Labor
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
Painless, bright red bleeding usually in the 2nd or 3rd trimester of pregnancy
What is placental previa
How is pre-eclampsia defined?
Hypertension (bp 140/90)
proteinuria
A procedure used to close the cervix to prevent premature birth.
What is cerclage
Causes hypoglycemia, high BP, at risk for infection
Given to promote lung maturity
What is Betamethasone.
pt is supine, dizzy and a BP of 88/44
What is vena cava syndrome or orthostatic hypotension
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
Define eclampsia
Hypertension (140/90)
Protein in urine
Seizures ( this is the main difference)
What is cord care?
fold diaper down, air dry,
Do not bath until cord off
No alcohol, no antibiotic, no peroxide on stump
Affects of spinal anesthesia
Hypotension
Uterine Atony
FHR bradycardia
loss of bearing down reflex
Headache
If a ct has GBS and is about to give birth what is the nurse action?
What is penecillin?
What are expected vital signs with hemorrhage during pregancy?
Hypotension, tachycardia, tachypnea
Uterine atony
Oliguria
deep tendon reflexes absent
bradycardia
Adverse effects of magnesium sulfate
what is an early deceleration?
a drop in fetal heart beat that matches the contraction
What should be adminstered with ferrous sulfate?
Vitamin C
What is precipitous labor? What is a risk factors
Quick Labor under 3 hours
History of precipitous labor,
Care of a ct with placenta previa includes
c section surgury
No vaginal exams
monitor FHR
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
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.
what is an opioid analgesic antagonist
Naloxone / Narcan
What are nursing actions for shoulder dystocia?
McRoberts manuever, supra pubic pressure, reposition
What are expected findings for a client with a hydatiform mole?
Prune or dark colored bleeding
Excessive uterine enlargement
Hyperemesis
what is the hiegith of the fundus at 22 weeks
at umbilicus
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)
Before adminstering oxytocin, what position should the fetus be in?
What is station 0
A contraction with a wave like amputitude that is equal and does not react to contractions.
What is sinosidal
What does GTPAL stand for
G= gestation
T= term ( 37 weeks)
P= preterm ( before 37 weeks)
A= abortion
L= living
Describe gonorrhea
bacterial infection
greenish yellow purulent discharge
STD
describe genital herpes
open lesions in the genital area
open lesions transfer infection
mother will have c-section
Herpes can cause infant death
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