Infections 2
toxoplasmosis, other infections (e.g., hepatitis), rubella virus, cytomegalovirus, & herpes simplex virus
What are the TORCH infections?
quiet, non-stimulating environment with subdued lighting
What is an environmental precautionary measure for women with pre-eclampsia?
misoprostol (Cytotec) and dinoprostone (Cervadil)
What are prostoglandin cervical ripening agents?
postpartum hemorrhage
What is it called when a client loses more than 500ml of blood after a vaginal birth or more than 1000ml after a cesarean birth?
-lidocaine
What is the analgesic used for episiotomy or laceration repair after delivery?
avoid consuming under cooked meat while pregnant
What client education would a nurse give to an expectant mother on how to prevent a TORCH infection?
increased vitamin C improves absorption of ferrous sulfate
What is client education for ferrous sulfate administration?
ephedrine
What medication is administered IV to counteract the hypovolemia that results in hypotension after a laboring client receives an epidural?
uterine atony
What is the inability of the uterine muscle to contract adequately after birth and can lead to postpartum hemorrhage?
placenta percreta
What is the abnormal placental attachment through the myometrium and uterine serosa, and may involve adjacent organs (e.g. bladder)?
an expectant mother should notify the labor and delivery nurse of this status
What is an important piece of client education regarding GBS+ status?
heart disturbances, breathing difficulties, poor reflexes, confusion, weakness, flushing (warmth, redness, or tingly feeling), sweating, lowered blood pressure, feeling faint, anxiety, cold feeling, extreme drowsiness, muscle tightness or contraction, or headache
What are the signs/symptoms of magnesium toxicity?
-amniotomy
What is the artificial rupture of the amniotic membranes (AROM) by the provider using an Amnihook?
fundal massage
What is a nursing intervention for uterine atony?
BUBBLEHE
What is the acronym that assists in remembering the pieces of a postpartum assessment?
What is breasts, uterus, bowel, bladder, lochia, episiotomy, hemorrhoids, emotional status?
avoid alcohol to prevent disulfiram-like (severe nausea & vomiting) reaction that can occur
What is client education regarding metronidazole drug/food interactions?
prophylactic cervical cerclage
What is the surgical treatment for cervical insufficiency (premature cervical dilatation)?
increase IV fluids and change of maternal position
What are two nursing interventions for fetal distress?
episiotomy
What is a surgical incision of the perineum called that is made to give more room for the passage of the fetal head?
- asthma as a contraindication
With what pre-existing condition is carboprost tromethamine (Hemabate) contraindicated?
administered at 14 weeks gestation, throughout the pregnancy, and before the onset of labor or cesarean birth
How is zidovudine/Retrovir administered during pregnancy/labor & delivery?
HELLP syndrome
What is the syndrome that involves hemolysis, elevated liver enzymes, & low platelets?
-amnitotic fluid embolism
What is caused when there is a rupture in the amniotic sac or maternal uterine veins accompanied by high intrauterine pressure that causes infiltration of the amitotic fluid into the maternal circulation; the amniotic fluid then travels to & obstructs pulmonary vessels & causes respiratory distress & circulatory collapse?
terbutaline (Brethine)
What medication is used to treat uterine hyperstimulation during labor when other interventions have not been effective?
What medication is given to stop preterm labor?
deep vein thrombosis (DVT) prevention
What are SCD boots or TED hose used for after a cesarean delivery?