pt 1 Flashcards

1
Q

what would you encourage in stage 2 of delivery ?

A

push w/ contractions

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2
Q

place stage of delivery in order (placenta)

A

1.cord lengthen
2. gush of of blood
3.placental delivery

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3
Q

lady came in and what is happening

A

5 cm dilation
100% effacement
-2 above

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4
Q

what would you need to report to the HCP

A

-absent moro reflex
-the umbilical cord only has 2 vessels
-BP above 170

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5
Q

A lady gets an epidural, which assessment finding takes priority?

A

calves are red and swelling

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6
Q

what is the risk factor for an UTI/hemorrhage?

A

-bladder retention
-bladder distension

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7
Q

uteroplacental insufficiency

A

-due to late decelerations
-leads to hypoxia

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8
Q

SATA: you give methergine what do you do?

A

-monitor their BP
-IM injection
-increases contractions

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9
Q

SATA: about ROM true statements

A
  • positive fern test
    -occurs in labor
    -can occur before labor
    -infx risk after 18-24 hr
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10
Q

SATA: priority question

A

temp 100.4 F.
pulse over 100
prolonged labor
ROM +18hr

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11
Q

what fetal circulatory changes happen after birth

A
  • closure of the foramen ovale
    -ductus venosus
    -ductus arteriosus
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12
Q

the amniotic fluid is cloudy what would you expect?

A

infx

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13
Q

VEAL
what do you expect with early decelerations?

A

head compression

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14
Q

match the interventions to: early, fetal tachycardia, late decelerations

A

VEAL
CHOP
MINE
-identify labor(check cervix) for early
- prolly hydrate for fetal tachy
- POISON late decelerations

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15
Q

VEAL
CHOP
match each with specific statements

A

early - mirror contractions

accelerations- reassuring finding

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16
Q

math 2ml for 200 mg

17
Q

math infusion: 200 ml hr

18
Q

what finding would suggest uterine atony

A

boggy fundus

19
Q

ordering question regarding preventing hemorrhage

A
  1. assess/massage fundus
  2. check VS
  3. admin oxytocin
20
Q

the baby has jaundice what do you do first to treat it

A

encourage breast feeding

21
Q

SATA: what are the epidural disadvantages-nursing education

A
  • paralysis of lower body
  • hypotension
  • dizziness
  • headache