Brainscape's Knowledge GenomeTM

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


See full index

NCLEX > OB > Flashcards

OB Flashcards

You may prefer our related Brainscape-certified flashcards:
NCLEX-PN® flashcards NCLEX-RN® flashcards
1
Q

What is the calculation for expected date?

A

(LMP) + 7days - 3 months
first day of LMP=last menstrual period

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

Calculations pregnancy wt.

A

Weeks gestation -9lb
-Pt. only gains 3lb in 12 weeks/3 months (1st term)
-total wt. gain during pregnancy= 28lb +/-3lb

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

Quickening felt at?
(Kicking)

A

16-20 wks

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

FHR audible at?

A

8-12 wks

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

Office visits pattern

A

0-28 wks: 1x month
28-36 wks: every 2 wks
36-birth: every week

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

Fetal Position entering the birth canal

A

ROA best
LOA 2nd

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

Stages of delivery: Stage 1 what occurs

A

Labor
-Uterine contractions dilute & efface cervix

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

Stages of delivery: Stage 2 what occurs

A

Delivery of baby

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

Stages of delivery: Stage 3 what occurs

A

Delivery of placenta

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

Stages of delivery: Stage 4 what occurs

A

Recovery
2hr long

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

What are the 3 phases of Stage 1 labor

A
  1. Laten
  2. Active
    –> 5-7cm, every 3-5min, lasts 30-60sec, moderate pain, Pain management (nursing action)
  3. Transition
    –>nursing action check dilation, help with breathing/pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are signs of Uterine Tetany, Uterine Hyperstimulation, & Indicate stopping Pitocin

A

Contractions longer than 90 sec or more frequent than every 2 min

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

Stage 2: Delivery Baby nursing actions

A
  1. Delivery head
  2. Clear baby airway, Mouth then nose
  3. check for nuchal cord (cord around neck)
  4. Deliver shoulders/body
  5. Apply ID on baby before leaving room
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Stage 3: Delivery placenta nursing actions

A
  1. Make sure whole placenta was delivered
  2. check AVA in placenta–> 3 vessels (2 A & 1V)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Stage 4: Recovery

A

First 2 hours after birth
-4 things to do, 4 times an hours (q15min), in the 4th stage
1. Vitals: monitor for s/s shock (BP down, HR UP, look pale, cold, clammy)
2.Fundal assessment boggy=message, displaced=catheterize
3. check peri pad for bleeding amount–> 100% saturated in 15 min=problem
4. Roll her over: Check for bleeding underneath mom

—>Vitals, fundus, pads, roll

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

S/s of Shock

A

BP Down (BP down, Rates UP, cold)
HR UP
RR UP
Pale/Cold/Clammy

17
Q

Complications of Labor
-Painful back labor nursing interventions

A
  1. Put pt. knees to chest (on 4s)
  2. Push–> sacral counterpressure (fist into sacrum)
18
Q

Complications of labor Nursing interventions
-Prolapsed Cord

A

Cord comes out first
-Push head (not cord) back up
-knee-chest position

19
Q

Complications of labor Nursing interventions
-All other complications

A

LION
-L:Left side lying position
-I: Increase IV solution
-O: Oxygenate
N: Notify HCP
-Unless on Pitocin then Stop first then LION (position 1st thing then)

20
Q

Fetal Complications
-Low FHR

A

Intervention:
–LION, Stop Pitocin if running

21
Q

Normal Fetal HR

A

120-160bpm

22
Q

Fetal Complications
-Low Variability (FHR stay same)

A

Intervention:
–LION, Stop Pitocin if running

23
Q

Fetal Complications
-Late Decels

A

Placental Insufficiency
Intervention:
-LION, Stop Pitocin

24
Q

Fetal Complications
-Variable Decels

A

Prolapsed Cord
Intervention:
–Push Head (not cord) up
–Knee to chest position

25
Q

What causes Early Decels

A

Head compressions (just document)

26
Q

When should postpartum assessment be done

A

Every 4-8hr

27
Q

What 3 postpartum assessments must be performed on

A

Uterus
Lochia
Extremities–> monitor for thrombo. preform calf circumferences

28
Q

Lochia colors

A

Rubra: red
Serosa: pink (semi pink)
Alba: Clear/white
Saturating pad in 15min bad

29
Q

What are some Tocolytics (stop labor)

A
  1. Terbutaline (cause maternal tach)
  2. Mag-sulfate(slows uterine contraction & everything down)
30
Q

What are some Oxytocic’s (start labor)

A
  1. Oxytocin (monitor for uterine hyperstimulation)
  2. Methergine (cause maternal HTN)
31
Q

What are some fetal lung maturity meds

A

Betamethasone (given to mom BEFORE baby born)
Survanta (Surfactant) given to baby

NCLEX (13 decks)

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