What is her G/TPAL (G/P):
Pt is 7 wks pregnant. 2 previous AB (10wk & 6wk),stillborn birth @ 39weeks.
G 4/P 1020
What are some of the risk factors associated with a 32 week newborn admitted to the NICU
SGA, maternal infection, fetal asphyxia
Labor Pt. suddenly says, "I can't breathe" has dyspnea with restlessness
Amniotic Fluid Embolism
First stage of Maternal adaptation
"Accepting the Pregnancy"
Tachypnea, grunting, retractions & nasal flaring
RDS in Newborn
Measures FHR (NST), muscle tone, movement, breathing, and the amount of AFL via ultrasound. 2 pt. each for a total score of 10. Score of 8-10 = reassuring. Score of 4 or less = might need to deliver the baby early or immediately.
(BPP) Biophysical Profile
Internal monitor, measures beat to beat variability.
FSE (Fetal Scalp Electrode)
Uterine Ctx, cramping, lower back pain, pelvic pressure, nausea, vomiting, diarrhea
Signs of Pre Term Labor
Fever, Lochia odor, Strong afterpains, Elevated WBC. Related to the suspected diagnosis of:
Endometritis
Jaundice in a newborn who is less than 18 hours old
Pathologic Jaundice
Cravings of non-food substance causing iron deficiency anemia
PICA
The classic differentiating symptoms between placenta previa and placenta abruptio is A. Vaginal bleeding B. Abdominal pain C. Uterine contractions D. Uterine tone
B.Abdominal pain
Shoulder Dystocia
McRobert's maneuver
Deceleration pattern associated with a cord prolapse that may appear at random and may be unrelated to the mother's contractions
Variable decelerations
Apical pulse 108, R 28, Pink body-blue extremities, crying after stimulation, well flexed extremities.
Apgar score:_____
8
G1P0 Pt presents to ED with bleeding and cramping. LMP 7 wks ago. On speculum exam cervix is closed.
Threatened Spontaneous Abortion
Which intervention is NOT appropriate in a patient who presents @ 34 weeks with vaginal bleeding? A. Sterile vaginal exam B. Sterile speculum exam C. Real-time U/S
A. Sterile vaginal exam
Pt on Magnesium Sulfate infusion has following VS on assessment: RR 9 breaths per min, absent deep tendon reflexes, urine output of 21cc/hr
side effects of Magnesium Sulfate
Maternal PP adjustment - Review & recall details of L&D with nurses caring for her.
Small for gestational age, small eyes, thin upper lip, microcephalic
Fetal Alcohol Syndrome
Amenorrhea, Nausea, Breast enlargement
Presumptive Signs of Pregnancy "subjective'
Antidote for Magnesium Sulfate
Calcium Gloconate
G1P1 Pt. 1hr Postpartum with heavy flow and boggy uterus. Meds to reduce amount of bld loss are:
Pitocin, Cytotec, Methergine, Hemabate
NB Meds given @ birth
Vitamin K - clotting
Hep B - vaccine given at birth
Erythromycin Ointment - prophylactically to prevent gonorrhea/chlamydia
2cm/0/60%
1st stage of labor - latent phase