(GCT test)

A
  • Maternal fasting glucose
  • women are screened 24-28 weeks> tests for gestational diabetes
  • High risk for woman who are tested too early
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Blood type test

A

If mother is Rh negative antibody titer is re-evaluated between 24-28 weeks
- if antibody titer is still negative RhoGAM is given

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Group B streptococcus test

A
  • vaginal and rectal cultures are obtained 35-37 weeks gestation
  • positive test requires iv antibiotics in labor until delivery to protect the newborn
  • lives in vagina> harmless to mother, can be fatal if newborn catches it
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Lab eval tests

A
  • Rubella
  • Hep B screening
  • Urinalysis
  • Drug screen
  • Cervical cultures
  • Varicella> chicken poxs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Fetal screening and diagnostic testing types

A
  • Blood draw from mother
  • Ultrasound
  • Biochemical
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Blood draw from mother tests

A
  • Alpha-Fetoprotein(15-18 weeks)
  • Triple/ quad screening(15-18weeks)
  • Cell-free (DNA) screening( 10 weeks)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Ultrasound tests

A
  • Nuchal translucency(10-14 weeks)
  • Ultrasound> fetal HR, fetal growth, gestational age…
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Biochemical tests

A
  • Amniocentesis(15-20 weeks)
  • Chorionic Villus Sampling(10-12 weeks)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Weeks gestation should equal the uterine centimeters measured, except after lightening T or F

A

TRUE, +/- 2 cm is normal as well

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Embryonic period growth

A
  • 3-8 weeks
  • Embryonic discs develop three layers> ectoderm, mesoderm, endoderm
  • end of 8 weeks all major organ systems are in place
  • RAPID growth period
  • Teratogens are BAD during this period
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Fetal period growth

A
  • beginning 9 weeks until birth
  • dramatic growth and refinement of organ systems
  • CNS is vulnerable to damaging agents
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Neural tube formed in ? weeks

A

3-7 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Heart formed between ? weeks

A

6- 8 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Cleft lip and palate formed in ? weeks

A

5- 9 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Fetus development at 4 weeks

A
  • Fetus is developing the structures that will eventually form his face and neck
  • home pregnancy test is positive at this time
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Fetus development at 5 weeks

A
  • Demonstrates the neural tube which is the fetal spine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Fetus development at 7 weeks

A
  • Lots of development at 7 weeks!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Fetus development at 9 weeks

A
  • now called a fetus
  • umbilical vessels, the ribs, ear buds, and placenta attachment
  • neural tube is closing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Fetus development at 14 weeks

A
  • All three umbilical cord vessels are visible
45
Q

Fetus development at 20 weeks

A
  • Fetus weighs about 10 oz and is little more than 6 inches long
  • uterus at the level of the belly button
  • fetus can suck thumb, yawn, stretch, and make faces
46
Q

Gas exchange comes from fetus to mom T or F

A

False, exchange from mom to fetus

47
Q

Where does gas exchange take place from mother to fetus?

A

Gas exchange takes place in the placenta

48
Q

Auxiliary Structures

A
  • Fetal membranes
  • Amniotic fluid
  • Umbilical cord
49
Q

Fetal memebranes

A
  • Amnion> inner membrane> towards fetus
  • Chorion> outer membrane
50
Q

Amniotic fluid

A
  • Derived from fetal urine and maternal blood cells
  • protects the fetus and promotes development
  • fetus breathes in amniotic fluid while in utero
51
Q

Umbilical cord

A
  • two arteries and one vein
  • Arteries carry non oxygenated blood to placenta from the fetus
  • Veins carry oxygenated blood to the fetus
52
Q

Amniotic fluid is fetal urine T or F

A

TRUE

53
Q

Placenta has a very highly resistant T or F

A

FALSE, it has very low resistance, so blood resorts towards it

54
Q

Fetal circulation adaptations

A

1.) umbilical vein
2.) ductus venosus> short cut
3.) Foramen Ovale> lets blood cross sides of heart
4.) Ductus arteriosis> pulmonary artery to aorta
5.) Umbilical artery

55
Q

Air sacs are full of fluid in the fetus in utero T or F

A

TRUE

56
Q

The lungs have a lot of resistance T or F

A

TRUE, pressure in pulmonary artery is high as well

57
Q

Common discomforts of pregnancy

A
  • nausea & vomiting
  • urinary frequency
  • Fatigue
  • Breast tenderness
  • increased vaginal discharge
  • nasal stuffiness and epistaxis
  • heartburn
  • constipation
  • Hemorrhoids
  • varicose veins
  • legs cramps
  • ankle edema
  • Backache
58
Q

Nausea and vomiting

A
  • first trimester
  • cause> unknown, believed to be related to elevate levels of hCG and estrogen and decreased blood sugar
  • treatment> dry crackers/ toast before rising, eat small amounts of carbs, drink fluids, avoid spicy
59
Q

Urinary Frequency

A
  • first trimester
  • cause> bladder squeezed by enlarging uterus
  • treatment> urinate frequency, do kegel exercises to strengthen muscles
60
Q

Fatigue

A
  • first trimester
  • cause> effects of relaxin or hypoglycemia, anemia
  • treatment> rest and good night sleep, iron-rich diet, eat small meals with carbs
61
Q

Breast tenderness

A
  • first trimester
  • cause> effects of the hormones estrogen and progesterone
  • treatment> wear good supportive bra
62
Q

Increased vaginal discharge

A
  • first trimester
  • cause> increased production of mucus due to increased estrogen levels
  • treatment> frequent bathing, use cotton underwear and loose fitting clothes
63
Q

Nasal stiffness and epistaxis

A
  • first trimester
  • cause> elevated estrogen levels
  • treatment> increased humidity(cool air vaporizer), normal saline nose drops
64
Q

Heartburn

A
  • 2nd/ 3rd trimester
  • cause> diminished gastric motility, displacement of the stomach by the enlargin uterus, relaxation of the cardiac sphincter
  • treatment> small frequent meals, stop smoking and coffee drinks, use low sodium antacids, sit upright
65
Q

Constipation

A
  • 2nd/ 3rd trimester
  • cause> decreased bowel motility due to increased progesterone levels, diet and decreased fluid, lack of exercise
  • treatment> increased fluid and fiber in diet, increase exercise
66
Q

Hemorrhoids

A
  • 2nd/3rd trimester
  • cause> vascular engorgment of the pelvis, constipation, prolonged standing, straining of the stool
  • treatment> establish regular bowel patterns of elimination, increase fluid intake, warm bathtub soaks, topical ointment, or anesthetic agents
67
Q

Varicose Veins

A
  • 2nd/3rd trimester
  • cause> family history, obesity, weight of uterus compresses venous return causing stais, prolonged standing
  • treatment> avoid restricting clothing and crossing legs at kness, rest with legs elevated
68
Q

Leg Cramps

A
  • 2nd/3rd trimester
  • cause> imbalnce of calcium/ phosporius ratio, low magnesium levels, increased pressure of uterus on nerves
  • treatment> elevate legs during the day, practice moving feet and stretching muscles, avoid foods high in phosphorus and increase calcium
69
Q

Ankle Edema

A
  • 2nd/3rd trimester
  • cause> prolonged sitting or standing, increased sodium due to hormonal influences
  • treatment> practice dorsiflexion of feet, avoid restrictive bands around the legs, elevate legs when sitting
70
Q

Backache

A
  • 2nd/3rd trimester
  • cause> increased curvature of lumbosacral spine as uterus enlarges, softening of cartilage from increased hormone levels, poor body mechanics
  • treatment> use proper body mechanics, practice pelvic tilt exercise , avoid high-heeled shoes and heavy lifting
71
Q

True Labor

A
  • Contractions at regular intervals
  • Intervals between contractions gradually shorten
  • Contractions increase in duration and intensity
  • Discomfort begins in back and radiates to the abdomen
  • Intensifies when walking
  • CERVICAL DILATION/ SOFTENING
72
Q

False Labor

A
  • Contractions are irregular
  • Not getting closer together or stronger
  • Usually decrease with rest and fluid
  • Usually felt in the abdomen
  • Walking has no effect or lessens contractions
  • NO cervical dilation
73
Q

5 P’s of Labor

A
  • Passenger
  • Passageway
  • Powers
  • Positions
  • Psychosocial Responses
74
Q

Passenger

A
  • Fetal head or presenting part
  • bones are not fused allowing the fetal head shape to change
  • Placenta, amniotic fluid, amniotic membranes
  • The altitude of the fetus changes> head/ body is now tilted
  • Fetus presentation: Cephalic/ Breech
  • Easiest to deliver is complete flexion cephalic
  • Frank breech: toes up to face Complete breech: feet criss/crossed, Footing breech: one foot down
  • Most common and easiest to deliver fetal positioning> LOA/ROA
  • Sunny side up baby> LOP/ROP
75
Q

Passageway

A

Bony Pelvis
True pelvis: inlet, mid and outlet
False pelvis: upper, flaring part
Size & Shape> never know shape until you physically look
Soft tissues
Cervix, muscles, ligaments, fascia
Ischial spine> pooky things on the pelvis
Smallest part
+> is the head is out
-> is the head is still inside

76
Q

Powers

A

Uterine contractions
Frequency, intensity, and duration
Effacement: thinning of the cervix
Dilation: opening of the cervix

77
Q

Position

A
78
Q

Psychosocial response

A

A womans mental status and expectations can influence the course of her labor and her response to the childbirth experience
Relaxation should be promoted
Anxiety should be assessed
How can patient be comfortable?
Loss of control of body functions
Accomplishment of tasks of pregnancy
Good to have good support people

79
Q

educational needs of a childbearing family

A
  • Know the warning signs of Pregnancy
  • spotting/ bleeding
  • Painful urination
  • Severe and persistent vomiting
  • Fever higher than 100
  • Sudden gush or leakage of fluid from vagina
  • Perorbital or facial edema
  • Severe upper abdominal pain
  • Headache with visual changes
  • How to prepare for a newborn> first child or not
  • Prepare children into having siblings> acclimate them
80
Q

First stage of changes has how many phases

A

two, Latent and Active phases

81
Q

Latent Phase

A
  • 0-6 cm dilated
  • Frequency every 5-10 minutes
  • Duration 30-45 sec
  • Intensity mild to palpation
  • Mother more interactive when contractions occur
82
Q

Active Phase

A
  • 6-10 cm dilated
  • Frequency every 2-5 minutes
  • Duration 45-60 sec
  • Intensity moderate to palpation
  • Mother more focus and less interactive with others
83
Q

What phases are in stage 2 of labor?

A

Pelvic and Perineal Phase

84
Q

Pelvic Phase

A

Period of fetal disent

85
Q

Perineal Phase

A
  • Period of active pushing
  • Frequency every 2-3 minutes
  • Duration 60-90 sec
  • Intensity strong to palpation
  • Strong urge to push
  • Crowning/ seeing head- birth
86
Q

What is the third stage of labor?

A

Separation and delivery of the placenta, usually takes 5-10 minutes

87
Q

What phases are in the third stage of labor

A

Placental separation and placental expulsion

88
Q

What phases are in the third stage of labor

A

Placental separation and placental expulsion

89
Q

What phases are in the third stage of labor

A

Placental separation and placental expulsion

90
Q

Placenta expulsion

A

Placenta Coming outside the vaginal opening

91
Q

Placenta Separation

A

Detaching from uterine wall

92
Q

What is the fourth stage of labor?

A
  • 1-4 hours after the birth of the newborn, time of maternal physiological adjustment
  • Bonding/ skin to skin
93
Q

Mother/ Antepartum Assessments

A
  • Vaginal exam
  • Leopold’s Maneuver’s
  • vital signs/ assess contractions
94
Q

Vaginal exam

A
  • Check for cervical dilation and effacment
  • Check fetal descent and presenting part
  • Check rupture and movement
95
Q

Leopold’s Maneuver’s

A
  • Which fetal part is in the uterine fundus
  • Where is the fetal back located?
  • What is the presenting fetal part?
96
Q

vital signs/ assess contractions

A
  • HR, Resp, BP, Temp
  • Frequency, duration, intensity
97
Q

Warning signs of pregnancy> when to go get checked

A
  • spotting/ bleeding
  • Painful urination
  • Severe and persistent vomiting
  • Fever higher than 100
  • Sudden gush or leakage of fluid from vagina
  • Perorbital or facial edema
  • Severe upper abdominal pain
  • Headache with visual changes
98
Q

Fetal circulation adaptations

A

1.) umbilical vein
2.) ductus venosus> short cut
3.) Foramen Ovale> lets blood cross sides of heart
4.) Ductus arteriosis> pulmonary artery to the aorta
5.) Umbilical artery

99
Q

Cardinal Movements

A

Engagement: Baby’s head is engaged in pelvis
Descent: Baby moving down
Flexion: Crowning(seeing head)
Internal Rotation: Turn head towards one side
Extension:
External Rotation: Rotating shoulders and body to pull out
Expulsion: Baby Out

100
Q

Nursing intervention stage 1

A

General hygiene
Nutrient & fluid intake
Elimination
Gravity positive, allow labor to begin on own
Practice pushing

101
Q

Nursing intervention stage 2

A

Assess bladder distention
Assist with pushes/ encourage
Prepare the room for delivery
position changes
Support father/ partner

102
Q

Pain Management

A

Pharmacologic strategies
NonPharmacologic strategies
Lighting/ temperature
Cleanliness/ mouthcare
Positioning/ pressure points

103
Q

Pharmacologic strategies

A

opioids> morphine, fentanyl
Inhaled Analgesics
Anesthesia> regional, epidural, spinal narcs
Pudendal block

104
Q

NonPharmacologic strategies

A

Relaxation
Cutaneous Stimulation
Massage, counterpressure, acupressure
Thermal Stimulation
Hydrotherapy
Position changes
Breathing techniques
Aromatherapy
Intradermal block

105
Q

Most common side effect of epidural

A

Hypotension

106
Q

Procedures in Labor and Delivery

A

Episiotomy: Surgical incision of the perineal body to enlarge the outlet
Forceps-Assisted Birth: Assist in the birth of the fetus by providing either traction or rotate the head
Vaccum-Assisted Birth: Same as forceps but with a vacuum

107
Q

Nursing intervention Stage 3 of labor

A

Assist provider with delivery of placenta, get bucketl to catch placenta

108
Q

Nursing Care Stage 4 of Labor

A

Monitor for hemorrhage
Observe bladder function/ output
Evaluate recovery form anesthia
Providing initial care to the newborn
Promote bonding and attachment

NURS 2910 (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions