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lecture 1 - pre labour > pre labour > Flashcards

pre labour Flashcards

1
Q

what are the places that nurses normally work at?

A
  • Hospital, home, community and ambulatory
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2
Q

nurses work collaboratively with other members of the…

A

interprofessional healthcare team, such as physicians, midwives, and social workers

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3
Q

what is the main objective in nursing?

A

healthy person giving birth to a healthy baby

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4
Q

what are the principles of nursing standards in L&D

A
  • Caring
  • Health and well-being
  • Justice
  • Informed Decision Making
  • Dignity
  • Confidentiality
  • Accountability
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5
Q

what are some current labour issues with Indigenous Women

A
  • tend to be lack of hospitals therefore there is no proper care
  • may get care that is unsafe
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6
Q

homelessness and pregnancy

A
  • little knowledge
  • mental health concern
  • poor hygiene
  • exposure to violence
  • lack of money for proper food, transportation, helath care etc.
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7
Q

LGBTQ2

A
  • lack of knowledge
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8
Q

global concerns

A
  • genital cutting
  • human trafficking
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9
Q

what does GTPAL stand for?

A
  • gravdity (number of all pregnanices)
  • term birth (more than 37 weeks)
  • preterm brith (before 37 weeks *20-37)
  • abortions and miscarriages
  • living children
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10
Q

what is the goal for preconception?

A
  • improving moms health and reduce things that can be causing danger to both mom and baby
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11
Q

what are some risk assessments for preconception?

A
  • intimate partner violence
  • STI and infertilty
  • diseases
  • medication or substnace abuse
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12
Q

what are some interventions that can be done to aid preconception?

A
  • health teaching
  • weight management
  • family planning
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13
Q

what is the average weight to gain when someone is underweight?

A

28-40

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14
Q

what is the average BMI

A

18.5 - 24.9

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15
Q

what is the average weight needed to gain for someone obese?

A

11-20

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16
Q

what is a NTD?

A

neural tube defect
- when a babys nural tube does not close properly before brith

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17
Q

what does the neural tube form?

A

brain and spine

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18
Q

when do the neural tubes close?

A

first months of gestation

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19
Q

why do women take folic acid?

A

prevent from NTD

20
Q

how many mg of folic acid needed to take if you are low, moderate or high risk for NTDS?

A
  • Low Risk: 0.4mg in a daily multivitamin 2-3 months throughout pregnancy
  • Moderate Risk: 1.0mg in first trimester, then reduce to 0.4mg
  • High Risk: 4mg/day through first trimester, then reduce to 0.4mg – 1.0mg daily
21
Q

true or false: you dont need to take multivitamins before pregnancy

A

FALSE: you need to take them at least 3 months in advance even if you are low risk for NTD’S

22
Q

when taking a pregnacy test, what is the test looking for in the body?

A
  • Beta HCG
23
Q

how can you estimate the date of birth?

A
  • through the LMP (last menstrual period)
  • date of intercourse
24
Q

what is nagele’s rule?

A

add 9 months from last known period then add 7 days

25
Q

what are the placental functions?

A
  • respiration
  • nutrition
  • excretion
  • storage
26
Q

the placenta acts like a….

A

endocrine gland

27
Q

at what age does a kid notices the mothers appearance change?

A

2 years old

28
Q

what age does a kid think its “their baby”?

A

school aged

29
Q

what are the 4 phases in a period?

A
  1. menstrual cycle
  2. follicular phase
  3. ovulation phase
    4.leuteal phase
30
Q

what happens in menstrual phase?

A
  • starts when the egg isnt fertilized
  • therefore estrogen and progesterone decrease
  • thicken lining of uterus starts to shed (bleeding)
31
Q

what happens in the follicular phase ?

A
  • starts on the first day of the period
    -ends when ovulation occurs
  • hypothalamus in brain sends signal to pituitary gland to release hormones that stimulate follicules that contain eggs (immature)
  • thickens uterus lining
32
Q

what happens in ovulation phase

A
  • the increase of estrogen in folicular phase triggers the pituitary gland to release a hormone that starts ovulation
  • when the ovary release a mature egg
  • egg travels down fallopian tubes to uterus to be fertilized by sperm
  • pregnancy happens here
33
Q

what happens in the luteal phase?

A
  • after the egg is released
  • turns into corpus lutium (a structure that releases estrogen and progesterone)
  • therefore these hormones increase
  • help uterine lining thick
    body will produce HCG at this phase
34
Q

what does the uterus do?

A

the lining of your uterus thickens and its blood vessels enlarge to provide nourishment to the fetus

35
Q

the cervix is…

A

fibrous connective and elastic tissue

36
Q

where is the cervix located?

A

above vagina under uterus

37
Q

what does the cervix do?

A

protects baby and secure it in uterus
- cervix is closed and rigid until labour

38
Q

where is your true pelvis located?

A

lower body

39
Q

when is the placenta finished being produced?

A

by week 12, the corpus lutieum will act as placenta until then

40
Q

when is the umbilical cord produced?

A

week 2-3

41
Q

what does amniotic fluid do?

A
  • maintains temp
  • cushions fetus from trauma
  • aids in fetal lung development
  • infection wall
42
Q

what are the three layers of the uterus?

A

Endometrium, myometrium, peritoneum

43
Q

Where does implantation occur under normal circumstances?

A

endometrium

44
Q

what is the hormone responsible for triggering ovulation

A

Luteinizing hormone (LH)

45
Q

What are the two layers that surround an ovum?

A

Zona pellucida and corona radiata

46
Q
A

lecture 1 - pre labour (1 decks)

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