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NCLEX > OB > Flashcards

OB Flashcards

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1
Q

how long to wait after rubella vaccination to get pregnant

A

wait 1-3 months after vaccination

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2
Q

reactive nonstress test

A

HR: 110-160
moderate variability (6-25/min)
> 2 accels in 20 mins (15 by 15)

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3
Q

contraction stress test

A

evaluates fetal capability to handle stress

goal: 3 contractions (40-60secs) in 10 mins with no late or variable decels (negative)

late decels w/ 50% contractions is positive –> bad

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4
Q

pregnant nurses can not care for which patients

A

TORCH

  • toxoplasmosis
  • other viruses (parvovirus, varicella-zoster virus, zika virus)
  • rubella
  • cytomegalovirus
  • herpes simplex virus
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5
Q

prenatal visits scheduling

A

qmonth until 28 weeks

every other week from 28-36 weeks

qweek after 36 weeks until 42 weeks

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6
Q

quickening introduction

A

16-20 weeks GA

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7
Q

GDM screenings

A

24-28 weeks GA

1h glucose challenge test

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8
Q

fetal heart rate heard

A

8-12 weeks GA

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9
Q

infertility

A

inability to conceive after 12 months of frequent, unprotected sex w/out medical complications

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10
Q

subjective signs/ presumptive

A
  • amenorrhea
  • n/v
  • urinary frequency
  • breast tenderness
  • quickening
  • excess fatigue
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11
Q

objective signs/ probable

A
  • goodells sign
  • chadwick sign
  • hegar sign
  • uterine enlargement
  • braxton hicks contractions
  • ballottement
  • fetal outline palpation
  • uterine and funic souffle
  • chloasma
  • linea nigra
  • areola darkening
    • pregnancy test
  • striae gravidarum
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12
Q

positive signs/diagnostic

A
  • FHR heard on doppler
  • fetal movement palpated by HCP
  • visualization of fetus via US
  • fetal skeleton on xray
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13
Q

term pregnancy

A

> or = to 37 weeks 0 days

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14
Q

rhogam administration

A

within 72h of birth

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15
Q

indirect coombs test

A

determines antibody presence in Rh neg mom (if + –> can not give rhogam)

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16
Q

cervical cerclage

A

placed anywhere from 12-23 weeks GA, removed around 36-37weeks GA

activity restriction required

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17
Q

s/s of preterm labor

A

low back ache, contractions, pelvic pressure, ROM

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18
Q

fundal height at 16 weeks GA

A

halfway between symphysis pubis and U

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19
Q

fundal height at 20-22 wks

A

at U

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20
Q

fundal height at 36 wks

A

approaching xyphoid process

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21
Q

fundal height beyond 20 weeks

A

cm matches weeks of GA

ex: 24cm at 24 wks

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22
Q

syphilis Tx and screening

A

screening: first prenatal visit, 3rd trimester, at delivery

Tx: penicillin

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23
Q

prenatal folic acid intake

A

400-800mcg/day

fortified cereals, green leafy veggies, enriched breads

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24
Q

anemia in pregnancy

A

Hgb < 10.5 in 2nd trimester
Hgb < 11 in 3rd trimester

increase intake of iron rich foods in the second trimester

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25
Q

1h oral glucose challenge test

A

tests for GDM

> or = to 130-140 is abnormal

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26
Q

optimal BMI for fertility

A

18.5-24.9

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27
Q

Naegele’s rule

A

first day of LMP - 3 months + 7 days = EDD

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28
Q

weight gain for BMI < 18.5

A

28-40lbs total

1lb/week for 2nd/3rd trimesters

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29
Q

weight gain for BMI 18.5-24.9

A

25-35lbs total

1lb/week for 2nd/3rd trimesters

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30
Q

weight gain for BMI 25-29.9

A

15-25lbs total

0.5lb/week for 2nd/3rd trimesters

31
Q

weight gain for BMI >30

A

11-20lbs total

0.5lb/week weight gain for 2nd/3rd trimesters

32
Q

weight gain during first trimester of pregnancy

A

1.1-4.4lbs

33
Q

nitrazine pH strip

A

determines presence of amniotic fluid (alkaline)

may be contaminated by sperm or blood

34
Q

Leopold maneuver

A
  1. Fundus
  2. sides
  3. fetal part closest to vagina (presenting part)
  4. fetal flexion
35
Q

gestational HTN

A

new onset elevated BP at >20wks w/ no proteinuria

36
Q

chronic HTN in pregnancy

A

SBP >140 or DBP >90 at < 20wks

37
Q

preeclampsia

A

new onset elevated BP at >20wks

+

proteinuria and signs of end organ damage

38
Q

P/C ratio indicative of preeclampsia

A

0.3

39
Q

DTR assessment in eclampsia

A

2+ is normal
0-1 is hypo –> mag tox
3-4 is hyper –> seizure risk

40
Q

HELLP syndrome and s/s

A

hemolysis
elevated liver enzymes
low plt

s/s: RUQ pain, N/V, malaise

Tx: deliver fetus

41
Q

GTPAL

A 
G: # of pregnancies
T: # of babies delivered at 37.0 wks
P: # of babies delivered at 20.0-36.6wks
A: number of pregnancies ending before 20.0 wks 
L: # of living children
42
Q

category III tracing

A 
absent variability
fetal bradycardia (<100/min)
prolonged or recurrent variable or late decelerations 
or 
sinusoidal FHR pattern

Tx: deliver baby

43
Q

variable decels cause

A

cord compression or prolapse

oligohydramnios

44
Q

early decels cause

A

head compression

45
Q

late decels cause

A

placental insufficiency

46
Q

PPROM

A

rupture before 37wks

47
Q

oxytocin –> contraction goal

A

q 2-3 mins

lasting 80-90secs

48
Q

uterine tachysystole

A

> 5 contractions in 10mins

contractions lasting >90 secs

49
Q

stage 1

latent phase

A

0-5cm dilation

best time for education

50
Q

stage 1

active phase

A

6-7cm dilation

contraction s q3-5mins (30-60secs)

51
Q

stage 1

transition phase

A

7-10cm dilation

contractions q2-3mins (60-80secs)

52
Q

stage 2

A

10cm dilation until birth

monitor & document FHR q5mins

53
Q

stage 3

A

birth of baby until expulsion of placenta

54
Q

stage 4

A

1-4hs after birth

55
Q

Tx for shoulder dystocia

A

McRoberts maneuver

suprapubic pressure

56
Q

bishop score indicative of cervical favorability (successful induction)

A 
>6-8
consistency
position
dilation
effacement 
station
57
Q

onset of postpartum depression

A

4-6 wks postpartum (up to 12 months)

58
Q

taking in period

A

24-48h PP

mother dependent of healthcare team

59
Q

taking hold period

A

2-10 days PP

mother learns to care for baby

60
Q

letting go period

A

10 days PP

mother becomes comfortable in new role

61
Q

PP uterine involution

A

should reduce 2cm qday PP

62
Q

macrosomia infant size

A

> 8lbs 13oz

63
Q

timing of occurrence of secondary PPH

A

> 24h-6wks PP

64
Q

LBW newborn

A

<2500g

65
Q

normal percentile weight for newborns

A

between 10-90th

66
Q

APGAR

A

indicates how well a newborn is transitioning into life

performed at 1 and 5mins of life

scores <7 may require extra efforts

Appearance
Pulse
grimace 
Activity
Resp effort
67
Q

newborn hypoglycemia

A

BG <35 (maybe <40)

68
Q

pathological jaundice

A

occurs in first 24h of life

69
Q

first void and meconium passage

A

void: 24h

meconium 24-48h

70
Q

normal newborn head circumference

A

13-14inches

71
Q

newborn temp

A

36.5-37

72
Q

newborn HR

A

110-160

73
Q

newborn RR

A

30-60

apnea pauses <20secs normal

74
Q

weight loss expected of newborns during first 3-4 days of life in %

A

5-6%

NCLEX (10 decks)

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