OB nursing
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| show | End of the pregnancy before 20 weeks gestation
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| Spontaneous abortion: Early | show 🗑
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| show | "miscarriage" of the pregnancy between 12-20 weeks gestation
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| show | Infections, genetic problems, autoimmune diseases, endocrine imbalances
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| show | Maternal causes: age, nutrition, drug use, chronic infection, incompetent cervix
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| Threatened abortion | show 🗑
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| Inevitable abortion | show 🗑
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| Incomplete abortion | show 🗑
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| show | Risk of infection and hemorrhaging; treat with D&C (dilation and certage)
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| Complete abortion | show 🗑
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| Missed abortion | show 🗑
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| Recurrent abortions | show 🗑
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| Treatments for patients with abortion | show 🗑
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| What is the treatment for an incompetent cervix | show 🗑
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| What are nursing considerations for reoccurring abortions | show 🗑
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| What is ectopic pregnancy | show 🗑
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| show | Ectopic pregnancy
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| show | One-sided abdominal pain, light bleeding, referred shoulder pain, and s/s of Hypovolemic shock (rigid abdomen)
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| How is ectopic pregnancy diagnosed | show 🗑
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| What is the treatment for ectopic pregnancy | show 🗑
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| show | Start of labor between 20-37 weeks gestation
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| What is the #1 cause of PTL | show 🗑
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| s/s of preterm labor | show 🗑
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| show | Have her come in to be seen; these are signs of PTL
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| show | Determining risk of PTL; it is expensive and not very accurate
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| What WBC count signals infection | show 🗑
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| When should fetal lung maturity testing be done for patients with PTL | show 🗑
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| show | No; only after 34 weeks
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| show | IV fluids, abx to treat any infections, medication to stop contractions or delivery if >34 weeks or ROM
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| show | Stops contractions in PTL
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| show | Relaxes smooth muscle; must be administered via IV pump; monitor for magnesium toxicity; monitor VS closely; monitor serum mg levels
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| show | Loss of DTR; depressed cardiac and respiratory function (acts on CNS in brain); flushing, sweating, flaccid paralysis
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| What is the therapeutic range for magnesium sulfate serum for PTL | show 🗑
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| A patient on magnesium sulfate has loss of DTR; what would you expect the magnesium serum to be | show 🗑
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| A patient on mag sulfate has respiratory depression; what you expect the mag serum level to be | show 🗑
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| show | 25 mEq/L
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| show | Calcium gluconate
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| Terbutaline (for PTL): nursing considerations | show 🗑
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| What are the side effects of Terbutaline (for PTL) | show 🗑
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| Indocin (for PTL): nursing considerations | show 🗑
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| Side effects for Indocin (for PTL) | show 🗑
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| show | ROM before start of contractions and after 38 weeks: must delivery baby within 48 hours
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| PPROM | show 🗑
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| show | Infection; prolapsed cord
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| show | Mild, frequent contractions; can decrease perfusion to the baby
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| What is fetal tachycardia indicative of | show 🗑
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| show | true
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| show | Maturity of aveoli and sufficient surfactant production
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| show | NO routine pelvic exams (risk of infection); start IV abx at 24h
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| show | HTN and proteinuria
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| show | destruction of RBC; elevated liver enzymes; decreased platelets (r/t pre-E)
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| show | seizures or coma during pregnancy (severe) with s/s of pre-E
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| show | HTN the existed before pregnancy; managed with medications
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| chronic HTN with superimposed pre-E | show 🗑
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| Transient HTN/PIH (pregnancy induced HTN) | show 🗑
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| s/s of Pre-E | show 🗑
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| why do pts with pre-E have proteinuria | show 🗑
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| why do pts with pre-E have hemolysis | show 🗑
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| show | liver damage causes liver swelling and release of liver enzymes
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| show | monitoring BP 2x/day; 24 hour UA; subjective data analysis
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| s/s of severe pre-E | show 🗑
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| show | decreased placental perfusion, hypoxia, IUGR, PTL
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| how to obtain BP on a pt with pre-E | show 🗑
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| show | # beats after flexion of foot; indicated risk of seizures due to CNS irritability
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| nursing interventions for pre-E | show 🗑
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| show | hepatic rupture = death
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| show | DIC: hemorrhaging
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| show | seizure precautions (padded bedrails, suction & O2 at bedside); fall precautions (altered mental status)
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| Magnesium sulfate (for pre-E) | show 🗑
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| Normal side effects of mag sulfate | show 🗑
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| s/s of mag sulfate toxicity | show 🗑
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| antidote for mag sulfate | show 🗑
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| Treatment of ecclampsia (pt in active seizure) | show 🗑
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| show | estrogen causes increase fluid retention; Hcg causes nausea and hypoglycemia
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| normal control of blood sugar during later pregnancy | show 🗑
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| show | LGA baby: >8#13oz
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| potential fetal complications of diabetes | show 🗑
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| show | SGA/LGA baby; hypoglycemia; cold stress; ruddy appearance (RBC production); jaundice, respiratory distress
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| show | 28 weeks gestation
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| show | yes: 1 hour should be less than 180
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| show | 95; 180; 155; 140
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| a patient taking the 3 hr GTT has a 2 hour result of 165 is this normal | show 🗑
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| a patient taking the 3 hour GTT has a 3 hour result of 150 is this normal | show 🗑
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| what is the treatment for pre-existing diabetes during pregnancy | show 🗑
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| show | (1st) diet control and exercise; (if not working) insulin
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| show | biophysical profile, fetal lung maturity testing, kick counts
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| show | placenta implants low in the uterus; close to or covering the cervical oss
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| show | placenta completely covers the cervical oss; must deliver via C-section
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| show | placenta covers part of the cervical oss; must deliver via C-section
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| marginal placenta previa | show 🗑
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| show | placenta implants low in the uterus, not covering the cervical oss; placenta may prevent the fetus from getting into a vertex position and cause transverse lie = C-section
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| complications of placenta previa | show 🗑
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| s/s of placenta previa | show 🗑
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| nursing considerations for patients with placenta previa | show 🗑
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| show | placenta begins to detach from the uterine wall causing bleeding and uterine hypoxia to the fetus
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| show | placenta begins to separate in the middle with the edges still attached; may cause pain but with no bleeding
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| Placenta abrupta: marginal | show 🗑
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| Diagnoses of placenta previa | show 🗑
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| show | most dangerous: complete separation from the uterine wall. Causes maternal hemorrhaging and fetal death: Emergency C-section
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| s/s of placenta abrupta | show 🗑
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| SGA baby | show 🗑
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| What are the expected findings of an SGA baby at birth | show 🗑
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| show | Problems during early pregnancy such as chromosome abnormalities, exposure to toxins during development, or preexisting maternal conditions (diabetes)
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| show | Small body and head; proportional body: head size; likely to remain small throughout life
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| show | Problems during late pregnancy (after 28 weeks): pre-E, gestational diabetes
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| show | A big head and a small body; likely to catch up to normal size with proper nutrition
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| LGA baby; Macrosomia | show 🗑
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| Expected findings of an LGA baby at birth | show 🗑
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| Biggest risks for an SGA baby | show 🗑
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| Biggest risks for an LGA baby | show 🗑
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| show | Persistent tremors, irritability, poor muscle tone, respiratory distress, poor thermoregulation
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| show | Long and thin due to continued bone growth and loss of subQ fat; flaky/peeling skin due to loss of vernix and lanugo, green tinted skin due to processing meconium
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| What is labetalol used for | show 🗑
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| What is betamethasone used for | show 🗑
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| show | Delivery between 20-37 6/7 weeks gestation
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| What is the #1 cause of premature birth | show 🗑
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| What does a pre-term baby look like | show 🗑
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| What is an environmental concern for pre-term babies | show 🗑
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| What is periodic breathing | show 🗑
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| What is apnea of the newborn (especially preemies) | show 🗑
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| show | Keep lateral or prone; NOT on back
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| Interventions for pre-term babies | show 🗑
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| show | Suction the mouth first (angle the tip toward the cheeks not directly back) and then the nose; be careful not to damage the larynx
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| What is normal temperature range for preemie babies | show 🗑
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| show | 1-3 mL/kg/hr
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| Risks for preemies babies | show 🗑
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| show | Decreased output, poor skin turgor, sunken fontanels, dry mucous membranes
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| s/s of cold stress in a newborn | show 🗑
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| show | No tape, alcohol, or betadine used on these babies due to skin and endocrine sensitivity
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| show | "squish" the baby, sucking, pain meds
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| What is DIC | show 🗑
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| show | Bleeding gums or nose, petechiae, excessive bleeding from IV sites/wounds, increased HR, decreased BP, decreased T, increased R
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| What will the labs of a pt with DIC look like | show 🗑
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| show | tx the cause of the DIC (infection, placental abruption, incomplete abortion); manage with packed RBC and plasma infusion
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| Fibrocystic breast condition | show 🗑
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| How do you diagnose fibrocystic breast condition | show 🗑
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| Treatment of fibrocystic breast condition | show 🗑
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| show | Benign, solid masses in the upper-outer part of the breast; occurs in young people; does not change with menstruation
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| show | Uterine cells located outside of the uterus inflame and slough with each menstrual cycle causing pain and tissue scarring
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| Complications of endometriosis | show 🗑
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| show | Heavy throbbing pain in abdomen and pelvis radiating down legs, painful intercourse (dyspareunia) and BMs, infertility
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| show | Oral contraceptives and NSAIDs; hysterectomy (if done having children)
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| Follicular ovarian cyst | show 🗑
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| Luteal ovarian cyst | show 🗑
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| show | Ultrasound; biopsy to rule out cancer
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| show | laparotomy to remove cyst
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| show | Benign uterine tumor; can be very large and cause pregnancy complications
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| show | Enlarged uterine size, anemia, increased menstrual bleeding, pelvic pressure, bloating, urinary frequency
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| show | Dependent of size and symptoms: myomectomy (fibroid removal); hysterectomy (sends pt into menopause), medications to reduce fibroid size (unpleasant side effects), embolization (destroy fibroid blood supply), Depo Vera injection (mimics pregnancy)
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| show | Severe menstrual symptoms which provide only 7 days of no symptoms which eat cycle
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| s/s of PMDD | show 🗑
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| Treatment for PMDD | show 🗑
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| Menopause | show 🗑
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| Physical changes that occur with menopause | show 🗑
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| Side effects of estrogen replacement therapy | show 🗑
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| show | Hormone replacement to decrease symptoms and decrease risk of osteoporosis
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| Pelvic Inflammatory Diseases | show 🗑
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| Complications of pelvic inflammatory disease | show 🗑
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| show | May be asymptomatic; pelvic pain, fever, purulent discharge, N&V (indicates sepsis); EXTREME pain with cervical/pelvic exam
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| Treatment for pelvic inflammatory disease | show 🗑
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| Toxic Shock Syndrome (TSS) | show 🗑
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| show | Sudden high fever (104/105), N&V, sunburn-like rash, hypotension, coma, organ failure, peeling hands and feet
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| Treatment for TSS | show 🗑
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| Bacterial Vaginosis (BV) | show 🗑
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| show | Intense itching, watery gray discharge with a fishy odor
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| show | Whiff test; microscope "clue" cells
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| show | Increased risk of developing other STDs
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| show | Antibiotics; education of feminine hygiene
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| show | Suppression of normal flora with overgrowth of yeast
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| show | Intense vaginal itching, cottage cheese odorless discharge, painful intercourse and urination
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| Treatment for yeast infection | show 🗑
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| Cervical cancer | show 🗑
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| show | Bleeding, referred leg/back pain, hematuria, bloody stools, anemia, and weight loss
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| show | Pap smear every 1-3 years
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| Treatment for cervical cancer | show 🗑
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| show | Vaginal rest (no sex/tampons), minor bleeding and cramping is normal
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| Prognosis of uterine cancer | show 🗑
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| Endometrial cancer | show 🗑
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| s/s of endometrial cancer | show 🗑
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| Diagnoses of endometrial cancer | show 🗑
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| Treatment for endometrial cancer | show 🗑
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| show | Small cell cancer of the ovary
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| s/s of ovarian cancer | show 🗑
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| Screening for ovarian cancer | show 🗑
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| Treatment for ovarian cancer | show 🗑
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| show | 40% survival rate; this is not a good cancer to have
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| show | Inability to conceive after 1 year of unprotected sex
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| Primary infertility | show 🗑
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| Secondary infertility | show 🗑
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| show | fallopian tube defects; lack of mature ovum; irregular menstruation; incompetent cervix; maternal endocrine problems (diabetes); immune response (lupus); chronic infection
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| show | Inability to produce or ejaculate mature sperm, chromosome abnormalities; seminal fluid abnormalities
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| show | Genetic counseling; thorough assessment; provide emotional support
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| Treatment for infertility | show 🗑
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| show | Stimulates the ovaries to release more ovum; side effects: decreased cervical mucus, hot flashes, breast & pelvic pain, nausea
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| s/s of severe ovarian hyperstimulation syndrome | show 🗑
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