Antepartum Nursing Care
Abstinence, Coitus Interruptus (Withdrawal), Calendar Rhythm Method, and Cervical Mucus Ovulation Detection Method are all types of what?
Natural Family Planning and Fertility Awareness-Based Methods of contraception.
The aspiration of amniotic fluid for analysis by insertion of a needle trans abdominally into a client’s uterus and amniotic sac under direct ultrasound guidance, determining the location of the fetus. It may be performed after 15 weeks of gestation.
Amniocentesis
This STI caused by the spirochete Treponema pallidum. It can be transmitted through sexual contact or from the client to the fetus during pregnancy (congenital syphilis). Clients who are pregnant receive screening/testing for syphilis at the first prenatal visit and re screened in the third trimester if at high risk.
Syphilis
When uterine contractions and cervical changes that occur between 20 and 36 weeks and 6 days of gestation. Shorter gestation is associated with increased neonatal risks.
Preterm Labor
A trial of labor after cesarean birth (TOLAC) may be indicated for some clients who have had previous cesarean births. When a TOLAC is successful, it is called this.
Vaginal Birth After Cesarean (VBAC)
What is the dark line of hyperpigmentation from the umbilicus extending vertically to the pubic area.
Linea nigra
A nurse is caring for a client who is experiencing a ruptured ectopic pregnancy. Which of the following findings is expected with this condition?
Severe right shoulder pain
This bacteria is a commonly colonized vaginal flora. In many cases it does not cause complications for the pregnant client, but it can increase the risk of developing urinary and intraamniotic infections. This colonization in the pregnant client poses a serious risk for infection in the newborn if transmitted during labor and birth. The client will need treated with antibiotics during labor.
Group B Streptococcus β-Hemolytic (GBS)
Performing external palpations of the maternal uterus through the abdominal wall to determine the following: Presenting part, fetal lie, and fetal attitude, Degree of descent of the presenting part into the pelvis, Location of the fetus’s back to assess for fetal heart tones.
Leopold Maneuvers
A difficult or abnormal labor related to the five P’s of labor (passenger, passageway, powers, position, and psychologic response). Atypical uterine contraction patterns prevent the normal process of labor and its progression. Contractions can be hypotonic (weak, inefficient, or completely absent) with failure to efface and dilate the cervix.
Dystocia (Dysfunctional Labor)
This ensures that the client is included in the birthing process and their wishes regarding birth are planned.
Birth Plan
A client reports continued nausea; vomiting; and scant, prune-colored discharge. The client has experienced no cramping or pain and has a fundal height of 22 cm. The patient has elevated hCG levels and is anemic.
Molar pregnancy or hydatidiform mole
This refers to a group of conditions that can affect a client who is pregnant and the fetus in-utero. These infections include toxoplasmosis, other infections (such as hepatitis), rubella virus, cytomegalovirus, and herpes simplex virus (HSV). These infections can cross the placenta and have teratogenic effects on the fetus.
TORCH - Toxoplasmosis, Other infections, Rubella, Cytomegalovirus, and HSV
This type of fetal monitoring is achieved by securing an ultrasound transducer over the client’s abdomen, which records the FHR pattern, and a tocotransducer (Toco) on the fundus that records the uterine contractions.
External Electronic Fetal Monitoring
This occurs when the umbilical cord is displaced, preceding the presenting part of the fetus, or protruding through the cervix. This results in cord compression and compromised fetal circulation.
Prolapsed Umbilical Cord
A lack of this supplement in pregnancy can lead to neural tube defects such as spina bifida.
Folic Acid
The placenta implants in the lower segment of the uterus near or over the cervical os instead of attaching to the fundus. The atypical implantation usually results in bleeding during the second or third trimester of pregnancy as the cervix begins to dilate and efface.
Placenta Previa
Excessive nausea and vomiting (possibly related to elevated hCG levels) that is prolonged throughout the pregnancy or that is excessive and causes weight loss, dehydration, nutritional deficiencies, electrolyte imbalances, and ketonuria.
Hyperemesis Gravidarum
An ultrasound-guided hands-on procedure to externally manipulate the fetus into a cephalic lie. The procedure is performed at 37 to 38 weeks of gestation in an inpatient setting.
External Cephalic Version
This is defined as labor that lasts 3 hr or less from the onset of contractions to the time of birth.
Precipitous Labor
A real time ultrasound that is used to visualize the physical and physiological characteristics of the fetus and observe for fetal biophysical responses to stimuli. It combines FHR monitoring (nonstress test) and fetal ultrasound.
Biophysical Profile
A condition when the fetal umbilical vessels implant into the fetal membranes rather than the placenta. Fetal vessels are then unprotected by Wharton’s jelly and may run over the cervical opening.
Vasa Previa
This medication can cause decreased respirations, decreased urine output, decreased level of consciousness and absence of deep tendon reflexes.
Magnesium Sulfate
The artificial rupture of the amniotic membranes (AROM) by the provider using a hook, clamp, or other sharp instrument.
Amniotomy
This can result in a nonreassuring FHR with indications of distress (bradycardia, variable and late decelerations, and absent or minimal variability), Change in uterine shape and fetal parts palpable, cessation of contractions and loss of fetal station, manifestations of hypovolemic shock: tachypnea; hypotension; pallor; and cool, clammy skin
Uterine Rupture