Contraception
These two long acting contraceptives are considered the most effective, with failure rates as low as 0.1% to 0.8%.
What are implants (Nexplanon) and IUDs?
This stage of labor is the longest and begins with the first true contraction and ends with full cervical dilation to 10 cm.
What is first stage?
This indicates fetal wellbeing and is a positive example of fetal monitoring.
What is moderate viability?
New onset of generalized, tonic clonic seizure activity.
The heart rate is 80 bpm. The baby’s breathing is slow and irregular. There is some flexion of the extremities, but they are mostly weak. When you flick the feet, the baby grimaces but doesn't cry. The baby is pale all over.
Score of 4. FHR less than 100 = 1. Slow respirations = 1. Only "some" flexion but mostly weak = 1. Grimace but no cry = 1.
This non hormonal barrier method must be left in place for at least 6 hours after intercourse and may require refitting if the patient gains or loses weight.
What is a Diaphragm or cervical cap?
During this stage, stabilization and physiologic adjustment are occurring and the mother is closely monitored for up to 4 hours after birth.
What is the fourth stage?
This type of deceleration mirrors the contraction, and is usually caused by head compression.
What is an early deceleration?
These are some of the symptoms of worsening preeclampsia (severe features).
What are: Severe headache, visual changes, edema.?
A patient is currently 20 weeks pregnant. She has a history of one miscarriage at 10 weeks and one daughter born at 39 weeks who is healthy at home.
G =3. T = 1. P = 0. A = 1. L = 1.
31011
Because of the risk of blood clots, these types of contraceptives are generally contraindicated for smokers, particularly over the age of 35.
What are combined oral contraceptives (or estrogen containing methods is correct also) ?
This stage ends with the separation and delivery of the placenta.
What is the third stage?
These decelerations occur after the peak of a contraction and are associated with placental insufficiency.
What are late decelerations.?
I cause sharp pain, dark red blood and a ridgid abdomen.
What is placental abruption?
The baby’s heart rate is 102 bpm. There is a weak, irregular cry. You notice some flexion of the arms and legs. When you suction the nose, the baby grimaces. The baby’s trunk is pink, but the hands and feet are blue.
6.
FHR > 100 = 2 points. Weak, irregular cry = 1. Some flexion = 1. Grimace = 1. Hands/feet blue = 1.
The transdermal patch is noted to have decreased effectiveness in patients meeting this physical criteria.
What is weighing more than 200 lbs or a BMI of greater than 30. ?
A longer duration of this stage is associated with adverse maternal outcomes.
What is second stage?
Name the four nursing interventions for decelerations.
1) Reposition the mother
2) Increase IV fluids
3) Supplemental O2
4) Stop Pitocin (oxytocin)
The nurse will educate the patient with gestational diabetes to do these things.
What are: nutritional management, physical activity, oral medication (with caution), monitor blood glucose. ?
The patient is currently 32 weeks pregnant. She has a history of 2 elective abortions at 8 and 10 weeks. She has one daughter at home who was born at 41 weeks. She also had a son who was born at 35 weeks, but unfortunately passed away.
G = 5
T = 1
P = 1
A = 2
L = 1
A patient taking oral contraceptives must use a back up method if they are prescribed this class of medication.
What are antibiotics?
This is what it's called when the baby's head no longer regresses between contractions?
This is the intervention for variable decelerations that are not corrected in 30 min.
What is a surgical birth?
This can cause sudden and severe unilateral stabbing pain in the lower abdomen, and can even lead to shoulder pain.
What is an ectopic pregnancy?
A newborn is found to have a HR of 110bpm with a strong vigerous cry and regular respiratory effort. Upon examination, you observe some flexion of the extremities, but notice limited resistance when they are pulled away from the body. When the nurse suctions the infant's nose with a bulb syringe, the infant responds by sneezing, and the color assessment shows a pink trunk and blue extremities.
8.
HR > 100 = 2 points
Repiratory = 2 points (Strong, vigorous cry)
Activity = 1 (some flexion and limited resistance)
Grimace = 2 (sneeze)
Appearance(color) = 1 (Acrocyanosis)