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Stack #117590
NCLEX PN - Pregnancy
| Question | Answer |
|---|---|
| Placenta previa classic sign | painless vaginal bleeding; also a soft non-tender uterus |
| If deep vein thrombosis monitor for | pulmonary embolism |
| During labor, meconium in amniotic fluid is | hint of breech presentation |
| After C section turn q _ hrs: | 2 hours |
| hydatitliform mole: pt should use Birth control for: | 1 year bc of extra high levels of HCG |
| If labor pt is anxious and wants pain relief: | N determine source of anxiety and do interventions to help relax |
| halt premature labor by: | adequate water and bed rest |
| What type of incision in prior c-section allows a VBAC? | lower uterine segment transverse incision |
| Preg.Mom w/cardio problems-worst time is: | weeks 28 to 32 |
| Epidural position: | lateral-Left side, legs flexed & shoulders parallel |
| myelomeningocele requires special: | care of neural tube sac to prevent infection |
| Over 35 Mom is at risk for: | placenta privia, hydatidiform mole; vascular, neoplastic and degenerative DZ |
| Ballottement - feel by | 4-5 month |
| False labor sign | contractions (usually abdominal) are irregular and relieved by walking |
| True labor contractions: | move from back to front of abdomen and DO NOT stop when walk |
| Mild preeclampsia | HTN, edema and proteinuria |
| Severe preeclampsia signs | abdominal pain, blurry vision & low urine output |
| Fundus-where is it 1 hr after birth | at umbilicus and firm |
| Homan's sign-how to do | stretch pt legs out w/knees slightly flexed; N grasps & dorsiflex foot |
| Homan's sign-Positive if: | pain and discomfort at back of calf |
| positive Homan's is a sign of: | thrombophlebitis or a blood clot |
| Preg.Mom-Back Pain - RX | no heavy lifting and use pelvic tilt exercise |
| abrupto placentae | a rigid abdomen |
| Chadwick's sign is a sign of ___ that develops: | pregnancy, develops after week 6, (bluish or purplish color of vaginal or cervical mucosa) |
| Hagar sign | (blank) |
| Goodell's sign | (blank) |
| Episiotomy pain RX | 1st day: ice pack to perinium; 2nd day: sitz bath |
| Fundus at birth-where | above umbilicus |
| Fundus after birth 6-12 hrs: | umbilicus level |
| Fundus will decrease per day | about 1 finger (or 1 CM) |
| Preg.Pt on Heparin: what assessments q shift? | watch for signs of preterm labor and bleeding from any orifice |
| Preg.Pt on Heparin, assess for Homans' sign if: | at risk for deep vein thrombosis |
| In 2nd trimester: expect pt to feel: | introspective but a general sense of well being |
Created by:
jeanl
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