Labor
Bleeding
Pre-eclampsia
General
Medications
100

A woman is in labor. The amniotic fluid (water) is broke and it is stained with meconium and what action should the nurse take if a ct has meconium stained aspiration syndrome

What action should the nurse take? position on the side

100

Painless, bright red bleeding usually in the 2nd or 3rd trimester of pregnancy

What is placental previa

100

How is pre-eclampsia defined?

Hypertension (bp 140/90)

proteinuria

100

A procedure used to close the cervix to prevent premature birth.

What is cerclage

100

Causes hypoglycemia, high BP, at risk for infection

Given to promote lung maturity

What is Betamethasone.

200

pt is supine, dizzy and a BP of 88/44

What is vena cava syndrome or orthostatic hypotension

200

A client is in the 3rd trimester of pregnancy, and begins bleeding, painful, with a rigid abdomen.

Caused by hypertension, or cocaine. 

What is abruptae placentae

200

Define eclampsia

Hypertension (140/90)

Protein in urine

Seizures ( this is the main difference)

200

What is cord care?

fold diaper down, air dry, 

Do not bath until cord off

No alcohol, no antibiotic, no peroxide on stump

200

Affects of spinal anesthesia

Hypotension

Uterine Atony

FHR bradycardia

loss of bearing down reflex

Headache

300

If a ct has GBS and is about to give birth what is the nurse action?

What is penecillin?

300

What are expected vital signs with hemorrhage during pregancy?

Hypotension, tachycardia, tachypnea

300

Uterine atony 

Oliguria 

deep tendon reflexes absent

bradycardia

Adverse effects of magnesium sulfate

300

what is an early deceleration?

a drop in fetal heart beat that matches the contraction

300

What should be adminstered with ferrous sulfate?

Vitamin C

400

What is precipitous labor? What is a risk factors

Quick Labor under 3 hours

History of precipitous labor, 

400

Care of a ct with placenta previa includes

c section surgury

No vaginal exams

monitor FHR

400

What are nursing actions for pre-eclampsia?

Magnesium sulfate

Check DTR every 15 min

Check BP/ R  every 15 min

Have calcium gluconate prepared

Provide calm, darked room

400

Describe a pedendual block

It is a spinal block that only numbs the perineal area

It prevents the feeling to push and they may need direction to push.

400

what is an opioid analgesic antagonist

Naloxone / Narcan

500

What are nursing actions for shoulder dystocia?

McRoberts manuever, supra pubic pressure, reposition

500

What are expected findings for a client with a hydatiform mole?

Prune or dark colored bleeding

Excessive uterine enlargement

Hyperemesis

500

what is the hiegith of the fundus at 22 weeks

at umbilicus

500

What is methotrexate used for in pregnancy and what are nursing considerations?

To treat methotrexate to eliminate the pregnancy, avoid foods high in folates ( leafy green vegetables)

500

Before adminstering oxytocin, what position should the fetus be in?

What is station 0

600

A contraction with a wave like amputitude that is equal and does not react to contractions.

What is sinosidal

600

What does GTPAL stand for

G= gestation

T= term ( 37 weeks)

P= preterm ( before 37 weeks)

A= abortion

L= living

600

Describe gonorrhea

bacterial infection 

greenish yellow purulent discharge

STD


600

describe genital herpes

open lesions in the genital area

open lesions transfer infection

mother will have c-section

Herpes can cause infant death

600

List inportant information about heparin and warfarin

anticoagulants

heparin=aPtt     warfarin= PT/INR

protamin sulfate antidote for heparin

Vitamin K for Warfarin

Hep= subcut    warfarin=oral


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