What is the 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
What is the most important characteristic of fetal heart tracings to determine fetal well-being?
Variability
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
Pt. LMP is 11/7/2024. What is the EDD or EDC?
8/14/25
Uterine Ctx, cramping, lower back pain and pelvic pressure
S & SX of Pre Term Labor
SVE done in the "first stage of labor" to assess fetal station.
Ischial spines bony pelvic landmark denotes 0 station.
True or False
True
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
Abdominal pain
Shoulder Dystocia
McRobert's maneuver
Placenta function is optimized when pregnant women are in this position
laying on side
Blue body/blue extremities, heart rate 80, no crying/response, flexion of extremities, but no movement, respirations 35.
Apgar score:_____
3
G1P0 Pt presents to ED with bleeding and cramping. LMP 7 wks ago. On speculum exam cervix is closed.
Threatened Spontaneous Abortion
Nursing intervention appropriate for a soft/boggy fundus.
Firm fundal maddage
Pt. on Magnesium Sulfate infusion has following VS on assessment: RR 9 bpm, +1 DTR, U/O of 90ml in 4hrs, Serum Mag levels of 10 mg/dl
Side effects of Magnesium Sulfate
Maternal PP adjustment - Review & recall details of L&D with nurses caring for her.
Taking-in Phase (dependent)
Small for gestational age, small eyes, thin upper lip, microcephalic
Fetal Alcohol Syndrome
Positive pregnancy test and Goodell's sign
Probable signs of pregnancy "Objective"
Antidote for Magnesium Sulfate
Calcium Gluconate
Primary RN responsibility when client is receiving IV Pitocin?
Monitor/evaluate uterine response and fetal response to CTX.
NB Meds given @ birth
Vitamin K - clotting
Hep B - vaccine given at birth
Erythromycin Ointment - prophylactic to prevent gonorrhea/chlamydia
2cm/0/60%
1st stage of labor - latent phase