Material from Nursing 210
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| show | 6-10 weeks
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| show | 3 weeks
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| show | 6
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| show | 12
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| cardiac hemodynamic levels remain elevated for at least ____ hours after birth | show 🗑
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| show | Mother very concerned about herself and is preoccupied with her own needs and is dependent. Concerned with food sleep and talking about her labor
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| show | 1. All vital signs q15 minutes
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| 8 B's of postpartum assessment: | show 🗑
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| show | massage, keeping bladder empty, pain medications (1hr before feeding) lying prone on small pillow.
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| Indirect Coombs test is performed on________? | show 🗑
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| Principles of breast feeding: | show 🗑
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| show | Oxytocin
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| show | Stage of lactation
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| The ideal time to start breast feeding is? | show 🗑
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| New babies need _______ feedings within a 24 hrs period. | show 🗑
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| show | 6-8hrs
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| What is expected during the first period of transition? (first 30 minutes) | show 🗑
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| show | Respiratory system- breathing
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| show | two arteries and 1 vein
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| show | 140 bpm
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| Signs of respiratory distress: | show 🗑
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| If you see signs of jaundice in the first ___hrs it is considered pathological. | show 🗑
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| show | True.
Babies use brown fat for thermogenesis
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| ****make questions for circulatory system of newborn | show 🗑
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| show | save for fetal circulation
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| What are the two kinds of swelling you might see in a newborn's head? | show 🗑
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| show | Moro (startle)
stepping
babinski
rooting
suck
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| show | 17-20 cm
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| show | 1-5 minutes
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| show | 1. Heart Rate (0=absent,1=<100, 2=>100)
2. Respirations (0=absent, 1=slow/week, 2- good cry)
3. Muscle tone (0=flacid, 1=some flexion, 2=well flexed)
4. Reflex irritability (0=no response, 1=grimace, 2-cry)
5.Color(0=blue, 1=pink with blue extrem. 2=p
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| Define: Preterm | show 🗑
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| show | Born btwn the beginning of the 38th week and the end of the 42nd week of gestation.
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| show | Born after the 42nd week of gestation.
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| define: Gravidity | show 🗑
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| show | pregnancies, term, preterm, abortions, living children
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| Parity= | show 🗑
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| show | capacity to live outside the uterus (22-24 since lmp)
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| What are the 4 phases of the menstrual cycle | show 🗑
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| show | False
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| Describe Pre-embryonic development: | show 🗑
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| show | From day 15 until 8 weeks
most critical time of development
at the end of 8 wks all organ systems and external structures are present
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| show | chorion= outer memberane (trophoblast)
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| amnion | show 🗑
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| show | during 3rd week, blood vessels develop
during 5th week embryo curves in on itself from both ends so that the stalk is attached to its ventral side
-two arteries, one vein
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| Placenta | show 🗑
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| Placental functions: | show 🗑
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| show | Metabolic – produces and stores glycogen, cholesterol and fatty acids for fetal use and hormone production; also numerous enzymes essential for fetoplacental transfer
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| show | actively controls transfer of a wide range of substances by simple diffusion, facilitated transport, active transport and hydrostatic and osmotic pressure
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| save for physiologic changes of pregnancy | show 🗑
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| show | save
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| show | save
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| show | save
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| save | show 🗑
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| show | (subjective signs the woman experiences and reports)
breast changes, amenorrhea, faigue, urinary frequency, quickening
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| Probable signs of pregnancy | show 🗑
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| Dating pregnancy: Nagele's Rule | show 🗑
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| show | cbc
hemoglobin electrophoresis
blood type, Rh type
Rubella titer
serology
urinalysis and culture/sensitivity
pap, gc culture, chlamydial culture, gbs
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| What is the schedule for follow up prenatal visits | show 🗑
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| What is the minimum expected weight gain during pregnancy? | show 🗑
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| show | Iron
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| show | neonatal transition
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| During fetal development surfactant production peaks at ____ weeks? | show 🗑
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| show | a marked decrease in respiratory distress syndrome
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| immediately after birth two radical changes must take place for the lungs to function. What are these two changes? | show 🗑
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| What two pelvic types (shape) are favorable for vaginal birth? | show 🗑
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| What two pelvic types (shape) are not favorable for vaginal birth? | show 🗑
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| show | molding
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| what is fetal attitude? | show 🗑
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| show | Fetal lie refers to the relationship of the spinal column of the getus to the spinal column of the mother.
A fetus may assume either a longitudinal or transverse lie.
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| What are the three fetal presentations? (presenting part) | show 🗑
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| show | Vertex presentation- the fetal head is completely flexed onto the chest and the smallest diameter of the fetal head.
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| show | When the largest diameter of the presenting part reaches or passes though the pelvic inlet.
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| show | Station refers to the relation ship of the presenting part to an imaginary line drawn between the ischial spines of the maternal pelvis (usually the narrowest diameter through which the fetus must pass)
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| show | negative
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| Effacement | show 🗑
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| Lightening | show 🗑
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| show | Leg cramps
increased pelvic pressure
increased venous stasis, leading to edema
increased vaginal secretions
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| Bloody show | show 🗑
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| show | Lightening
Braxton HIcks contractions
Cervical changes
Bloody Show
Rupture of membranes (ROM)
Sudden burst of energy
Weight loss of 1-3 lbs
Diarhhea, indigestion or nausea and vomiting
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| The first stage of labor is divided into three phases. What are they? | show 🗑
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| Latent phase (stage 1) | show 🗑
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| show | a woman's anxiety tends to increase as she senses the intensification of contractions and pain.
During this phase the cervix dilates from about 3-4cm to 8cm
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| show | Woman may show significant anxiety, restlessness.
Frequent changing of position
inner directed
Contractions have freq of 2 minutes duration of 60-90 sec and strong intensity
Cervical dialation 8-10cm
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| show | increasing bloody show
hyperventilation
generalized discomfort
increased need for partner's support
restlessness
apprehension & irritability
hiccuping, belching, nausea, vomiting
increasing rectal pressure and urge to bear down
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| Second stage of labor: | show 🗑
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| Positional changes of the fetus: | show 🗑
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| show | Placental separation & placental delivery
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| show | This is the time from 1-4 hours ofter birth, during which physiologic readjustment of the mother's body begins.
The fundus is usually midway btwn the symphysis pubis and umbilicus.
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