ATI concepts for OBsetrics
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Indications for initiating Oxytocin | show 🗑
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Contraindications of initiating Oxytocin (pitocin) | show 🗑
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show | Premature rupture of membranes
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Actions to take for umbilical cord prolapse... | show 🗑
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Instructions to include to the client for the non-stress test | show 🗑
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Leopald maneuver steps... | show 🗑
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show | BMI over 30, pregestational DM, multifetal pregnancy, maternal age less than 19 and greater than 40
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show | acrocyanosis, positive Babinski, anterior fontanel larger than posterior, observing 2 arteries and one vein in the umbilical cord
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Expected adverse effects of magnesium sulfate (this means you do not need to report) | show 🗑
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Use of Amniocentesis | show 🗑
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show | ID fetal blood type and RBC when there is a risk of isoimmune hemolytic anemia
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show | Amount of fetal blood in the maternal circulation when there is a risk of Rh isoimmunization
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Magnesium sulfate toxicity signs | show 🗑
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Magnesium sulfate antidote | show 🗑
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show | Shallow respirations, diaphorisis / clammy skin, and blurred or double vision
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Expected findings in a newborn | show 🗑
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show | Hypotonia, poor feeding behaviors, hypothermia, respiratory distress
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Use of Maternal Alpha-fetoprotein | show 🗑
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show | Part of amniocentesis to evaluate fetal lung maturity
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If a client has Fifth's Disease what are the risks to the fetus? | show 🗑
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Pt Edu and Nursing Interventions for Misoprostol | show 🗑
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Common adverse effects of oral contraceptives | show 🗑
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What is a nuchal cord | show 🗑
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Findings of a nuchal cord | show 🗑
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Adverse effects of carboprost | show 🗑
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show | Length = 45 to 55 in. Weight = 5.5 -8.8 lb. HR = 110 -160. RR = 30 to 60. Chest circumference = 12 -13 in.
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1st trimester reportable signs | show 🗑
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show | Edema of face and hands, epigastric pain, severe headaches
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Signs of hypergpycemia | show 🗑
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show | Clammy pain skin, weakness, tremors, irritability, and lightheadedness.
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Leopold Maneuvers can determine what | show 🗑
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Location of fetal heart tones when fetus is in vertex presentation. | show 🗑
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Location of fetal heart tones when fetus is in breech presentation. | show 🗑
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Preparation of client before Leopold manuvers | show 🗑
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show | Pregnancy can occur when breastfeeding even though menses hasn't started. If breast feeding do not take oral contraceptives until milk production is well established (6 weeks).
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When will menses start again post partum? | show 🗑
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show | Around 28 weeks of gestation
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Sibling adaption: Encourage parents to do the following | show 🗑
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Normal vitals for a new born | show 🗑
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IV Flow Rate Equation | show 🗑
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How and When to give Betamethasone | show 🗑
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show | 1st - 1 - 2 kg (2.2 -4.4 lb)
2nd - 0.5 kg (1 lb) per week for last 2 trimesters
3rd - ^^
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Conditions that are indications for fetal assessment via electronic fetal monitoring are? (besides hypertension and diabetes) | show 🗑
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Nursing actions for phototherapy for hyperbilirubilemia | show 🗑
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Nursing actions for back pain at 8 cm dilation | show 🗑
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Post partum taking hold phase includes | show 🗑
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show | Reflection of birthing experience
Repeating of information to ensure client understanding
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show | Hyperglycemia
Hypokalemia
Hypotension
Tachycardia
Palpitations
Chest pain
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show | Cholecyctisis (gall bladder)
Hypertension
Migraine headaches
Thromboembolic disorders
Diabetes with vascular problems
Breast or Estrogen related cancers
Cirrhosis or liver tumor
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show | Small flexible agents are insert into the vagina past the cervix and into the Fallopian tubes. This causes scar tissue in the tubes and prevents conception.
3 month post exam is done to make sure the fallopian tubes are blocked.
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show | Perforation can occur
Delay in effectiveness up to 3 months, unwanted pregnancy can occur during this time.
Increased risk of ectopic pregnancy if pregnancy occurs
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What does an epidural block treat? | show 🗑
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Where and when is the epidural block injected? | show 🗑
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show | Insulin decreased during 1st trimester and level of exercise
Insulin increase during 2nd and 3rd trimesters and with increased caloric intake, infection, stress, and growth spurts.
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show | Sit patient in reclining chair, semi-fowlers, or left lateral position
Conduction gel to abdomen
FHR is two belts
Patient should push hand held button every time fetus moves
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If there is no fetal movement during the nonstress test, what can you do? | show 🗑
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show | Premature rupture of membranes
Maternal infection
Decreased fetal movement
Intrauterine growth restrictions
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show | Blood ferritin - less than 12 mcg/L
Hgb - less than 11 mg/dL
Hct - less than 33%
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show | Document time of the rupture
Temperature checks every 2 hours
Comfort measure (frequently changing pads, perineal cleansing)
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show | All are uterine stimulantsintr
Oxytocin
Methylergonovine
Misoprostal
Carboprost tromethamine
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show | Membranes must be ruptured
Cervix must be sufficiently dilated
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show | Painful or tender localized mass and reddened area on one breast
Flu like symptoms (chills fever headache)
Fatigue
Enlarged tender axillary lymph nodes on affected side
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show | Compress bulb before insertion
Avoid center of the mouth to prevent stimulating gag reflux
Aspirate mouth first then nostrils
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Uses of oxytocin | show 🗑
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