QUESTIONS TO KNOW Flashcards
How do you measure the fundal height?
From pubic symphysis to fundus
Mom is 28 weeks pregnant. What is her normal fundal height measurement?
29cm
LMP at Feb 12 2018
Nov 19 2018
What is the GTPAL?
Pregnant woman. 5 yr old at home. Her last gestation ended at 12 weeks. Had twins at 22 weeks.
G4
T1
P1
A1
L1
When corpus luteum begins to degenerate after estrogen and progesterone fall and the blood supply is reduced is called what?
Ischemic phase
What is the site of fertilization?
Fallopian tubes
What structures are INTERNAL in the female reproductive organs? SATA.
a) Fallopian tubes
b) mons pubis
c) clitoris
d) labia majora
e) ovaries
Fallopian Tubes & Ovaries
Where does LH come from?
Anterior Pituitary Gland
Woman has opted to use fertility awareness method for contraception. She goes down there and looks at her cervix and sees thin and clear mucus/discharge. What does this indicate in regards to fertility?
Ovulation
Mom comes into the clinic and is complaining of nausea, vomiting, and breast tenderness. What are these signs called?
PRESUMPTIVE signs
Which of the below are hormonal methods of contraception? SATA.
a) vaginal sponge
b) depo-provera
c) birth control pills
d) diaphragm
e) vaginal ring
depo-provera
birth control pills
vaginal ring
Which organs are the male INTERNAL organs? SATA.
a) urethra
b) scrotum
c) prostate
d) penis
e) epidydymus
urethra
prostate
epidydymus
Male sexual response cycle in order:
- desire
- excitement
- plateau
- orgasm
- resolution
Client comes into the clinic and finds out she is pregnant. HCP calculates her estimated date of delivery (EDD) by using what date?
1st day of last menstrual cycle
What is striae gravidarum?
stretch marks
There are several lab tests that should be done. What labs do we do on the first prenatal visit? SATA.
a) CBC
b) HIV
c) liver enzymes
d) blood typing and Rh factor
e) varicella titer
CBC
HIV
Blood typing & Rh factor
A client comes in and she’s craving things that people don’t normally eat. What is this called?
PICA
Menopause is described as?
1 year without a period/menses
A client comes in at 28 weeks and complains to the HCP of lower back pain. What could this be?
increased lordosis
Male reproductive parts and their function. Where is sperm produced?
Testes
A client comes into the clinic and complains of heavy bleeding on and off. What is the treatment for abnormal uterine bleeding? (AUB). SATA.
a) admin of oral iron
b) dilation & curettage (aka D&C)
c) blood transfusion
d) endometrial ablation
e) uterine artery embolization
dilation & curettage (D&C)
endometrial ablation
uterine artery embolization
What are the procedures called to sterilize both male and female?
Vasectomy
Tubal ligation
Mom’s LMP is Jan 4 2022. What is her EDD?
Oct 11 2022
How do you describe fetal station?
How far baby is down in the pelvis
A woman is going through amnioinfusion. Which statement is true regarding amnioinfusion? SATA.
a) thinned out meconium
b) for hydramnios
c) help w/ variable deceleration
d) the catheter will be inserted into the woman’s cervix
-help w/ variable deceleration
-catheter will be inserted into the woman’s cervix
Nurse assesses the FHR and it shows a W. What does this mean?
Variable deceleration
Woman is in labor. What pain medications can we give her? SATA.
a) nifedipine
b) fentanyl
c) butorphanol
d) nalbuphine
fentanyl
butorphanol
nalbuphine
Mom is 6cm dilated. What is happening in the second stage of labor?
Mom is actively pushing
What are the 4 decelerations?
- variable
- early
- late
- prolonged
Nurse assesses postpartum mom. What is a possible postpartum complication?
101 temperature
What do the 4 decelerations mean?
Variable = cord compression
Early = head compression
Late = uteroplacental insufficiency
Prolonged = prolonged cord compression/ decrease amount of O2 to the fetus
A woman is admitted to L&D and is noted with 2cm below the ischial spine. What is her fetal station?
+2
When mom is having contractions, the nurse notes that her fundus feels like the bottom of the chin.
Moderate
Mom is 37 weeks and says that it’s easier to breathe. What is the reason for this?
Lightening
-when the baby drops lower
What are the signs of infection?
Increased temperature
Mom’s fetal presentation is showing shoulder position. How is her baby going to be delivered?
C-section
The nurse is using effleurage to help with mom’s pain. What does effleurage mean?
Light stroking with the fingers on mom’s abdomen
Client comes into the clinic for her first prenatal check up. Mom is G3T1P1A0L1. Her cervical os would look like what?
Split like
Many hospitals don’t perform vaginal after c-section (VBAC) for this reason. What is the main risk for VBAC?
uterine rupture
Client comes into the clinic and asks for induction. What are the indications for induction? SATA.
a) prolonged gestation
b) intrauterine fetal demise
c) DM
a, b, c
Client is at 29 weeks and comes into the clinic w/ regular contractions that last 6-9 minutes apart. HCP orders betamethasone. What is this for?
Matures the fetus lungs
Client calls the clinic and says “I think my water just broke” What is an appropriate statement by the nurse to say to the client?
Come to the L&D clinic asap to be further evaluated.
Client is in labor and cervix effaces. What does that mean?
Thinning of the cervix.
Fetus goes through many positional changes as it travels through the passageway. What are these changes called?
cardinal movements
Mom just gave birth an hour ago and her fundus is noted to be on the right side. What does this mean?
Full bladder
What are the P’s affecting labor and birth?
Passageway
Passenger
Powers
Psyche
Position
What is the analogy we used in class for interpreting FHR patterns with category 1-3 and what is happening in each category?
TRAFFIC LIGHT
(look this up)
Mom is having late decelerations. Put the nursing interventions in order:
- reposition
- give O2
- increase IV rate
- discontinue oxytocin
- call MD
- prepare for c-section
Patent presents to L&D, decreased fetal movement, she’s 30 weeks. What would you expect her NST to do?
10 x 10, twice in 20 minutes.
She is under 32 weeks so 10x10
A pregnant woman at 32 weeks gestation, complains of dizziness and lightheadedness while she’s doing her fundal height measurement while laying flat on her back. What should the nurse do?
Turn the woman on her left side.
Active phase of labor. What do you see?
Feels the urge to push, perineum bulges, and cervix dilated to 10 cm
Patient comes in, her water broke yesterday and is in labor. She’s on a fetal monitor, you take her vital signs. Her VS are stable. What would be completed once her VS are done?
Perform a vaginal exam.
Fetal monitor shows this, what are those? Fill in
Late decelerations
With the strip above (late decels), what would be the priority interventions?
reposition the client
apply oxygen
start an IV
Stop oxytocin
Call md
Prepare for c section
The client in labor is 6cm, experiences late decels, we deliver the baby via c-section and this is the APGAR.
no cry = 0, some flexion of the arms and legs = 1, pulse 101 = 2 (anything over 100 is 2), pale and cyanotic all over =0, coughs while suctioning = 1
What is the APGAR total score?
4
What do you do for leg cramps?
Check for DVT
In a 12 week gestation, conception, she is rH negative, so what do we need to do?
Give Rhogam within 72 hrs
The chief function of progesterone is?
Preparation of the uterus to receive a fertilized egg
After the first 4 months of pregnancy the chief source of estrogen and progesterone is what?
Placenta
26 years old, muligravita, 14 weeks, AFP (alpha fetoprotein) what is it?
Neural tube defects and down syndrome
Pituitary hormone for milk?
Prolactin
Hyperemesis, graviera, excessive vomiting? What should we look out for on the patient?
electrolyte imbalance
Woman comes to the clinic, thinks she is pregnant, reports of a positive pregnancy test? What kind of sign is this?
Probable sign
HCP for a woman. She is 40 weeks, where is the placement of the external TOCO?
near the uterine fundus
Caring for a woman, during birth to a baby, the head’s delivered, the head retracts back, can’t get it out. What are we going to do?
Have the pt push, McRobert’s maneuver, perform suprapubic pressure
What is Goodell’s sign?
Softening of the cervix
What are we checking for in the vaginal exam?
dilation
effacement
station
presenting position
What are the characteristics of amniotic fluid for the baby?
- allows for fetal movement
- can be used to measure fetal kidney function
- surrounds, protects, and cushions the baby and cord
How many arteries and how many veins in the umbilical cord?
AVA
2 arteries, 1 vein
38 weeks gestation, FHR is 154 bpm. What is the priority nursing action?
Tell the client the FHR is normal.
What is the purpose of the placenta?
Baby receives oxygen and food from the placenta.
28 weeks gestation, what would be the fundal height?
29 cm
What are probable signs?
Chadwick’s sign
Abdominal enlargement
Braxton hicks
When would be her due date, April 19, 2022?
January 26 2023
Abortion at 16 weeks, still born at 39 weeks, last pregnancy ended with a miscarriage. She has a 12 yr old son…. + more idk
G4
T1
P1
A2
L2
0,0,2,2 IDK….
4
Excessive bleeding. What do we do first?
Check BP, vital signs
Hormonal methods of birth control?
Depo provera
birth control pills
vaginal ring
Which are cardinal movements?
Extension & rotation
Decent & engagement
Flexion & explosion
New nurse orientation, baby’s diaper has black sticky stool in it, what is the appropriate description?
Meconium stool & is normal for a newborn
The nurse places the crib AWAY from the wall that goes to the outside to minimize heat loss via?
RADIATION
When explaining how the newborn adapts to uterine life, which body system changes?
Respiratory and cardiovascular
Cleaning up after delivery, sees the left side of the labia is swollen, what is happening?
Hematoma on the labia
Nurse is discussing female blood screening, what is the test for?
Hypothyroidism
Sickle cell disease
Galactosemia
What statement is correct about cap succedaneum?
It does cross the suture lines
Vitamin K does what?
promotes blood clotting
Treats postpartum hemorrhage (medication)?
Carboprost
What is this? (lines)
variable decelerations
What procedure can be done to treat this pattern? (variable)
amnioinfusion
She might be pregnant, waiting on the pregnancy test, what are we measuring?
HCG
(human chorionic gonadotropin)
Which action best describes the lung retain, expand after initiating of breathing?
mean role of surfactant
Ballard Score ? idk
testes located in scrotum in deep rugae covering the scrotum
Two assessments, why are they done?
Assess the maturity of the baby
The nurse stabilized the base of the uterus with one hand and palpates the top of the fundus with the other. Why is she doing this?
Stabilize the base of the uterus (so you do not invert the uterus)
APGAR score: crying vigorously = 2, HR 136 = 2, skin is pink w/ cyanosis of feet and hands = 1, slight gag with suction =1, arms and legs are moving slightly = 1. What is the total score?
7
