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OB > prenatal 2 -preterm > Flashcards

prenatal 2 -preterm Flashcards

1
Q

What is the significance of folic acid

A

reduce the rate of neural tube defects such as spina bifida

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2
Q

What is the appropriate amount of folic acid

A

400 mcg./day

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3
Q

What are the food sources for folic acid-4

A

Green leafy vegetables, liver, peanuts, and whole-grain breads and cereals.

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4
Q

What is the significance of iron

A

In prevention of iron deficiency anemia

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5
Q

What is the appropriate amount of iron

A

27 mg/day

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6
Q

What are the food sources for iron-8

A

Lean meats, dark green leafy vegetables, eggs, and whole-grain and enriched breads and cereals, dried fruits, legumes, shellfish, and molasses.

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7
Q

• What is the practice of pica

A

It is the craving for and persistent eating of nonnutritive substances, such as soil, clay, powdered laundry starch or corn starch, soap, baking powder, freezer frost, ice, charcoal, burnt matches, or ashes.

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8
Q

What are the clinical implications for a mother practicing pica?

A

May contribute to iron-deficiency or interfering with iron absorption.

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9
Q

In what manner would pica be assessed

A

History and non-judgmental attitude.

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10
Q

How would you teach a mother to assess fetal movement

A

Check twice a day. At least 10 movements in 3 hour period

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11
Q

What is the significance of fetal movement

A

Fetal activity provides reassurance of fetal well-being

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12
Q

What would you instruct the mother to do if fetal movement is adequate

A

Begin at 28 weeks on a daily basis.

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13
Q

What would you instruct the mother to do if fetal movement is inadequate

A

Consult physician immediately

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14
Q

• Amniocentesis. What is the purpose of this test in the first or second trimester

A

Detect fetal anomalies or neural tube defects or chromosomal

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15
Q

Amniocentesis. What is the purpose of this test in the 3T

A

Assess for lung maturity

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16
Q

What should the nurse teach the mother about the amniocentesis

A

report unusual fetal hyperactivity or lack of movement, vaginal discharge, uterine contractions or abdominal pain, fever or chills.

17
Q

What is the non-stress test

What is meant by 15 x 15

A

A test to assess fetal well-being. A reactive test show at least two accelerations of FHR with fetal movements of 15 beats per minute, lasting 15 seconds or more.

18
Q

When is a non-stress reactive or reassuring

A

Nonreactive test accelerations are not present or do not meet the above criteria indicating that the fetus is at risk or asleep

19
Q

When is the non-stress nonreactive or non-reassuring

A

When the fetus is asleep or at risk.

20
Q

What is the nurse’s response to a reactive non-stress test

A

Shows fetal well-being

21
Q

What is the nurse’s response To a nonreactive non-stress test

A

Repeated for 20 minutes after stimulation

22
Q

What is the contraction stress test

A

It is a means of evaluating the oxygen and carbon dioxide exchange of the placenta.

23
Q

What is a negative contraction stress test

A

A negative CST shows 3 contractions of good quality lasting 40 or more seconds in 10 minutes

24
Q

What is a positive contraction stress test

A

A positive CST shows repetitive late decelerations with more than 50 % of the contractions. This is bad

25
Q

What is the nurse’s response to a positive contraction stress test

A

fetus will not withstand the stress of labor

-biophysical profile

26
Q

What is the purpose for performing a biophysical profile

A

It is performed when there is a risk of placental insufficiency or fetal compromise

27
Q

biophysical profile assesses-5

A

Fetal breathing movement, fetal movements of body or limbs, fetal tone, amniotic fluid volume (visualized as pockets of fluid around the fetus) and the 5th is reactive fetal heart rate with activity (reactive nonstress test (NST)

28
Q

What two tests make up a biophysical profile

A

ultrasound and the nonstress test

29
Q

What does the numeric score mean with biophysical profile

A

A score of 8 or 10 is normal

OB (15 decks)

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