OB ch 18 &19

Question 1

what are nursing measure specific to care for a stillborn infant

Answer 1

emotional support, let parents see/hold baby if want, take foot prints

Question 2

what hormone is commonly used to increase uterine contractions

Answer 2

oxytocin

Question 3

what is cephalopelvic disproportion

Answer 3

head is too big - pelvis is too small (failure to progress)

Question 4

what intervention is most commonly used with cephalopelvic disproportion

Answer 4

c-section

Question 5

what is a post-term pregnancy

Answer 5

after 42 weeks

Question 6

what are main complications of a post-term pregnancy

Answer 6

too big to fit

Question 7

the condition of an unusually large infant is called

Answer 7

macrosomia

Question 8

how is the amount of amniotic fluid measured in a post term mother

Answer 8

ultrasound - 25 mmHg

Question 9

what defines preterm labor

Answer 9

before 38 weeks

Question 10

what is the goal treatment of a woman with preterm contractions and bleeding

Answer 10

keep baby in without infection

Question 11

what is the class of meds given to stop uterine contractions

Answer 11

tocolytic

Question 12

what are some specific assessments when a woman is receiving magnesium sulfate

Answer 12

reflexes, respiration, urine output

Question 13

what are some treatment options for a breech presentation

Answer 13

external version - turn body from outside - vaginal delivery

Question 14

what is the name of a specific instrument designed to assist in the delivery of a breech baby

Answer 14

piper forceps

Question 15

what are some treatment options for a transverse presentation

Answer 15

external version - c-section

Question 16

what is the main concern for PROM

Answer 16

infection

Question 17

what is pelvic rest

Answer 17

nothing is put in vagina because of risk for infection

Question 18

What is inadequate uterine contractions called

Answer 18

hypotonic

Question 19

what is an abnormally fast birth called

Answer 19

precipitous labor

Question 20

what is back labor caused by

Answer 20

occiput posterior position

Question 21

what are treatments for back labor

Answer 21

counter pressure, hand/knees potition

Question 22

what is shoulder dystocia

Answer 22

shoulder gets stuck

Question 23

what are common treatments for shoulder dystocia

Answer 23

mcroberts maneuver

suprapubic pressure

Question 24

what is meconium staining

Answer 24

baby poops in utero because of distress

Question 25

why is meconium staining a problem

Answer 25

aspiration of meconium

Question 26

what is an amniotic fluid embolism

Answer 26

amniotic fluid enters maternal blood stream

Question 27

what are symptoms of an amniotic fluid embolism

Answer 27

acute respiratory distress, cyanosis, hypotension

Question 28

what treatments are used for amniotic fluid embolism

Answer 28

treat like a code - intubate - O2

Question 29

what is a DVT

Answer 29

deep vein thrombosis | clots in deep veins of legs

Question 30

what is the treatment for DVT

Answer 30

anticoagulants, heat , bed rest, analgesics

Question 31

what are symptoms of uterine rupture

Answer 31

abdominal pain, back pain, shoulder pain increased HR, decreased BP

Question 32

when is a cord prolapse most likely to occur

Answer 32

premature rupture of membranes

Question 33

what are symptoms of cord prolapse

Answer 33

decreased FHR

Question 34

what are symptoms of PP depression

Answer 34

sadness, irritability, fatigue, lack of interest, sleeping problems

Question 35

what are symptoms of pot-partum psychosis

Answer 35

delusions, hallucinations, hyperactivity, poor judgement

Question 36

what are symptoms of non-attachment

Answer 36

calls baby "it", no eye contact, ignores crying, doesn't want to hold baby

Question 37

what is nursing care for a woman putting her baby up for adoption

Answer 37

support, personal care, comfort, non-judgemental

Question 38

what is a major problem with PP uterine atony

Answer 38

bleeding

Question 39

what are treatments for uterine atony

Answer 39

fundal massage - oxytocin

Question 40

what are characteristics of a normal PP uterus

Answer 40

above belly button, firm, grapefruit size

Question 41

what can cause the uterus to deviate to the right or left side

Answer 41

bladder is full

Question 42

what are common causes for lacerations of the genital tract

Answer 42

big baby, operative vaginal delivery, precipitous delivery

Question 43

what are symptoms of hypovolemic shock

Answer 43

rapid pulse, decreased BP, cool, clammy, decreased LOC

Question 44

what are the parameters of blood loss that would indicate a dx of PP hemorrhage

Answer 44

blood loss greater than 1,000 mL

Question 45

what is the most common cause of late PP hemorrhage

Answer 45

uterine subinvolution - uterus returns to pre-pregnant state a lot slower than normal

Question 46

what is the progression that normal lochia should take

Answer 46

rubra (red) - serosa(pink) - alba(white/yellow)

Question 47

what are symptoms of mastitis

Answer 47

fever 101 >, tender, heavy, erythema, warm

Question 48

what are treatments or mastitis

Answer 48

supportive care, antibiotics

Question 49

what are symptoms of a UTI

Answer 49

burning, pain, urgency, frequency

Question 50

what are symptoms of infection

Answer 50

fever 100.4 or >, 2 consecutive times

Question 51

what is the most common cause of post-partum infection

Answer 51

streptococcal & anaerobic organisms

Question 52

what are instructions the nurse can give when teaching about proper perineal care

Answer 52

wipe front to back - wash hands frequently