PREGNANCY/LABOR
Cervical Change, burst of energy, bloody show, mucous discharge
Signs of impending labor
normal fetal baseline
110-160
Occurs when labor begins after the 20th week and before the 37th
Preterm labor
Cervical ripening (misoprostol or dinoprostone)
Pitocin
Name a food that should be avoided in pregnancy
Soft,unpasteurized cheese
Raw milk
Raw seafood sushi (can harbor Hep A)
Cold cuts (unless toasted)
Alcohol
Saccharin (artificial sweetener)
Fish high with mercury (mackerel or swordfish)
Weight loss supplements
Excessive caffeine
Stage of labor from complete dilation and the urge to push
Stage 2
Internal transducer for fetal monitoring
FSE (Fetal Scalp Electrode)
Painless, bright red vaginal bleeding
Placenta Previa
Medications given to decrease uterine contractions
Tocolytics (Nifedipine/Terbutaline)
True of false: blood pressure increases in pregnancy
False
Primary goal of the 4th stage of labor
Placed in patients who despite titration of Pitocin do not dilate
IUPC (Intrauterine pressure catheter)
List 3 nursing interventions for PPH management immediately after delivery
Pitocin Bolus
Fundal Massage
Monitor Lochia
Monitor vital signs
Medication given to patients in PROM management <32 weeks
Penicillin
Betamethasone
Magnesium Sulfate
Tocolytics if contracting
Sleeping in left sided SIMs position can help prevent which syndrome in pregnancy
Vena Cava Syndrome
Which maternal infections may be teratogenic to the fetus in pregnancy?
TORCH
Toxoplasmosis, (Other: Hepatitis, Malaria, Syphilis, Measles, Influenza, Varicella, Coxsackievirus, Mumps), Rubella, CMV, HSV
Indicate head compression
Early decelerations
Name the steps of intrauterine resuscitation
1) Reposition
2) IV fluids
3) turn off Pitocin
4) Oxygen 10L
Medication given for treatment of preeclampsia/prevention of seizures
Magnesium sulfate
List 3 educational points for exercise in pregnancy
Start with low intensity
Avoid contact sports like soccer
Snack before exercise (protein and complex carbs)
Stop if dizziness occurs
Pregnancy is not the time to learn new skills
Swimming, walking and jogging are recommended in pregnancy
BOX 12.5 Pg 267 Silbert-Flagg
Name 3 common body changes in pregnancy
Nasal congestion (epistasix)
Nausea and vomiting
Palpitations
Breast tenderness
Abdominal discomfort
Urinary frequency
Shortness of breath (dyspnea)
Braxton hicks
Backache
Hemorrhoids
Muscle cramps
Leukorrhea
Varicosities
Constipation
Ankle edema
Variability
Name 3 interventions for management of abruption
1) Fetal monitoring
2) Large bore IV
3) Monitor vital signs
4) Labs (CBC, Coags)
Medications given for PPH
Pitocin
Carboprost (Hemabate)
Cytotec(Misoprostol)
Methlergovine (Methergine)
TXA
Which vaccines are contraindicated in pregnancy?
Measles
Mumps
Rubella
Yellow Fever