OB/Maternity Flashcards
first trimester = weeks ____ to _____
1, 13
positive signs of pregnancy fetal heartbeat at \_\_\_\_ to \_\_\_\_ weeks with \_\_\_\_\_\_ \_\_\_\_ movement fetoscope: \_\_\_ to \_\_\_ weeks sonogram or \_\_\_\_\_\_\_\_
10, 12, doppler
fetal
17, 20
ultrasound
G/P and TPAL \_\_\_\_\_ = # of pregnancies \_\_\_\_\_ = # of pregnancies with fetus reaching 20 weeks T = P = A = L = A 20 week baby is not \_\_\_\_\_\_
gravidity parity term preterm abortion living viable
add _____ calories/day _____ first trimester
expect to gain ____ pounds in the first ______
_____ mcg of folic acid daily to prevent ______ defects
don’t let HR exceed ______ because above 140, uterine ______ drops which means _____ high impact exercise; _____ or _____ are best
overheating can lead to birth ______ d/t increased body temp
300, after 4, trimester 400, neural tube 140 perfusion defects
tell client do do what before ultrasound? ____ to _____ the bladder
drink water, distend
primary healthcare provider visit schedule
up to 28 weeks: ______
28-36 weeks: _____
36 weeks until delivery: _____
once a month
every two weeks
weekly
expected weight gain in second trimester is _____ pound per week
1
fetal HR should be ____ to _____ in 2nd trimester
120, 160
FHR key
120-160 = _____
____-____ = worried & watching
less than _____ = PANIC
normal
110-120
110
Third trimester weight gain no more than _____ pound per week
report any increase in ______
_____ maneuvers done to determine fetal position
always obtain _______ after membranes rupture
when membranes rupture, worried about _______
1
BP
Leopold
FHR
prolapsed cord (priority over infection)
Biophysical Profile
8-10 is a ____ score
usually done in the _____ trimester
good
last
Oxytocin Challenge Test is done if ______ is non-reactive
determines if baby can handle the stress of a _______
we want to see _____ late decelerations
want the test to be ______ = NO ____ decelerations
test not usually performed before ____ weeks
NST contraction ZERO NEGATIVE, late 28
Decelerations: V \_\_\_\_\_ = C \_\_\_\_\_\_ E \_\_\_\_\_ = H \_\_\_\_\_\_ A \_\_\_\_\_ = O \_\_\_\_\_\_ L \_\_\_\_\_ = P \_\_\_\_\_\_
variable = cord compression early = head compression (benign) accelerations = okay late = placental insufficiency
True vs. False Labor
Contractions are regular in _____ and irregular in _____
frequency and duration of contractions ______ in true
discomfort in abdomen with _____ and in back radiating to abdomen in ____ labor
pain _____ with activity changes in _____ labor
true, false increases false true decreases, false
Epidural given at ______ cm dilation
Usually ______ Headache
Major Complication _______ so monitor ____
alternate position ______ from side to side
3-4
NO
hypotension, BP
hourly
If client on Oxytocin/Pitocin _______ leave them
D/C oxytocin if contractions are too ____, contractions last too ______ or there is _____ distress
If you D/C oxytocin, make sure you do not stop ______
Patient should positioned in any way except _____
if late decels occur, do what? _______
ideal contraction rate of 1 every _____ minutes, each lasting ____ seconds
DO NOT often long, fetal fluids flat STOP THE INFUSION 2-3 60
After delivery, temp may increase to ______ in first ____ hours, BP should be _______, HR may be _______ for _______ days and is common
TACHYCARDIA + _________ = THINK ___________
want the fundus to be _____ (FF) and immediately after birth will be midline, ______ finger breadths below umbilicus, the fundus ________ a few hours after birth
If fundus is boggy, _______ until firm THEN check for _______ distention
fundal height should decrease _____ FB/day
100.4, 4 stable, 50-70 6-10 POSTPARTUM, HEMORRHAGE firm 2-3 rises massage bladder one
Lochia changes Rubra = \_\_\_\_\_\_ 3-4 \_\_\_\_\_ Serosa = \_\_\_\_\_\_ 4-10 \_\_\_\_\_ Alba = \_\_\_\_\_\_\_ 10-28 \_\_\_\_\_\_ Clots \_\_\_\_\_\_ as long as they are no bigger than a \_\_\_\_\_
Peripad Rule: do not saturate more than ______/hour
teach mom to report foul ______ and _____ changes
dark red, days
pinkish-brown, days
whitish-yellow, days
okay, nickel
ONE
smell, lochia
Increase calories by _____/day for breastfeeding mom
clean with _____ water and let _______
8-10 glasses of ______ per day
Not breastfeeding: _____ breasts, chilled cabbage leaves _____ inflammation/engorgement, NO ______ of breasts
500 warm, air dry fluids bind decrease, stimulation
Rh issues = when mom is _____ and baby is _____
first baby ______
Coombs tests done on mother (_____) and baby (_____)
when there is an Rh mismatch, frequent ________ to monitor _______ and early ______ when fetus stops ______
RhoGAM given within _______ after birth AND at _____ weeks
RhoGAM also given with any _____ episode like abortion, trauma, ____ pregnancy or amniocentesis
negative, positive unaffected indirect, direct ultrasounds growth, birth growing 72, 28
bleeding
ectopic
