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Ob > Ob Final > Flashcards

Ob Final Flashcards

1
Q

Cholasma

A

Brown or gray patches on face

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2
Q

Linea Nigra

A

Dark vertical line that appears on abdomen

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3
Q

Striae Gravidarum

A

Stretch marks

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4
Q

What to do if a pregnant woman is experiencing nausea and vomiting

A

Educated about crackers by the bed, having frequent small meals, avoid trigger smells

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5
Q

Fundo height

A

Each centimeter is one week of pregnancy

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6
Q

Fetal movement counting

A

Count to 10 method:
10 distinct movements in 1 to 2 hours is the desired result

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7
Q

Patient comes in and hasn’t felt baby moving in a while. What do we do?

A

Non-stress test

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8
Q

Non-stress test

A

client pushes a button whenever she feels a fetal movement

Reactive equals 2+ accelerations in 20 minutes

Non-reactive is fewer than two in 40 minutes

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9
Q

Red flags to monitor for

A

Swelling of hands, face, legs, or tingling
Ankles is normal

Visual changes
Severe belly pain
Headaches that worsen (preeclampsia)
Rapid weight gain 5+ pounds in a week
Baby not moving

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10
Q

GTPAL

A

G - # of pregnancies
T - term >37 weeks
P - preterm < 37 weeks
A - abortion <20 weeks
L - living children

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11
Q

Nagels rule

A

Subtract 3 months
Add 7 days

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12
Q

Amniocentesis

A

Aspiration of amniotic fluid:
Monitor vital signs during and 30 minutes after
Obtain baseline prior

Empty the bladder prior to procedure

Administer RHD immune globulin to the client if they are Rh NEGATIVE

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13
Q

Biophysical profile (BPP)

A

Combines a non-stress test with an ultrasound

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14
Q

What does the BPP assess?

A

FHR
Fetal breathing
Fetal body movements
Fetal tone
amount of amniotic fluid

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15
Q

BPP results

A

8-10 = normal

<6 ABNORMAL

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16
Q

Abruption expected findings

A

Board like abdomen

Dark red vaginal bleeding

uterine tenderness

sudden onset of intense localized pain

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17
Q

Abruption

A

Separ ation of the placenta from the uterus

Occurs after 20 weeks gestation

Leading cause of maternal death

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18
Q

What is the only management of abruption?

A

Delivery

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19
Q

Cervical insufficiency treatment

A

Cerclage

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20
Q

Cerclage

A

Cervix “stitched”

Bestest and no sex

Prevent premature birth

Do not insert anything into vagina

Keep bladder empty

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21
Q

Ectopic pregnancy

A

Abnormal implantation of the ovum outside of the uterine cavity

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22
Q

Ectopic pregnancy findings

A

Unilateral stabbing pain

scant dark red or brown vaginal spotting

referred shoulder pain

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23
Q

Severe shoulder pain and ectopic pregnancy indicates what?

A

Ectopic rupture

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24
Q

ectopic pregnancy DX & TX

A

Transvaginal ultrasound that shows an empty uterus

Rapid treatment

Methotrexate dissolves the pregnancy

Salpingostomy if not ruptured

Laparoscopic salpingectomy if ruptured
Removes the tube

25
Q

What is methotrexate used for in ectopic pregnancies?

A
26
Q

Gestational diabetes causes an increase risk to the fetus …

A

Macrosomia (big baby)

Birth trauma

Electrolyte balances

HYPOGLYCEMIA

27
Q

Gestational diabetes percentage

A

50% of clients diagnosed with gestational diabetes mitis will develop type two DM later in life

28
Q

Pre-eclampsia

A

hypertension and protein in the urine

(140/90)

29
Q

Severe preeclampsia

A

Hypertension (160/110)

3+ proteinuria, severe headaches, epigastric, and RUQ pain

30
Q

Eclampsia

A

Severe pre-eclampsia plus onset of seizure, activity or coma

31
Q

HELLP syndrome

A
32
Q

Hyperemesis gravidarum

A

Extreme, severe nausea, vomiting that doesn’t go away

33
Q

Hyperemesis gravidarum medication’s

A

Lactated ringers
Vitamin B6
Antiemetic (metoclopramide)

34
Q

Magnesium sulfate

A

Treats HELLP syndrome

Anti-convulsant used prophylactically to prevent seizures

35
Q

Manifestations of magnesium sulfate toxicity

A

Absence of deep tendon reflexes

Urine output less than 30

Respirations less than 12

Delayed level of consciousness

Cardiac dysrhythmias

36
Q

What to do if magnesium sulfate toxicity is suspected

A

Stop being infusion

administer antidote: calcium gluconate

37
Q

Spontaneous abortion

A

Pregnancy ends as a result of natural causes

Use the term miscarriage

38
Q

Preterm labor meds (tocolytics)

A

Magnesium sulfate

Turbutaline

Indomethacin (NSAID)

Betamethasone

39
Q

Magnesium sulfate for preterm labor

A

Suppresses contractions and inhibits uterine activity

40
Q

Mag sulfate contraindications

A

Dilation greater than 6 cm

Chorioamnionitis

Greater than 34 weeks gestation

Acute fetal distress

Do not use concurrently with amphetamine

41
Q

Indomethacin for preterm labor

A

Suppresses preterm labor by blocking production of prostaglandins

Monitor for hemorrhage due to reduce plate aggression

42
Q

Betamethasone

A

Enhances fetal lung maturity and surfactant production

IM in 2 injections 24 hours apart

43
Q

First stage of labor (0-10)

A

Latent - 0-3 cm

Active - 4-7 cm

transition - 8-10 cm

44
Q

Second stage

A

Assist with pushing efforts

Monitor fetal heart rate rate

Prepare for immediate newborn care

45
Q

Third stage

A

Delivery of placenta

Assessment

Comfort care

46
Q

Fourth stage

A

Stabilizing/bonding

Vital signs skin to skin breast-feeding

47
Q

True labor signs

A

Bloody show

Pain and lower back

Contractions that increase when walking

Presenting part of infant engages

CERVICAL CHANGEEE

48
Q

False labor

A

Irregular contractions improved with walking

Pain felt and abdomen or no pain

Changes in dilation

NOOO bloody show

49
Q

Dilation

A

Opening of the cervix measured in CM
0-10

50
Q

Effacement

A

Processed by which the cervix thins shortens and softens in preparation for birth

51
Q

Station

A

The position of the babies presenting part in the mothers pelvis

52
Q

Normal fetal heart rate

A

110 to 160 BPM

53
Q

VEAL CHOP MINE **

A
54
Q

V + C + M

A

Variable decelerations

Cord compression

Maternal reposition

55
Q

E + H + I

A

Early decelerations

Head compression

identify labor progress

56
Q

A + O + N

A

Acceleration
OK
no intervention

57
Q

L + P + E

A

Late deceleration

Placental insufficiency

Execute interventions - change position

58
Q

Best way to keep baby warm

A

Skin to skin Thermo regulation

Ob (2 decks)

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