Other Stuff Test 1 Flashcards
Fetal well being is assessed how?
Heart tones and fundal height
Quickening starts when
16-20 weeks
Regular movement of fetus is noted when
Non-stress yest starts
28th week
3rd trimester
Why we do non stress tests?
How often?
For who?
To determine fetal response to periods of rest and activity
Determines complications to fetus and mom
Tracks baby’s movement, heartbeat, and contractions. Makes sure they are getting enough oxygen.
Monitor for 90 minutes- Press response button every time baby moves
Weekly for high risk pregnancy patients
Proper weight gain is how much the first trimester? And after?
2 lbs
1lbs per week until delivery after that
Pregnancy begins with what?
Fusion of the egg and sperm that takes place in the ample of Fallopian tube
Small amount of blood excretes (spotting)
Most important organ for growth of fetus
Placenta
What ensures gas exchange to fetus
Placenta through the chronic villi
o2, nutrients carbon dioxide and waste products
Mothers Blood does not come into contact with fetus
True
The placenta relationally on what?
Perfusion, everything the mother eats, and just, or in the Hills has the potential to cross the placenta and affect the baby and the baby can be adversely affected such as decreased growth or malformations
Always Listen to patient and assess first
True
Depression with pregnancy
Observe patient and have open discussion with her with progress in pregnancy
Type 1 DM is insulin dependent
What issues may occur with insulin and fetus?
Cardiac , CNS, and skeletal anomalies
If only sugar is passing to the baby what may happen?
Large baby (microsomal) large in truncal area
May cause birth injuries and resp issues
What to always monitor in fetus
Growth and movement
Ovary is controlled by what hormones ?
What may mess with the system and may change mensural cycle?
Hypothalamus and pituitary gland
Stress, nutrition, meds, drugs
Redness on palms of hands
Palmar erythema
Line on belly button dark
Linea nigra
Chloasma
Dark pigmentation on face
Stretch March on belly scars
Striae gravidarium
Who to call if mother is apprehensive about baby
Social services
Bad edema and swelling in pregnancy
Ankles
Face
Neck
Wt loss of 10% or more is dangerous
If 37 weeks preg or less for preterm labor so what?
Drink fluids
Lay on left side
Rest
If cramps go away in an hour your ok
If not go to hosp
If fundus is not changing what may it indicate?
Baby is not changing correctly
If absence of fetal movement do what
Eat something sugary , cold water , nutrition , for stimulation , lay down and rest
OP - baby is posterior faced
Do what?
Women sit on hands and knees when pushing
What to do for baby if unresponsive at birth?
What may mean more mucus in infant ?
Give oxygen
Stimulate - tap chest
Suction via NG
C-section
Omega 3 does what
Prevent preterm birth prevent heart disease and lower bp
What can abdominal pain indicate in pregnancy?
Threatened abortion/miscarriage (spotting)
Ectopic pregnancy outside uterus
Abrupto placenta
What does incompetent cervix mean and how is it corrected
Spontaneous abortion
Performing McDonald’s cerclage it shirodkar procedure to close the cervix
Complications of diabetes in pregnancy
CHD
Polyhydramnios (excess amniotic fluid)
Premature
Respiratory distress
Low BS
Preeclampsia s/s
How to treat?
Protein in urine
Facial edema
High bp
High sodium
Epigastric pain
Blurred vision
Bed rest with low sodium diet
Give Magnesium sulfate
Preterm labor is treated with?
Decrease contractions
Hypnotics or sedatives such as
Brethine (terulrataline sulfate)
Magnesium sulfate
Stages of labor
Stage one - closed cervix - 10 cm
Stage 2- complete dilation to delivery
Stage 3- delivery of baby to delivery of placenta
Stage 4-delivery of placenta until completion of recovery period
APGAR score
0-2 score in each category (0 is absent) done at 1 and 5 min
Appearance-pink torso and extremities
Pulse (normal 110-160)
Grimace-vigorously crying or limited
Activity- actively moving
Respiratory- strong loud cry
Normal newborn measurements
6-10pounds
18-22inches length
Chest and head 33
Medication that prevents hemorrhage
Vitamin k
Prevents newborn eye infections
Erythromycin
Infant immunization at birth
Hep b
PKU level should what
Less than 24 following first feeding
Discharge of blood on female genitalia at birth is normal
True
Hypoxia s/s in. Newborn
Fines
Feeding difficulty Inpiratory strider Nare flares Expiratory grunting Sternal reactions
WBC
Hgb
Hct
PLT
9-30
14-21
35-63%
150-300k
Preeclampsia
Help syndrome
Hemolysis
Elevated
Liver enzymes
Low
Platelet count
What to do for preterm labor
Bed rest
Monitor FHR and uterine activity
Give toxolytics:
Terbuterline, nifedipine, magnesium sulfate
Give corticosteroids:betamethasone or dexamethasone
Calcium range
7-11
AST-
ALT
20-160
5-10
Alb
2.8-5.4
Alk-
40-300
T billi-
1-12
Number of times a female as given birth to a baby
Parity
Dark green poop first poop of newborn
Meconium
Common rash on infant
Erythema toxicum
Braxton Hicks and flu like symptoms start at this time
38 weeks
Wha stimulates uttering growth
Estrogen
