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Nursing classes exams > Unit exam #1 - Maternal > Flashcards

Unit exam #1 - Maternal Flashcards

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1
Q

Acrocyanosis

A

bluish discoloration of hands feet but pink trunk

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2
Q

APGAR assessment

A

Routine rapid assessment of the newborn’s overall status and response to resuscitation.
it is scored In 5 domains
heart rate, respiratory rate, Muscle tone, Reflex irritability, and color

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3
Q

how is heart rate on the Apgar scored

A

0 is absent /
1 slow <100 bpm /
>100 bpm or equal to

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4
Q

how is respiratory effort measured on the Apgar scoring

A

0 Absent/
1 Slow, weak cry/
2 good cry

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5
Q

how is muscle tone measured on the Apgar scoring

A

0 Flaccid/
1 some flexion of extremities/
2 well flexed

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6
Q

how is the reflex irritability measured on the Apgar scoring

A

0 no response/
1 grimace/
2 cry

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7
Q

how is color measured on the Apgar scoring method

A

0 blue, pale/
1 body pink, extremities blue/
2 completely pink

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8
Q

Acetaminophen

A
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9
Q

Albuterol

A
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10
Q

Amlodipine

A
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11
Q

Aspirin

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12
Q

Beta-adrenergic agonist

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13
Q

Betamethasone

A
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14
Q

Calcium Glutinate

A

antidote for mangnesium sulfate

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15
Q

Estrogen

A
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16
Q

Folic acid

A
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17
Q

Guifensin

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18
Q

Gentamicin

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19
Q

Hydrocodone

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20
Q

iron supplement

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21
Q

labetalol

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22
Q

Magnesium Sulfate

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23
Q

Methylprednisolone

A
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24
Q

Montelukast Sodium

A
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25
Q

Pancreatic Enzyme

A
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26
Q

Prostaglandin

A
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27
Q

Rhogam administration

A
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28
Q

Placenta Previa

A

the placenta is implanted in the lower uterine segment it can completely cover the cervical os or partially or is close enough to the cervix to cause bleeding when the cervix dilates or the lower uterine segment effaces

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29
Q

Placental abruption

A

what is it? premature separation of the placenta from uterine wall
what causes it? smoking, hypertension, HELLP syndrome, and cocaine
symptoms of placental abruption? Vaginal bleeding, abdominal pain, back pain
how would you manage this?
early delivery and fetal condition assessment

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30
Q

Cystic Fibrosis

A

what is it? common autosomal recessive genetic disorder
what is the pathophysiology of CF? the exocrine glands produce excessive viscous secretions
what systems are affected? Respiratory and digestive system
what causes it? genetics
how do they diagnose it?
sweat chloride test for newborn, a genetic or carrier test etc.

31
Q

HELLP syndrome

A

what is it? laboratory diagnosis for a variant of preeclampsia that involves hepatic dysfunction characterized by hemolysis (H), elevated liver enzymes (EL), and low platelet count (LP)

32
Q

what are the important aspects of car seat safety?

A

put the seat in rear facing position because a frontal crash would result in it being spread over the head, neck and back and the car seat supports the spine. The car seat should have a 5 point safety harness, put a tightly rolled towel on the sides of the head to keep the head in place.

33
Q

what does GTPAL stand for

A

Gravita (number of pregnancies)/ Term (the number of pregnancies that ended in term birth)/ Preterm (number of pregnancies that ended in preterm births)/ Abortion / living children

34
Q

what is a term birth?

A

37 weeks and 0 days and beyond including early, full, late term and post births

35
Q

what is preterm birth?

A

between 20 weeks and 36 weeks 6 days gestation

36
Q

Alpha-fetoprotein screening

A

screening test for neural tube defects such as spina bifida or encephalopathy in pregnancy as an early detection screening tool.

37
Q

Ambivalence

A

having conflicting feelings simultaneously
what does it look like? mom is pregnant but mom is sad life is ending

38
Q

Amniocentesis

A

what is it? it is a screening test where amniotic fluid is obtained to screen for early detection of different chronic conditions of the fetus usually performed at 15 weeks gestation or after

39
Q

Anticipatory Guidance

A

what is it? it is what will occur at that age range and to teach parents what will be coming soon

40
Q

Atraumatic care

A

what is it? provision of therapeutic care in settings, by personnel and through the use of interventions that minimize or eliminate the psychological and physical distress experienced by children and their families in the health care system

41
Q

Biophysical profile

A

what is it? Noninvasive dynamic assessment of a fetus that is based on on acute and chronic markers of fetal disease

42
Q

Biophysical profile scoring system is based upon

A

Fetal breathing movements/ Fetal Movements/ Fetal tone/ Amniotic fluid and Non stress test

43
Q

what does the breath sound of Rails means

A

circulatory overload, too rapid transfusion, and transfusion of excessive quantity of fluid

44
Q

what does the breath sound of wheezes mean

A

Inflamed pleural surfaces of lung

45
Q

what does the breath sounds of crackles means

A

possible fluid overload

46
Q

how is concealed hemmorhage identified

A

Increasing fundal height

47
Q

Naegeles rule

A

what is it? it is used to estimate the due date of mom
how do you calculate it? date of last menstrual period - 3 calendar months + 7 days + 1 year

48
Q

when do you score a Apgar

A

1 minute after birth / 5 minutes after birth

49
Q

Object Permanence

A

the object is not visible but still exist but the child thinks it is gone
from birth to 2 years old of sensiormotor stage

50
Q

Oral glucose tolerance test

A

a screening tool to check for Gestational diabetes Mellitus
checked after an hour but if you fail it you have to do a 3 hour test
when is the test scheduled? 24-28 weeks

51
Q

Preterm Birth

A

birth that happens between 20 weeks to 36 6/7 weeks

52
Q

Preterm Labor

A

What are the S/S? change in type of vaginal discharge (watery, mucus, or bloody)/ increase In amount of vaginal discharge/ constant low, dull backache/ pelvic or lower abdominal pressure/ Mild abdominal cramps with or without diarrhea/ regular or frequent contractions or uterine tightening, often painless/ ruptured membranes
what would be the diagnostic for preterm labor? shortened cervical length, Fetal Fibronectin
What are the Complications? Intrauterine infection, cord prolapse, umbilical compression and placental abruption

53
Q

Preterm Premature rupture of membranes PPROM

A

rupture of membranes before 37 weeks
what causes it? weakening of amniotic membranes

54
Q

Premature rupture of membranes PROM

A

membrane rupture before 37 0/7 weeks of gestation

55
Q

Pseudomonas aeruginosa

A

or staphylococcus aureus Acute otitis external infection of ear from swimming
common in 5 - 14 years old peaks In summer.

56
Q

Rubella (titer, vaccination, S/S)

A

what is it? a subcutaneous injection of rubella vaccine is recommended in the postpartum period prior to discharge from the birth facility
purpose of the vaccine? to prevent the possibility of contracting rubella in future pregnancies; it is given for measles, mumps, rubella (MMR) vaccine.
what is the titer reading? 1:8 or less or enzyme immunoassays level <0.8
what are the signs and symptoms of Rubella? Fever, transient arthralgia, rash and lymphadenopathy

57
Q

Toxoplasmosis

A

can come from pregnant woman being around cat poop and eating raw meat

58
Q

Infant reflexes

A

Moro, Babiniski, Tonic neck, dancing/stepping

59
Q

What is the moro infant reflexes

A

newborn lays in supine position on a bed and crying with arm extended outward fingers fanned out and knees bent

60
Q

What is the Babinski infant reflexes

A

beginning of the heel stroke upward along lateral aspect of the foot, then move finger across ball of foot

61
Q

what is the Tonic neck infant reflexes

A

supine neutral position, turn head quickly to on side

62
Q

what is the dancing/stepping infant reflexes

A

hold infant vertically under arms or on trunk, allowing one foot to touch table surface

63
Q

Gestational Diabetes

A

what is it? diagnosed during the second or third trimester of pregnancy increased blood glucose levels
what are the S/S? hyperglycemia
how do you diagnose it? positive glucose tolerance test

64
Q

Fundal Height

A

measurement of the height of the uterus above the symphysis pubis and an indicator of fetal growth or 3 cm variation of growth

65
Q

FLACC

A

PostOperative pain scale for 2 months to 7 years old

66
Q

what does FLACC stand for

A

Face/ Legs/ Activity/ Cry/ Consolability

67
Q

How do you score the face

A

0 No particular expression or smile/
1 Occasional grimace or frown, withdrawn, disinterested/
2 Frequent to constant frown, clenched jaw, quivering chin

68
Q

how do you score the legs on the FLACC scale

A

0 Normal position or relaxed/
1 Uneasy, restless, tense/
2 Kicking, or legs drawn up

69
Q

what is the activity scoring on the FLACC post operative scale

A

0 lying quiet, normal position, moves easily/
1 squirming, shifting back and forth, tense/
2 arched, rigid or jerking

70
Q

what is the cry scoring for the FLACC scale

A

0 no cry/
1 moans or whimpers occasional complaint/
2 crying steadily, screams or sobs, frequent complaints

71
Q

what is the consolability scoring on the flacc scale

A

0 content, relaxed/
1 reassured by occasional touching/
2 difficult to console or comfort

72
Q

Fetal kick count

A

it is an noninvasive, inexpensive and simple to understand and usually does not interfere with a daily routine. it is an assessment test to see if the fetus is well oxygenated
One of the way is to count once a day for 60 minutes. 10 movements should be counted in a 12- hour period.

73
Q
A

Nursing classes exams (7 decks)

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