OB ch 18 &19 Flashcards
what are nursing measure specific to care for a stillborn infant
emotional support, let parents see/hold baby if want, take foot prints
what hormone is commonly used to increase uterine contractions
oxytocin
what is cephalopelvic disproportion
head is too big - pelvis is too small (failure to progress)
what intervention is most commonly used with cephalopelvic disproportion
c-section
what is a post-term pregnancy
after 42 weeks
what are main complications of a post-term pregnancy
too big to fit
the condition of an unusually large infant is called
macrosomia
how is the amount of amniotic fluid measured in a post term mother
ultrasound - 25 mmHg
what defines preterm labor
before 38 weeks
what is the goal treatment of a woman with preterm contractions and bleeding
keep baby in without infection
what is the class of meds given to stop uterine contractions
tocolytic
what are some specific assessments when a woman is receiving magnesium sulfate
reflexes, respiration, urine output
what are some treatment options for a breech presentation
external version - turn body from outside - vaginal delivery
what is the name of a specific instrument designed to assist in the delivery of a breech baby
piper forceps
what are some treatment options for a transverse presentation
external version - c-section
what is the main concern for PROM
infection
what is pelvic rest
nothing is put in vagina because of risk for infection
What is inadequate uterine contractions called
hypotonic
what is an abnormally fast birth called
precipitous labor
what is back labor caused by
occiput posterior position
what are treatments for back labor
counter pressure, hand/knees potition
what is shoulder dystocia
shoulder gets stuck
what are common treatments for shoulder dystocia
mcroberts maneuver
suprapubic pressure
what is meconium staining
baby poops in utero because of distress
why is meconium staining a problem
aspiration of meconium
what is an amniotic fluid embolism
amniotic fluid enters maternal blood stream
what are symptoms of an amniotic fluid embolism
acute respiratory distress, cyanosis, hypotension
what treatments are used for amniotic fluid embolism
treat like a code - intubate - O2
what is a DVT
deep vein thrombosis
clots in deep veins of legs
what is the treatment for DVT
anticoagulants, heat , bed rest, analgesics
what are symptoms of uterine rupture
abdominal pain, back pain, shoulder pain increased HR, decreased BP
when is a cord prolapse most likely to occur
premature rupture of membranes
what are symptoms of cord prolapse
decreased FHR
what are symptoms of PP depression
sadness, irritability, fatigue, lack of interest, sleeping problems
what are symptoms of pot-partum psychosis
delusions, hallucinations, hyperactivity, poor judgement
what are symptoms of non-attachment
calls baby “it”, no eye contact, ignores crying, doesn’t want to hold baby
what is nursing care for a woman putting her baby up for adoption
support, personal care, comfort, non-judgemental
what is a major problem with PP uterine atony
bleeding
what are treatments for uterine atony
fundal massage - oxytocin
what are characteristics of a normal PP uterus
above belly button, firm, grapefruit size
what can cause the uterus to deviate to the right or left side
bladder is full
what are common causes for lacerations of the genital tract
big baby, operative vaginal delivery, precipitous delivery
what are symptoms of hypovolemic shock
rapid pulse, decreased BP, cool, clammy, decreased LOC
what are the parameters of blood loss that would indicate a dx of PP hemorrhage
blood loss greater than 1,000 mL
what is the most common cause of late PP hemorrhage
uterine subinvolution - uterus returns to pre-pregnant state a lot slower than normal
what is the progression that normal lochia should take
rubra (red) - serosa(pink) - alba(white/yellow)
what are symptoms of mastitis
fever 101 >, tender, heavy, erythema, warm
what are treatments or mastitis
supportive care, antibiotics
what are symptoms of a UTI
burning, pain, urgency, frequency
what are symptoms of infection
fever 100.4 or >, 2 consecutive times
what is the most common cause of post-partum infection
streptococcal & anaerobic organisms
what are instructions the nurse can give when teaching about proper perineal care
wipe front to back - wash hands frequently
