68wm6 Phase 2 Test 9
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | Peak or period of greatest strength of a uterine contraction
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| Bloody show | show 🗑
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| show | period of decreasing strength of a uterine contraction
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| duration | show 🗑
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| fontanel | show 🗑
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| increment | show 🗑
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| show | period between the end of one uterine contraction and the beginning of the next
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| lochia | show 🗑
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| ripening | show 🗑
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| station | show 🗑
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| show | artificial rupture of the membranes
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| show | appearance of the fetal scalp or presenting part at the vagina
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| show | estimated date of delivery
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| show | a pregnant women; also refers to a womens total number of pregnancies.
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| show | a women who has given birth after two or more pregnancies of at least 20 weeks of gestation; also description of pregnant woman prior to birth of second child
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| show | umbilical cord around the fetal neck
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| show | a women who has given birth after a pregnancy of at least 20 weeks of gestation; also designates the number of a womans pregnancies that have ended after at least 20 weeks of gestation.
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| show | infusion of sterile isotonic solution into the uterine cavity during labor to reduce umbilical cord compression; may also be done to dilute meconium in amniotic fluid and reduce the risk that the infant will aspirate thick meconium.
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| show | insufficiant oxygen and excess carbon dioxide in the blood and tissues
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| show | excess carbon dioxide in the blood, evidenced by an elevated Pco2
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| show | uterine contrations that are too long or too frequent, have too short a resting interval or have an inadequete relaxation period to allow optimaluteroplacental exchange
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| hypoxemia vs hypoxia | show 🗑
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| show | abnormally small amount of amniotic fluid, less then about 500 ml at term
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| anesthesia | show 🗑
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| show | chemical injury to the lungs that may occwith regurgitation and aspiration of acidic gastric secretions
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| epidural space | show 🗑
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| motor block | show 🗑
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| show | the lowest level of stimulus one percieves as painful, relatively constant under different conditions
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| show | maximum pain one is willing to endure. pain tolerance may increase or decrease under different conditions
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| show | systemic loss of sensation with loss of consciousness
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| regional anesthesia | show 🗑
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| sensory block | show 🗑
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| subarachnoid space | show 🗑
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| abruptio placentae | show 🗑
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| show | artificial rupture of the amniotic sac
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| augmentation of labor | show 🗑
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| cephalopelvic disproportion | show 🗑
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| cesarean birth | show 🗑
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| show | newborns scalp edema created by a vacum extracor
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| chorioamnionitis | show 🗑
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| dystocia | show 🗑
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| show | excessive volume of amniotic fluid
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| iatrogenic | show 🗑
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| induction of labor | show 🗑
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| version | show 🗑
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| show | premature rupture of the membranes; rupture of the membranes before the onset of labor
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| placenta previa | show 🗑
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| What is gametogenesis? | show 🗑
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| show | 24 hours ovum; 5 days sperm
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| show | Zygote – cell formed by union of sperm and ovum -Embryo – 3rd week to 8th week of development -Fetus – 9th week until birth
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| show | Teratogens cause damage to the developing embryo and fetus. Eg. Viral, drugs/medication/radiation/toxic chemical exposures 1st trimester
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| What is the age of viability? | show 🗑
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| show | Increased production of surfactant
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| Name the three fetal circulatory shunts. | show 🗑
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| show | FV, DA. due to heart not pumping proper amount to put pressure on flap.
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| show | Three vessels; two arteries one vein. Ateries carry deoxygenated blood back to placenta. Vein carries oxygenated blood to fetus.
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| Name three functions of the amniotic fluid. | show 🗑
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| show | Placenta is the organ of respiration and excretion for the fetus.
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| show | Identical twins- monozygotic
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| show | SAB, chromosomal anomalies, pre-term delivery, growth restriction, congenital defects, fetal death, pre-eclampsia
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| show | Gravida=preganancies, para=children
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| show | lack of shedding blood during menstrual cycle;Lack of menstruation
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| What is quickening? | show 🗑
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| show | One visit a month through the 7th month, then every two weeks a month and then weekly until delivery.
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| What advice about working would you give to a pregnant active duty soldier. | show 🗑
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| What hormone is the basis for pregnancy tests? | show 🗑
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| What test is the most accurate to determine pregnancy? Blood or urine? | show 🗑
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| What is the significance of a pregnant woman’s rubella titre? | show 🗑
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| show | isoimmunization happens which results in erythroblastosis if mom is Rh - and fetus is Rh +
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| show | SAB, Pre term labor(PTL), Low birth weight (LBW) ,ABRUPTION, PREVIA,
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| show | FETAL ALCOHOL SYNDROME. CHARACTERIZED BY FLAT FACE, THIN UPPER LIP, SMALL EYES AND SMALL CHIN.
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| show | MOST DRUGS CAN CROSS THE PLACENTA AND SOME MAY BE TERATOGENIC. FEW CONTROLLED STUDIES ARE AVAILABLE.
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| show | eat small meals 6times daily/ dont drink fluids while eating meals/ dont lay one hour after eating meals/ avoid greasy foods that might cause heart burn, avoid irritating smells theat may cause nausea, antiametics,Zantac or tums for heart burn/gerd.
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| show | meat, poultry, dairy, bean, legumes and nuts
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| show | dairy, soy, green leafy vegetables, sardines and canned salmon
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| iron and folic acid | show 🗑
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| show | Recommended Calcium is 1200mg qd.
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| show | dark green
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| What special dietary considerations are there for adolescent pregnancies? | show 🗑
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| show | 25-35 lbs. NORMAL WT. 3.5lbs per week per first trimester. 1lb for week after first trimester.
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| How much weight should an obese woman gain during pregnancy? | show 🗑
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| show | Talk to charge nurse about getting a hospital translater.
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| show |
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| show | Gush of fluid Vaginal bleeding, Fever Dysuria, Epigastric pain, Visual changes, edema above the waist, persistant HA unrelieved by tylenol Decreased fetal movement.
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| Name three uses of ultrasound in pregnancy. | show 🗑
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| show | A full bladder elevates the uterus out of the pelvis for better visualization. Instruct the patient to drink several glasses of water an hour before the procedure.
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| Name two purposes of amniocentesis testing. | show 🗑
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| Define a reactive non-stress test. | show 🗑
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| show | Spontanious abortion
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| show | Chromosomal abnormalities or congenital defects incompatible with life.
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| What is the difference between a threatened abortion and an inevitable abortion? | show 🗑
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| show | VS, I&O, ASSESS FOR SIGNS OF SHOCK, OR SUDDEN CHANGES IN THE QUALITY OF THE PAIN, ASSESS AMOUNT OF BLEEDING, ASSESS H/H.
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| What is a missed abortion? | show 🗑
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| show | IMPLANTED EMBRYO OUTSIDE THE UTERUS
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| What are the s/sx of ectopic pregnancy? | show 🗑
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| What is Rhogam? | show 🗑
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| What is DIC? | show 🗑
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| When should pregnant women get Rhogam? | show 🗑
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| What is erythroblastosis fetalis? | show 🗑
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| show | PAINLESS BLEEDING
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| Define gestational hypertension (GHTN). | show 🗑
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| Define pre-eclampsia and eclampsia. | show 🗑
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| What pathophysiologic change underlies all the symptoms/issues associated with pre-eclampsia. | show 🗑
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| What is the priority of care for the patient with pre-eclampsia? | show 🗑
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| What is clonus and how do you check it? | show 🗑
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| How often should you check DTRs on the patient on magnesium sulfate. | show 🗑
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| show | >300 mg/24 hours or a random urine dipstick of > 1+
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| show | HELLP = HEMOLYSIS, ELEVATED LIVER ENZYMES, LOW PLATELETS.
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| What is the role of magnesium sulfate in the treatment of pre-eclampsia? | show 🗑
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| What should you teach the woman with mild pre-eclampsia who is being managed as an outpatient? | show 🗑
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| How often should a diabetic pregnant woman check her blood glucose? | show 🗑
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| show | 3MEALS AND 3 SNACKS.
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| show | Insulin requirements increase the most in the second trimester. They are at an increased risk for hypo and hyperglycemia, pre-eclampsia, UTIs, PROM, polyhydramnios and C/S.
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| show | LGA OR MACROSOMIA, HYPOGLYCEMIA, HYPOCALCEMIA AND JAUNDICE, INCREASED RISK FOR LUNG IMMATURITY.
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| What topics should you cover in the teaching of a diabetic pregnant woman? | show 🗑
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| What should the FBS be for pregnant women with gestational diabetes? | show 🗑
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| How much does blood volume increase during pregnancy? How does this impact the woman with heart disease? | show 🗑
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| show | Dyspnea, chest pain, hemoptysis, peripheral edema, sudden weight gain. Riskiest time for acute CHF is during labor and immediately after delivery
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| Your textbook defines anemia in pregnancy as a hct/hgb of: | show 🗑
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| show | INCREASED ESTROGEN > INCREASED CLOTTING FACTORS, DECREASED ACTIVITY AND DILATION OF BLOOD VESSELS PROMOTES VENOUS STASIS.
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| Folic acid deficiency is associated with what birth defect? | show 🗑
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| What ethnic population is at highest risk for sickle cell disease? | show 🗑
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| How many parents must carry sickle cell trait for the child to have the disease? | show 🗑
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| What is the prognosis for a child with Cooley’s anemia? | show 🗑
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| show | ACIDIC FOODS LIKE CITRUS.
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| show | SAB, CONGENITAL DEFECTS
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| show | TORCH – TOXOPLASMOSIS, OTHER, RUBELLA, CMV, HERPES/HEPATITIS B
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| show | VIRUS CAN CROSS THE PLACENTA IN PRIMARY INFECTIONS. MOST INFECTION OCCURS FROM DIRECT CONTACT WITH AN OPEN LESION.
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| What prophylactic drug is offered to women with herpes at 36 weeks? | show 🗑
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| show | GROUP B STREP. MOST COMMON CAUSE OF SERIOUS NEWBORN INFECTIONS LIKE MENINGITIS AND PNEUMONIA.
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| show | TOXOPLASMOSIS
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| show | A- easily transmitted: small pox, anthrax or tularemia B spread via food and water: Q fever, brucellosis and Staph. Enterotoxin C: Weaponized: hantavirus and tick born encephalitis.
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| Name five symptoms of acute withdrawal in infants born to mothers addicted to narcotics or who are methadone dependent. | show 🗑
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| In FAS what system is most affected in the fetus? | show 🗑
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| show | Flat mid face, low bridge of nose, no or indistinct philtrum, small eyes, thin lips, small head and jaw. Growth restriction.
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| show | ALL HANDS GO DOWN WITH THE SHIP, STABILIZE MOM FIRST THEN WORRY ABOUT BABY.
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| show | MVA, HOMICIDE, SUICIDE.
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| show | Seat belts, sensible shoes, steps to avoid falls, high index of suspicion for domestic abuse
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| show | Turn mom to side with hips elevated on pillows, in knee chest position, or in trendelenberg and use a hand in the vagina to push the baby up off the cord. Call the OR team STAT for an emergency C/S delivery.
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| show | There culture, religion and customs about child birth.
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| Name one advantage and one disadvantage of delivering in hospitals or at home. | show 🗑
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| show | Primigravida go to hospital when contractions are five minutes apart for one hour and can no longer walk or talk through contractions (i.e. increased intensity),
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| show |
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| show | Contractions:5 minutes apart q 1 hour- first labor. 10 minutes apart q 1 hour-second & subsequent labors. Ruptured membranes;feeling of wetness any thought that the water might have broke. Bleeding other than bloody show.Decreased fetal movements (4) Hour
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| What is the difference between true and false labor? How does the nursing care differ? | show 🗑
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| Define effacement and dilation. | show 🗑
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| What is the difference between latent labor and active labor? | show 🗑
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| show | Hypertonic labor: frequent painful contractions without cervical change (very similar to false labor) encourage rest and offer pain relief.Hypotonic labor dysfunction:Labor starts normally and then stalls out after 4 cm.
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| Name one risk factor for dysfunctional labor. | show 🗑
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| What part of the skull is used to describe the infant’s “position” in the pelvis during labor? | show 🗑
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| What does LOA mean? ROP? | show 🗑
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| What are the four P’s? | show 🗑
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| What is a breech presentation and why is it potentially dangerous? | show 🗑
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| What causes labor pain? | show 🗑
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| show | FHR for at least 60 seconds.
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| What are the three phases of the first stage of labor? | show 🗑
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| Describe signs of imminent delivery. | show 🗑
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| What drug is usually given first to help the uterus contract? | show 🗑
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| What is the most likely cause of hemorrhage post partum? | show 🗑
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| show | Obesity, use of pitocin for induction or augmentation of labor, prolonged labor, previous history of PPH, pre-eclampsia, multiple pregnancy macrosomia,uterine hyperdistension during pregnancy, Grand multiparity >5 delveries. Bleeding disorders
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| What role does the bladder play in affecting uterine hemorrhage? | show 🗑
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| show | FHR. fetal movement, the color, ordor and mount of liquid.
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| What are two signs of maternal infection during labor. | show 🗑
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| Name 3 potential maternal complications from a precipitous labor. Fetal complications? | show 🗑
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| show | Massage the fundus.
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| show | Turn pt to side to prevent aspiration, have suction immediately available tq the bedside if needed, apply O2 at 8-10L/sfm, put up side rails and pad to prevent injury in the event of another seizure.Admin MG sulfate per your standing orders for pre-eclamp
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| show | Early signs include excessive thirst and flushing, later signs include absent DTRs, decreased LOC, decreased UO, RR< 12/min.
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| What electrolytes should you monitor in the patient on pitocin and why? | show 🗑
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| What risks does pitocin pose for the fetus? | show 🗑
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| show | achycardia and palpitations (heart pounding in her chest). Other common SEs include insomnia, anxiety and HA
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| pre-embryonic period | show 🗑
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| show | 6-10
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| show | 3-8 weeks; all major organ systems formed, very high risk of serious damage if exposed to teratogens
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| show | 4 weeks
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| heart develops 4 chambers | show 🗑
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| show | may be able to hear fetal heart beat with a hand held doppler
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| fetal gender can be visually determined | show 🗑
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| 16-20 weeks | show 🗑
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| 20 weeks | show 🗑
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| 24 weeks | show 🗑
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| show | increase in survival rates for premies
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| show | increase in variability in fetal heart rate with maturation of autonomic nervous system. surfactant production nearly mature
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| show | full term baby
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| show | Produces: -Progesterone -Estrogen -Human Chorionic Gonadotropin (hCG) -Human Placental Lactogen (hPL) -Site of exchange of nutrients, oxygen, and waste products
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| intrathecal injection of opoid analgesic | show 🗑
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| advantages of intrathecal analgesics | show 🗑
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| disadvantages | show 🗑
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| some examples of opiod analgesics include | show 🗑
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| show | Hyperemesis Gravidarum is treated with antiemetics, antiulcer, and corticosteroid agents. Use: manage nausea and vomiting.
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| antiametics used for HG | show 🗑
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| show | Antiulcer: Histamine-Receptor Antagonist: famotidine (Pepcid). ranitidine (Zantac).
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| show | Assess nausea, vomiting, bowel sounds, and abdominal pain before and following administration.Monitor hydration status, nutrition status and intake and output. Patients with severe nausea and vomiting may require IV fluids.
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| show | Small sips of water, small meals 2-3 hours, rid environment of bad odor, sit up after eating, non greasy meals, ^potasium and Mg meals, Oral hygiene, slow movememnt changes, call nurse when ambulate,
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| Antihypertensive agents | show 🗑
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| what is the primary side effect of the opiod anagesics | show 🗑
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| show | Diphenhydramine, Atarax/Vistril, Narcan, Nubain
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| what drug should you have immidietly available to treat opiod induced respdepression in the newborn and what dose | show 🗑
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| show | Maternal hypotension, bladder distension, Spinal HA
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| show | Stadol and Nubain
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| show | Drug addiction, do not give after a pure opiod, allergies,
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| what drugs are often used to treat n/v in labor may increase the resp depressive effects of opiods | show 🗑
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| name four interventions for spinal puncture headaches | show 🗑
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| what areas does a pudendeal block numb? | show 🗑
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| what are the potential complications of pudendal block? | show 🗑
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| show | aspiration, resp dep, uterine relaxation which may lead to post op hemmorhage
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| show | less than four hours before delivery, baby born at the peak of drug action
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| how does epidural anesthesia affect the fetus? | show 🗑
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| what is the right amount of iv fluids to admin before an epidural block | show 🗑
|
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| what sensations should you tell a women she might feel during placement of the epidural catheter? | show 🗑
|
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| how often should you assess vital signs after placement of a epidural block | show 🗑
|
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| what drug should be available to counterat epidural induced hypotension during labor? | show 🗑
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| show | SBP < 100 or more than 20% from baseline
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| show | severe resp depression r/t opoid overdose
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| show | 5-20 mins, duration of action of opiods may outlast narcan
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|
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| what is the dose for a neborn | show 🗑
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| show | Regular and Aspart..Short Acting (IV/SQ): regular insulin (Humulin R, Novolin R, Iletin II Regular).
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| show | NPH and Lente
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| show | insulin glargine (Lantus)and Ultra-Lente, insulin determir (Levemir)
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| which are clear and which are cloudy? | show 🗑
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| show | clear to cloudy( just like WA every ten mins)
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| show | Prior to breakfast: combination of short-acting (Regular) and intermediate-acting (NPH). Before dinner: short-acting (Regular).Bedtime: intermediate-acting (NPH).
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| insulin NSG implications? | show 🗑
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| show | Pitocin
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| why is the oxytocin line inserted in the primary iv line in the port closest to the patient? | show 🗑
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| show | when there is not break between contractions.
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| show | contractions< 2 mins, interval< 60 seco, duration of contractions> 90-120 sec or increased resting tone greater then 20.
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|
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| name three contraindications to starting pitocin | show 🗑
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| show | stop pitocin, turn pt to left, give O2 at 8-10/min, doc might order terbutaline or other tocylitic.
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|
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| Why is recording I&O important for the patient on oxytocin | show 🗑
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| show | anti-emetics, ant acid, proton pump inhibitor- (prilosec), steriods
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|
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| according to murray what three anti hypertensives are most often used to treat BP in severe pre eclampsia? | show 🗑
|
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| How does apresoline work? what effects does it have on perfusion? | show 🗑
|
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| why is mag sulfate used in treatment of pre-eclampsi? | show 🗑
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| show | tocolytic, anti-convulsant, antihypertensive
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|
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| early & late pregnancy anti hypertensives | show 🗑
|
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| what is the serum therapeutic level of magnesium sulfate? | show 🗑
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| show | Resp depression
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|
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| show | Calcium gluconate slow IV push
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| show | BP< RR< DTR's*, UO<30hr are high risk for mag toxicity, and lung sounds, LOC
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| show | flushing/sweating, Abscent or decreased DTR's, decreased BP, Resp depression <12,
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|
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| show | Aldomet
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|
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| What is your priority of care for the patient with Pre-E | show 🗑
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| show | after SAB, After intrauterine procedures like CVS
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| show | at 28 weeks and within 72 hours of birth.
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|
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| will rhogam administration improve fetal outcomes in women who are already sensitized to RH protien | show 🗑
|
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| name 5 signs of over Anti-coag medication? | show 🗑
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| show | PTT
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| what should you teach your patient on anti-dysthrythmics aboout taking ther meds? | show 🗑
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| show | it allows time to admin steriods which act to mature the fetal lungs and may also decrease the risk for resp distress syndrome.
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| show | beta adrenergics like terbutaline, MG sulfate, nsaids like Indomethacin, Calcium channel blockers like Procardia.
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| show | Tachy, Hyperglycemia, anxiety, palpations, Headache, and elevated blood sugar.
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|
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| name three common side effects of MG sulfate? | show 🗑
|
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| name three potential side effects of indocin? | show 🗑
|
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| name three potential common side effects of procardia? | show 🗑
|
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| name three common side effects of steroids? | show 🗑
|
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| name four drugs used to manage postpartum hemorrhage? | show 🗑
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| show | Hypertension or Corincary artery disease or vascular disease
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|
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| show | history of asthma,
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|
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| What are the most common side effects to hemabate? | show 🗑
|
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| Bethamethasone | show 🗑
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| show | prevention of seizures in pre-e
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|
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| Terbutaline | show 🗑
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| hemabate/ prostin | show 🗑
|
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| show | narcotic agonist/antagonist
🗑
|
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| show | cervical ripening and induction of labor
🗑
|
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| pitocin | show 🗑
|
||||
| rhogam | show 🗑
|
||||
| show | no breaks between contractions.
🗑
|
||||
| show | no breaks between contractions.
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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