Bleeding
HTN
Fetal Monitoring
Postpartum
Misc
100

Hemorrhage is defined as

Greater than 500 mL for a vaginal delivery and greater than 1000 mL for a cesarean section.

100

Used for cerebral protection

What is Magnesium Sulfate

100

The #1 indicator of fetal well-being is

Variability- variation in the baby's heart rate from it's baseline.

100

Interventions to avoid mastitis.

What is wash hands, position baby correctly at the breast, make sure baby grasps areola as well as nipple, expose nipples to air during the day, and use vitamin E ointment to soften nipples daily?

100

Most likely complication for a pregnant patient that abuses cocaine

Placental abruption

200

2 labs needed upon admission to give you a "bleeding baseline"

Type and screen

Platelet count

200

HTN presenting after 20weeks, no proteinuria

What is gestational HTN

200

Definition of a reactive NST

2 accels lasting 15 seconds that are 15 beats above the FHR baseline in a 20 minute window. (>32 weeks)

2 accels lasting 10 seconds that are 10 x 10 in a 20 minute window (<32 weeks)

200

Postpartum psychosis.

What is delusions, hallucinations of harming the infant or self.

200

The drug given to stimulate fetal surfactant production in a preterm labor.

What is betamethasone

300

Painless, bright red bleeding

Placenta previa

300

Define pre-eclampsia

What is SBP ≥ 140 or DBP ≥ 90 on 2 occasions at least 4 hrs. apart + proteinuria (>=300mg in 24hr UrPr) or abnormal (platelet, serum creatinine, liver function, pulmonary edema, unresolved HA)

300

Name this deceleration

Early deceleration

300

Pre-E develops in the post partum period.  B/P is 188/96.  What medications would be initiated for this patient (Name 2)

Labetalol or Apresoline for the acute high B/P, and Mag for cerebral protection.

300

Define HELLP syndrome

What is Hemolysis, Elevated Liver Enz, Low platelets

400

Double Jeopardy!!!

3 types of placenta previa with description, and is a vaginal delivery possible

Marginal-at the margin of the cervix-vag possible

Partial-partially covering the cervix-vag can be attempted, but usually not successful

Total-entire cervical os is covered-vag not possible

400

Define Pre-eclampsia w/Severe Features

What is If one or more of the following criteria is present:  SBP ≥ 160 or DBP ≥ 110 at least 6 hours apart at rest -Proteinuria >=5 g in 24hr UrPr or 3+ or greater on two random urine samples collected at least 4 hours apart -Oliguria of less than 500 mL in 24 hours -Cerebral or visual disturbances -Pulmonary edema or cyanosis -Epigastric or right upper-quadrant pain -Impaired liver function -Thrombocytopenia -Fetal growth restriction

400

Name this deceleration

Variable deceleration

400

Double Jeopardy!!!

The #1 cause of post partum hemorrhage is...

and what it a nurses priority intervention when she discovers it?

Uterine atony and fundal massage.

400

form of birth control that increases the risk of PID, uterine perforation, and ectopic pregnancy

What is an IUD

500

After an MVA, a 34 weeker presents with severe abdominal pain.  Her B/P is 92/48, P-135, R-32.  She is not experiencing any visible bleeding at this time, but her abdomen is rigid.  FHR-100 with minimal variability and late decels.  You suspect:

Placental abruption

500

Hemorrhage associated with antepartum HTN and embolitic disorder is usually associated with this condition.

What is disseminated intravascular coagulation

500

Double Jeopardy!!!

The cause of these decelerations, and nursing interventions with most important named first.

Late decelerations are caused by utero-placental insufficiency.  

1-Turn pt to L side.

2-Give o2 as 10-12 L via tight face mask or non-rebreather.

3-Give IVF bolus of of 500-1000mL.

4-Stop the pitocin if infusing.

5-Administer tocolytics as needed.


500

What is usually in left leg, patient has high temperature and chills, tenderness, coolness, pale limb, decreased pedal pulse,and pain with Homan's sign, and an increase in size of limb by 2cm.

What is a DVT

500

The destruction of RBC's in a fetus that results from an antigen-antibody reaction

What is erythroblastosis fetalis

600

3 drugs used to treat post partum hemorrhage 

-who would you not give these to and why

What is pitocin, methergine, Hemabate (prostaglandins)

Do not give methergine to hypertensive pts- works by vasoconstriction.

Do not give Hemabate to asthmatics- works by increasing muscle contractility.

600

Assessment that is of ultimate importance in assessment of neurologic status of pre eclamptic

What is DTRs

600

2 uses for an IUPC

What is measuring the exact amount of pressure within the uterus, and amnioinfusion.

600

Medicine of choice for post partum thrombosis prophylaxis

What is lovenox

600

If found, a patient is at high risk to deliver within 2 weeks

What is fetal fibronectin