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Maternity Final > Presentation Material > Flashcards

Presentation Material Flashcards

1
Q

Shoulder Dystocia

A

Failure of the anterior fetal shoulders to deliver after the fetal head

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2
Q

Two biggest risk factors for shoulder dystocia?

A

Abnormalities in maternal pelvis and macrosomia

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3
Q

What are some signs of shoulder dystocia?

A

Slow second stage of labor and fetal head emerging and retracting (turtle sign)

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4
Q

What is a top cause of malpractice claims?

A

Shoulder dystocia that results in permanent fetal injury

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5
Q

The McRoberts manuever

A

moves the sacrum and synthesis pubis to decrease the angle of inclination

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6
Q

What is the preferred method of shoulder dystocia?

A

Done with epidural anesthesia

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7
Q

How do you dislodge fetal shoulders from the pubic bone in the McRoberts manuever?

A

Apply suprapubic pressure directly above the symphasis pubis

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8
Q

Fetal Non-Stress Test

A

a normal fetus prouces characteristic heart rate patterns in response to fetal movement, uterine contractions, or stimulation

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9
Q

What is the most common reason for the absence of FHR accelerations?

A

quiet fetal sleep state

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10
Q

How will a woman be placed for a NST?

A

In a relining chair to allow optimal uterine perfusion and to prevent supine hypotension

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11
Q

What is a NST looking for?

A

signs of fetal activity and a concurrent acceleration of FHR

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12
Q

A reactive test means

A

there were two accelerations of their heart rate in a 20-minute period

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13
Q

A non-reactive test interventions may include

A

Giving the mother orange juice, vibroacoustic stimulation, and music

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14
Q

The disadvantage of Fetal non stress test is that there is a

A

high rate of false positive nonreactive tests

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15
Q

What is Rh?

A

A protein on the surface of RBC’s

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16
Q

What are Rh- blood types?

A

O+, O-, A-, B-, AB-

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17
Q

What is one way a mom may have the antibodies?

A

If Rh- mom has previously had a Rh+ baby

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18
Q

What is necessary to test for mother to know if there may be an incompatability?

A

Mothers blood type and if mother has antibodies to Rh protein

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19
Q

How can a Rh+ baby cause a mother to produce antigens?

A

Baby’s Rh blood can enter mother’s circulation and cause mother’s body to produce antibodies that attach Rh+ RBCs

20
Q

What is the biggest worry in a first pregnancy incompatability?

A

Rh sensitization in future pregnancies

21
Q

What is Rh sensitization?

A

Occurs when mother’s antibodies cross the placenta and attack Rh+ RBC’s in baby

22
Q

What does Rhogam do?

A

prevents maternal blood from producing antibodies that attack Rh+ RBC’s by binding to Rh+ and removing them from circulation

23
Q

When should Rhogam be given?

A

28 weeks and within 72 hours of delivery

24
Q

What is circumcision?

A

the removal of all or part of the foreskin of the penis

25
Q

Health benefits of NMC:

A

prevention of UTI, reduced risk for penile cancer, and reduced risk for STI’s, particularly HIV

26
Q

What are some reasons parents choose to have NMC?

A

hygiene, religious conviction, tradition, culture, social norms

27
Q

Why is NMC not performed immediately after birth?

A

danger of cold stress and decreased clotting factors

28
Q

How do you prepare for a NMC?

A

penis is cleaned with soap and water or antiseptic solution, draped to provide warmth and sterile field

29
Q

Gomco clamp

A

surgical removal, minimizes blood loss., ned petroleum gauze dressing for 24 hours after

30
Q

PlastiBell

A

fitted over glans, suture tied around rim of bell, and excess foreskin is cut away; plastic rim falls off when it heals, petroleum gauze is not necessary

31
Q

How often do you check for bleeding in NMC?

A

Every 15 - 30 minutes for first hour and then hourly for next 4 - 6 hours. Then with every diaper change thereafter

32
Q

What do you do if bleeding occurs in NMC?

A

apply gentle pressure with a folded sterile gauze square

33
Q

How often should an infant have a wet diaper after NMC?

A

2 - 6 times per 24 hours the first 1 - 2 days, then 6 - 8 times per 24 hours after 3 - 4 days

34
Q

How to keep area clean after NMC?

A

Change diaper and inspect every 4 hours, wash penis with just water (no soap or baby wipes), apply petroleum with each diaper change, apply diaper loosely

35
Q

What is the goal of cord care?

A

prevent or decrease the risk for hemorrhage and infection

36
Q

The cord should be kept

A

clean and dry

37
Q

The umbilical cord consists of

A

two arteries and one vein

38
Q

How do you clean the cord?

A

Give sponge baths, cleanse with water at the base of the cord where it joins the skin

39
Q

How frequently does cord get assessed and cleaned?

A

Every diaper change; if cord is soiled clean it with water and dry it thorougly

40
Q

When is the cord clamp taken off?

A

when the cord is dried; about 24 - 48 hours

41
Q

When should the cord fall off?

A

10 - 14 days to 3 weeks

42
Q

What happens to the cord about day 3?

A

It becomes black, dry, and shriveled

43
Q

What might happen when the cord separates?

A

There may be a few drops of blood from the umbilicus

44
Q

What should a woman do for lactation suppression?

A

wear w well-fitted support bra continuously for the first 72 hours

45
Q

What should the mother avoid when suppressing lactation?

A

breast stimulation, running warm water over breasts, newborn suckling, expressing milk

46
Q

How can a woman manage engorgement of breasts?

A

application of ice packs, cabbage leaves, a mild analgesic or anti-inflammatory medication

Maternity Final (7 decks)

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