Prenatal
Common occurance during pregnancy, defined as “unresolved or contradictory feelings about whether one wants to have a child at a particular moment”
What is AMBIVALENCE
Effect of oxytocin (Pitocin) administration during labor and following delivery
What is INCREASE FREQUENCY, INTENSITY, DURATION of contractions in labor and facilitate uterine contraction following delivery
Management of foul smelling lochia
Nurse role when assessing and assisting a breastfeeding mother experiencing sore nipples
Assess LATCH
L - latch, A - audible swallowing, T - mom type of nipple, C -mom comfort level, H - amt of help needed
A leading cause of macrosomia and hypoglycemia in newborn. Usually resolves after delivery but can reappear with similar features after menopause.
What is gestational diabetes.
B vitamin that prevents neural tube defect in the developing fetus
What is FOLIC ACID
Describe VEAL CHOP. Which fetal monitoring finding is most concerning?
What is
Variable Decel = cord compression
Early decel = head compression
Acceleration = OK!
Late decelleration = placental insufficiency MOST CONCERNING
Nursing organization that provides guidelines for obstetrical care
What is AWHONN
Assoc of Womens Health, Obstetrical and Neonatal Nurses
Effective way to break suction when infant is nursing to prevent sore nipples
Instruct mom to insert finger to break suction
Define DIC, provide causes and list signs and symptoms
Disseminated intravascular coagulation is a secondry diagnosis that occurs as a result of placental abruption, anaphalactoid syndrome of pregnancy, intrafetal uterine death and retention, acute fatty liver of pregancy, severe preeclampsia, HELLP syndrome, septicemia, postpartal hemorrhage. S/S petechiae, ecchymosis, bleeding gums, fever, hypotension, acidosis, tachycardia, uncontrolled bleeding, proteinuria, renal failure.
Good sources of calcium during pregnancy
What is dairy products: Milk, yogurt
This scoring system is used to assess cervical ripeness and potential success of induction of labor.
What is Bishop Scoring (dilation, effacement, station, cervical consistency, position of cervix)
Essential role of the nurse postpartially to assess for bleeding, noting decrease each day.
What is ASSESSMENT OF FUNDAL INVOLUTION 1 cm each day
What does APGAR stand for? How is the score calculated? When is it done?
Appearance (color), Pulse (heart rate), Grimace (reflex activity), Activity (muscle tone), Respiratory (respiratory effort)
0,1, or 2 for each of the five criteria at 1 and 5 minutes
What is the leading couse of neonatal death the first month of life? List complications of prematurity
Prematurity - respiratory distress (rib retractions, nasal flairing, expiratory grunting), persistent pulmonary hypertension of newborn, bronchopulmonary dysplasia, retinopathy of prematurity, periventricular-intraventricular hemorrhage, necrotizing enterocloitis, retinopathy
Factor related to the development of erythroblastosis fetalis. What medication must be given to the mother?
What is Rh factor. An Rh - mother must be given RhoGam to prevent sensitization and second pregnancy erythroblastosis
Essential assessment by nurse when a woman in labor is bleeding
What is ASSESS FETAL HEART
Lab and objective findings related to postpartal hemorrhage
What is significantly decreased hematocrit and hemoglobin and diminished urine production (if severe)
Used to determine the newborns gestational age assessing physical signs and neurological maturity. Provide description of areas assessed.
Ballard score
skin texture, lanugo, plantar creases, breast tissue, eyes and ears, genitals
Disorder characterized by abrupt seperation of placenta from the uterus. What are the signs and symptoms and risk factors for this disorder
Placental abruption sudden onset, concealed or visible bleeding, dark red blood, fconstant firm to rigid painful abdomen, fetal distress present or absent. Risk factors: multiparity, multifetal pregnancy, chronic maternal hypertension, trauma, cocaine or methamphetamine use, advanced age (over 35).
Antigen testing recommended by CDC for all pregnant women. Necessitating vaccine and immunoglobulin within 12 hours of birth if positive
What is Hepatitis B surface antigen (HBsAg)
Greatest risk of prelabor rupture of membranes (PROM) Define and expain
What is rupture of membrance greater than 24 hours leading to NEONATAL SEPSIS
Four Ts related to postpartal hemorrhage
Tone, Trauma, Tissue, Thrombin
What is PKU and when should PKU testing be performed?
A phenylketonuria (PKU) screening test is done to see whether a newborn baby has the enzyme needed to use phenylalanine in his or her body. A PKU test is done a day or two after your baby's birth. The test is done after your baby is 24 hours old and after your baby has ingested some protein in the diet to ensure accurate results.
Cause of insulin resistance during pregnancy. Change following birth in relation to maternal insulin needs
Human placental lactogen hPL causes maternal cellular resistence to insulin. Following delivery and drop in hPL maternal decreased insulin needs results.