vn 34 clo 1 Flashcards
Before the baby is born how does it get nutrition
placenta
What positions help the pregnant women sleep or what are things they can do?
put a pillow under the right hip
Non pharmacological recommendation for heartburn?
Evalate HOB
Recommendation for morning sickness?
crackers on the side of the bed to help with N/V
Patient reports having small amount of vaginal spotting after pelvic check , what do we tell patient to do?
watch spotting & report if it increases
How do they discover gender of babys sex?
ultrasound
What does a reactive non stress test mean?
Shows fetal well being by showing that the fetal HR increases w/activity
How do we know we are in true labor?
cervix is effacing & dilating
Best recomendation for intense back labor pain
counter pressure against the sacrum
Vital signs of newborn & blood glucose (PG.272)
HR110-160
RR 30-60
BP: 60–80/40–45 mm Hg
Axillary Temp: 97.7°F–98.6°F (36.5°C–37°C)
Blood glucose: 50-60mg/dL
Why do we assess the scrotal sac of a newborn w/a penlight?
to illuminate that there’s a hydrocele
What is the ortolani maneuver assessing for?
hip dislocation
Jitteriness & high pitched crying in a newborn what do we check?
blood glucose?
Whats the best way to increased breast milk supply?
empty the breast as completely as possible
Best way to avoid infection during labor & delivery?
hand washing
An electronic fetal heart monitor shows possible cord compression, what do we do? (go look at what it looks like as well as uterine insufficiency)
reposition
Whats the normal heart rate for a fetus ?
110-160
Pregestational diabetic, whats the best nursing care?
encourage blood glucose control
When do we administer rubella vaccine?
after birth, before discharge
The nurse is appraising the record of a pregnant client who is resting in a dark room & receiving betamethasone & mag sulfate, the nurse will continue to monitor for which condition?
severe preeclampsia
What’s the main thing we prioritize immediately postpartum?
hemorrhage
Nursing action for episiotomy?
ice pack
What does a boggy & deviated fundus indicate?
bladder distention
What is the priority regarding pp blues & depression?
use the pp depression assessment tool
What do we do when pp woman has temp of 102.4?
notify the RN or provider
When we feel a soft & spongy fundus after 12hrs what does the nurse do?
massage the fundus
What is not an uncommon effect of a GDM mom with uncontrolled blood sugars?
large gestation age
What does yellow hue or tone in sclera or skin of a 22hr old newborn indicate?
hemolytic disease
In preterm babies which body system is most of concern?
respiratory system
What do we do if 24hrs after birth, baby has a distended abdomen and no record of bowel movement?
notify the provider
phenylketonuria (PKU), what can it lead to if it is not treated?
intellectual disability
