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Maternity
Maternity RN EOP Cards for NCLEX
| Question | Answer |
|---|---|
| Most COMMON PLACE FOR BREAST CANCER | Ducts and Tubules that lead to the nipple |
| Moro Reflex | Extension/startling of arms until 4-5 mo |
| Babinski Reflex | Toes flare when touched until 3 mo |
| Palmar Grasp | until 6wks- 3mo |
| Rooting reflex | stroke cheek infant turns head until 6wks |
| Milia | immature sebaceous gland white bumps on face until 2-4wks |
| Gestational Diabetes Risk | Rebound Infant hypoglycemia and fetal anomalies |
| APGAR | 0 1 2 HR na <100 >100 Resp na weak strong Muscle Limp Some Active Reflex na Grimace Cry Color Cyanotic Pink/Cy All pink |
| APGAR scoring | 0-4 resuscitation 4-7 NICU 7-10 Good |
| Prolapsed Cord | FHR sudden decrease Severe variable decelerations No movement knee chest or Trendelenburg upward pressure holding cord risk- transverse |
| Hep B | Sexual Contact |
| Hep A | contaminated food or water clears 1-2 months on its own or immunoglobulins can prevent 2wks after exposure |
| Newborn Characteristics | HR 120-160 R 30-50 irregular T 97.8-98 |
| Sudden Infant or Crib Death | Occurs during sleep cause is unknown risks are not lying infant on their back in an empty flat crib/bassinet, no blankets. |
| G.P.T.P.A.L | Gravida- # of pregnancies Parity- # deliveries >20wks T- Term >37Wks P-Pre term <20wks A- Abortions <20wks L- Live children |
| Stage 1 Labor | Latent- 0-3cm Active- 4-7cm Transition- 7-10cm |
| Stage 2 Labor | Cervix fully dilated, birth of infant |
| 3rd stage Labor | Placenta |
| 4th Stage labor | 1-2 hrs postpartum, fundus firm |
| 10hrs post delivery fundus | 1 cm above the umbillicus |
| MSAFP | Level of alpha-feta protein during pregnancy Increased in neural tube defects such as spina bifida Decreased in Down syndrome |
| Biophysical Profile | Non stress test Measures: hr, muscle tone, movement, breathing, and amniotic fluid amt |
| Chadwicks sign | Purple Hue |
| Goodells sign | Cervical Softening |
| Gestational Diabetes | Temp until delivery, increase in progesterone/estrogen/cortisol increases resistance to insulin |
| Vertex | Babies head down |
| Breech | Babies head up |
| Good FHR Baseline | 110-160 |
| Decrease or loss of FHR variability | Fetal Hypoxemia |
| Accelerations w/Fetal movement | are reassuring indicates fetal well being |
| Vitamin K | produced by bacteria in intestine |
| Oligohydramnios | amniotic fluid <300ml related to renal insufficiencies |
| Polyhydramnios | amniotic <800 related to congenital abnormalities |
| Abruptio placentae | placentae detaches, pain in bck/abdomen, bleeding |
| Placenta Previa | painless bleeding, placenta blocking cervix |
| 1st trimester | 1-12 weeks |
| 2nd trimester | 13-27 weeks |
| 3rd trimester | 28-birth |
| Oxytocin should be discontinued when | contractions >90sec 2min apart |
| Post Partum Hemorrhage | decreased bp, Increased HR, bleeding, atony massage fundus and methargine |
| Lanugo | 28-30 week infant |
| Jaundice infant | High levels of bilirubin, causes brain damage, tx phototherapy |
| Fertilization | 2-4 days after ovulation in fallopian tube |
| Probable Signs | Objective, Chadwicks, Goodells, Ballotment, Hegars |
| Presumptive Signs | Subjective- missed period, nausea, breast tenderness |
| Nutrition OB | 25-35lbs weight gain Increased 300 cal/day Folic Acid Fiber Vitamins Protein |
| Lightning | Fetus drops into pelvis occurs a few weeks nearing birth |
Created by:
matthew0116
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