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Nursing Practice II > Obstetrics Test > Flashcards

Obstetrics Test Flashcards

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1
Q

Immediately following delivery of the baby, the new mother’s breasts produce _________________, a thin yellowish fluid that contains extra calories and protein, as well as important antibodies

A

colostrum

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2
Q

Colostrum is usually secreted for ______ to _____ days after birth and is then replaced by the mother’s breast milk

A

2-3 days

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3
Q

______________________ requires the mother to take in extra calories and fluids

A

Breastfeeding

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4
Q

5 elements of assessment in the APGAR test

A
  • appearance
  • pulse rate
  • grimace
  • activity
  • respiratory effort
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5
Q

BUBBLEHE

A
  • breasts
  • uterus
  • bladder
  • bowel
  • lochia/labia
  • episiotomy
  • hemmorhoid/homan’s sign
  • emotional status
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6
Q

In terms of episiotomy or c-section incision assessment, what does REEDA stand for

A 
Redness –inflammation, 
Ecchymosis –bruising, 
Edema –swelling, 
Discharge –from incision, 
Approximation of suture line
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7
Q

BABY BLUES? POST PARTUM DEPRESSION? OR POST PARTUM PSYCHOSIS?

  • fatigue, anxiety, restlessness, sadness, let-down feeling
  • lasts about 2 weeks
A

BABY BLUES

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8
Q

BABY BLUES? POST PARTUM DEPRESSION? OR POST PARTUM PSYCHOSIS?

  • more serious, intense and persistent. Mother is unable to feel the love for her infant, irritable, guilt, sense of loss of self
  • 2 categories: Moderate and Intense
A

POST PARTUM DEPRESSION

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9
Q

BABY BLUES? POST PARTUM DEPRESSION? OR POST PARTUM PSYCHOSIS?

  • Feelings of harming the baby
  • hallucinations
  • Most severe type
A

POST PARTUM PSYCHOSIS

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10
Q
  • Refers to gestational age

- Measured from the top of the symphysis pubis to the top of the uterine fundus

A

FUNDAL HEIGHT

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11
Q
  • 20 cm=20 weeks; 10cm=10 weeks
A

FUNDAL HEIGHT

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12
Q

(1st day of last menstrual period (LMP) subtract 3 months and add 7 days.

A

Naegle’s Rule

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13
Q

HELLP

A

Hemolysis, Elevated Liver enzymes, Low Platelet count

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14
Q

TORCH

A 
Toxoplasmosis
Other – Hep A or B, Group B, Varicella, HIV
Rubella (German Measles)
CMV (Cytomegalovirus)
Herpes Simplex (HSV 2)
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15
Q

this is is a complication of preeclampsia/eclampsia that includes liver damage

A

HELLP

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16
Q

PIH

A

Pregnancy Induced Hypertension

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17
Q

______________________ is a dangerous combination of high blood pressure, fluid retention, and high levels of protein in the urine of women after their 20 th week of pregnancy.

A

Preeclampsia

18
Q

Preeclampsia is also sometimes called ________________

A

toxemia

19
Q

Signs & Symptoms of Pre-eclampsia

A
  • high blood pressure (above 140/90
  • excessive weight gain (> 5 lbs in a week)
  • sudden weight gain over 1 or 2 days
  • retention of fluids, which causes the hands and face to swell
  • reduction in the amount of your urine
20
Q

Signs & Symptoms of eclampsia

A
  • pain in the upper right side of abdomen

- disturbances to vision, such as seeing flashing lights

21
Q

What is Rh factor

A

Rh incompatibility can happen only when the mother is Rh negative and the fetus is Rh positive. The mother does not have the Rh factor and the fetus does have the Rh factor

22
Q

abnormal labour caused by any of the 5 major variables that affect labour

A

dystocia

23
Q

ineffective contractions or maternal pushing efforts

A

dysfunctional labour

24
Q

Complications of pregnancy:

A
  • TORCH
  • HELLP
  • PIH
  • Rh Factor
  • Trauma
  • Medical conditions
  • Bleeding
  • Abortion
  • Ectopic pregnancy
  • Placenta previa
  • Abruptio placenta
  • Hypertensive disorders
  • Supine hypotensive syndrome
  • Gestational diabetes
25
Q

7 Complications in delivery and nursing implications

A
  1. dystocia
  2. dysfunctional labour
  3. pelvic structure variations
  4. mother’s responses
  5. fetal variations
  6. engagement of presenting part, station and fetal position
  7. prolapsed umbilical cord
26
Q

happens when the umbilical cord precedes the fetus’ exit from the uterus. It is an obstetric emergency during pregnancy or labor that imminently endangers the life of the fetus

A

prolapsed umbilical cord

27
Q

this is a central nervous system depressant that decreases the possibility of convulsions.
It lso relaxes smooth muscles and may decrease blood pressure to some degree.

A

magnesium sulfate

28
Q

___________ ________________ refers to the relationship of the identified landmark on the presenting part of the four quadrants of the mother’s pelvis.

A

fetal position

29
Q

Six possible positions:

A
    • Right occiput anterior (ROA) mentum (RMA) sacrum (RSA)
    • Right occiput transverse (ROT) mentum (RMT) sacrum (RST)
    • Right occiput posterior (ROP) mentum (RMP) sacrum (RSP)
    • Left occiput anterior (LOA) mentum (LMA) sacrum (LSA)
    • Left occiput transver (LOT) mentum (LMT) sacrum (LST)
    • Left occiput posterior (LOP) mentum (LMP) sacrum (LSP)
30
Q

4 Phases of Labour

A

First Stage: Dilation and Effacement
Second Stage: Birth of Baby
Third Stage: Delivery of Placenta
Fourth Stage: Recovery

31
Q

3 phases in the First Stage: Dilation and Effacement

A

Latent phase
Active phase
transition phase

32
Q

WHAT PHASE OF LABOUR?

  • ends when cervix is dilated 3 cm
  • longest phase
  • contractions occur every 10-20 minutes
  • durations of contractions last 15 to 30 seconds
  • intensity of contractions is mild and gradually becomes moderate
A

LATENT PHASE

33
Q

WHAT PHASE OF LABOUR?

  • begins when cervix is dilated 4 cm
  • ends when cervix is dilated 8cm
  • contractions every 3-5 minutes
  • duration of contractions last 30-60 seconds
  • intensity of the contractions is moderate progressing to
A

ACTIVE PHASE

34
Q

WHAT PHASE OF LABOUR?

  • begins when cervix is dilated 8 cm
  • ends when cervix is dilated 10 cm
  • contractions every 2-3 minutes
  • duration of contractions last 60-90 seconds
  • characteristics of the transition phase are: restlessness, hyperventilation, bewilderment and sometimes anger, difficulty following directions, focus on self, irritability, statements like “Don’t touch me”, nausea, occasionally vomiting, very warm feeling, perspiration on upper lip, increasing rectal pressure
  • intensity of contractions is strong
A

TRANSITION PHASE

35
Q

WHAT STAGE OF LABOUR?

  • cervix dilated 10 cm
  • contractions every 1-2 minutes
  • duration of contractions 60-90 seconds
  • strong intensity
A

SECOND STAGE: BIRTH OF BABY

36
Q

ABCW OF Newborn assessment and care

A
  • A-Airway
    • B-Breathing
    • C-Circulation
    • W-warmth
37
Q

2 THINGS INCLUDED IN Prenatal and post partum assessment

A
  1. BUBBLEHE

2. VITALS

38
Q

Nursing care for pregnant mothers includes these 3 considerations:

A
  1. mothers should avoid becoming anemic
  2. mothers should avoid strenuous activity
  3. monitoring for cardiac failure and pulmonary complications
39
Q

Nursing care during labour includes

A
  • side lying position
  • prophylactic antibiotic
  • epidural
40
Q

What are 2 anticoagulant therapies:

A
  • heparin

- lovenox

Nursing Practice II (3 decks)

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