Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
NUR 207/208
Unit Test 2
| Question | Answer |
|---|---|
| Side effects of an epidural block | hypotension can not feel bladder |
| What is done immediately after membranes are ruptured? | check fetal HR check amniotic fluid |
| stage 1 of labor | cervical dilation and effacement |
| stage 2 of labor | baby is born |
| stage 3 of labor | placenta is delivered |
| stage 4 of labor | recovery mom is checked for hemorrhage mom checked for full bladder breastfeeding can start |
| What are some abnormal fetal assessments? | grunting respirations sternal retractions |
| What should be done when a patient is having VARIABLE decelerations? | tune on left-side start 02 at 10-15Lper min |
| Ways to stimulate contractions | walking nipple stimulation sitting upright |
| When birth is imminent | DO NOT LEAVE THE ROOM!!! |
| Normal FHR | 110-160 |
| Variable Decelerations | abrupt decrease in FHR lasting 15 bpm or longer. could be caused by cord compression or too little amniotic fluid. |
| Early Decelerations | gradual decrease in FHR that occurs during contractions. |
| Absent Decelerations | less than 6 bpm. Can be caused by maternal hypotension, cord compression, placental insufficiency, fetal hypoxia |
| Late Decelerations | FHR changes that begin after contraction has started but does not return to normal. Caused by reduced blood flow to placenta. |
| Relaxation Phase of the Contraction | should last at least 60 secs between contractions. need to be reported if less than 60 secs |
| What is frequency of contraction? | the elapsed time from beginning of one contraction until the beginning of the next contraction. |
| What are causes of Variable decelerations? | umbilical cord compression too little amniotic fluid |
| Initial care of the newborn at birth: | ABC's Glucose Temp regulation |
| Microsmatic baby: | Weighs more than 8lbs More prone to low blood sugars |
| When would you NOT administer pain medications during labor? | Dilation between 8-10 cm less than 1 1/2 hours away from delivery |
| What position should a mother NOT be in during labor? | SUPINE |
| What is a Precipitated Birth? | The beginning of labor and the delivery of the infant in 3hrs or less. |
| Abnormal amniotic fluid colors: | Green: Meconium stool in uterus Yellow: infection |
| first degree laceration | superficial vaginal mucosa or perineal skin |
| second degree laceration | vaginal mucosa, perineal skin and deeper tissues in the perineum |
| third degree laceration | vaginal mucosa, perineal skin, deeper tissues in the perineum, and anal sphincter. |
| fourth degree laceration | extends through the anal sphincter into the rectal mucosa |
| What are treatments of a third degree laceration? | surgery use an ice bag to help stop bleeding |
| When has true labor begun? | contraction get stronger and regular contraction do not stop when walking bloody show progressive effacement and dilation of cervix discomfort in lower back or abdomen |
| Steps for caring for mastitis: | wash breast with water only pump the breast with mastitis and discard the breast milk wear a supportive bra (no wire) massage the breast warm showers |
| Post Partum Hemorrhage Nursing Care : | ASSESS FOR SIGNS OF SHOCK (TACHYCARDIA FIRST SIGN) MONITOR OXYGEN NEEDS MONITOR BLADDER STATUS ASSESS THE FUNDUS: IF FUNDUS IS FRIM THE CAUSE IS A LACERATION MESSAGE FUNDUS IV FLUIDS |
| Treatment of abnormal decelerations | TURN ON LEFT SIDE OXYGEN 10-15 LITERS |
| What is the Bishop Score used for ? | TO DETETERMINE IF THE MOM’S UTERUS IS READY FOR INDUCTION |
| Priority assessment after amniotomy | FHR-Fetal Heart rate |
| Why does breastfeeding cause pain in the uterus? | BREAST FEEDING SENDS A MESSAGE TO THE PITUATURY GLAND AND OXYTOCIN IS RELEASES |
| Location of the uterus after delivery : | SHOULD BE AT THE LEVEL OF THE UMBILICUS AND DROP EACH DAY BY 1 CM |
| Risk factors for Hypoglycemia after birth | MACROSOMINA BABY (large) MOM IS DIABETIC PRE-TERM BABY POST TERM BABY |
| What are the nursing interventions for a soft boggy uterus? | MESSAGE FUNDUS UNTIL IT BECOMES FIRM |
| LOCHIA RUBRA | BRIGHT RED, CAN HAVE CLOTS |
| LOCHIA SEROSA | PINK |
| LOCHIA RUBA | WHITE |
| What should a nurse do if the Lochia changes from white to red? | Report it to the HCP immediately |
| What should you do for bleeding after delivery? | CHECK BLADDER MESSAGE FUNDUS |
| Priority for care of a newborn after ABC’s | Temperature regulation Glucose checks |
| Causes of an ineffective labor | MOM IS EXHAUSTED TOO MUCH AMNIOTIC FLUID |
| Discharge teaching for a Breast-feeding Mom | HOW TO CARE FOR BREASTS WARM SHOWER DO NOT USE SOAP ON BREAST PUMP IF INFANT DOES NOT TAKE ALL THE MILK WEAR A SUPPORTIVE BRA NOT ONE WITH WIRE MESSAGE BREASTS DRINK PLENTY OF LIQUIDS |
| Indications for induction of labor | GESTIONAL HYPERTENSION RUPUTURED MEMBRANES WITHOUT LABOR STARTING INFECTION WITHIN THE UTERUS MEDICAL PROBLEMS THAT MOM HAS THAT WORSED DURING PREGNANCY FETAL PROBLEMS PLACENTAL INSUFFICIENCY FETAL DEATH |
| What does the Nurse do after the Epidural is inserted? | Check BP every 5 minutes after drug is started |
| Signs of Hyperventilation: | DIZZINESS TINGLING IN HANDS AND FEET CRAMPS AND MUSCLE SPASMS OF HANDS NUMBNESS AROUNG NOSE AND MOUTH BLURRING VISION |
| Signs of shock: | TACHYCARDIA FALLING SYSTOLIC PRESSURE PALE, COLD AND CLAMMY SKIN MENTAL STATUS CHANGES DECREASED URINARY OUTPUT *SUSPECT HYPOVOLEMIC SHOCK IF PULSE IS >100 BPM* |
| What assessment should be done before a nurse massages the fundus? | Check the position of the uterus Check if the bladder is full |
| Causes of no Lochia: | Full Bladder Retained fragments |
| What postpartum complications are included in the postpartum teachings? | WHAT TO DO IF BLEEDING DOES NOT STOP WHAT TO DO IF LOCHIA CHANGES |
| Homan’s Sign | PAIN IN CALF OF LEG WHEN THERE IS DORIFLEXION OF FOOT |
| Women with varicose veins are more likely to develop: | A BLOOD CLOT AFTER BIRTH |
| What medications are given to a newborn before discharge? | Hep B vaccine Vitamin K Erythromycin |
| Indicators for a C-Section: | ABNORMAL LABOR FETUS TO LARGE FOR BIRTH CANAL MOM HAS DM OR GH ACTIVE MATERNAL HERPES PREVIOUS SURGERY ON THE UTERUS FETAL COMPROMISE PLACENTA PREVIA OR ABRUPTION PLACENTA |
| Active Phase of labor | CERVIX DIALTES 4-7CM AMNIOTIC MEMBRANES MAY RUPTURE CONTRACTIONS 2-5 MINUTES APART |
| Transition Phase of labor | MOM TEMPERMENT CHANGES CERVIX DILATES 7-10 CM |
| What is uterine atony? | COLLECTION OF BLOOD WITHIN THE UTERUS MUSCLE FIBERS ARE FLACCID DOES NOT COMPRESS VESSELS |
| Hypotonic Labor | CONTRACTIONS WEAK AND INEFFECTIVE. OCCURS IN WOMAN WITH MULTIPLE BIRTHS |
| Hypertonic Labor | CONTRACTIONS POORLY COORDINATED FREQUENT AND PAINFUL |
| What is considered hypoglycemia in a newborn ? | BS LESS THAN 45 |
| Subinvolution | SLOWER THEN EXPECTED FAILURE OF THE UTERUS TO DESCEND AFTER BIRTH |
| Care of a woman in preterm labor | |
| Care of a mom in post term labor | OBSERVE FOR HEMORRHAGE VITAL SIGNS SKIN COLOR LOCATION AND FIRMNESS OF UTERINE FUNDUS LOCHIA-DRAINAGE AFTER DELIVERY PAIN PROMOTE COMFORT KEEP WARM AND DRY ICE THE PERINEUM TO HELP REDUCE SWELLING AND BRUISUNG |
| Assessments that need to be done before starting contraceptives: | OB hx ask if they have any STI's pregnacy test-make sure they are not pregnant |
| Which form of contraceptive has a 0% fail rate? | Abstinence |
| Issues that can impede a basal body temperature: | poor sleep alcohol the night before illness jet lag sleeping late Sleeping under a heated blanket |
| Chemical barrier methods | spermicides, vaginal gels, creams |
| Barrier methods | Male and female condoms (should be used with chemical barriers) Diaphragm used with spermicides Cervical cap Vaginal ring Contraceptive Sponge |
| Puerperium | Known as postpartum period Six weeks after childbirth (Sometimes referred to as the fourth trimester of pregnancy) |
| Acrocyanosis | Bluish tint to feet and hands related to temperature regulation problems |
| What contraceptive method only works if the patient's cycle is regular? | Calendar/Rhythm method |
| Which barrier methods have to be fitted? | Diaphragm and cervical cap |
| why would a diaphragm or cervical cap need to be re-fitted or replaced? | needs to be replaced every 2 years after every pregnancy weight loss or weight gain of 20% abdominal or vaginal surgery |
| How long must you leave a barrier method contraceptive in after intercourse? | 6 hours no longer than 48hrs |
| Contraindications for hormone contraceptives: | breast-feeding age 35 and older cardiovascular disease hypertension diabetes smoking cirrhosis hx of thromboembolic disorders-DVT stroke anti-convulsants can decrease the effectiveness of the |
| two types of contraceptives | combination: estrogen and progesterone progesterone only (mini pill) |
| Adverse effects of hormone contraceptives: | SOB CP leg pain-potential blood clot (DVT) headache depression nausea weight gain breast tenderness vagional infections |
| How long after stopping the contraceptive transdermal patch can it take for a women to become pregnant? | up to 18 months |
| How often should you get an injectable progesterone contraceptive (Depo-Provera)? | 11-13 weeks |
| How does an IUD work | prevent fertilization by creating a sterile inflammatory condition to prevent implantation |
| How long can a IUD be used for? | 3-10 years |
| what should a patient report to their provider when using an IUD? | late/abnormal bleeding or spotting painful intercourse abnormal of foul smelling vaginal discharge change in string length |
| Fail rate for subdermal implants | 1% |
| When is a subdermal implant embedded | during the patients menses on the 7th day of menstrual cycle to ensure that the patient is not pregnant. |
| where is the subdermal implant embedded | underneath the skin on arm. |
| What are the 4 P's | Power-Contractions Passage-bony pelvis/ligaments Passenger-Fetus/Placenta Psyche-Mom's mental status |
Created by:
shondell1971
Popular Nursing sets