Prenatal Care and Education
A positive sign of pregnancy
What is fetal movement or cardiac activity seen on ultrasound
Presentation of rupture of membranes, constant backache, cervical dilation, or pelvic pressure
What is preterm labor
Regular contractions that cause cervical change
What is true labor
4 T's of Hemorrhage
What is tone, tissue, thrombin, and trauma
All newborns lose weight after delivery, but after what amount would there be consideration for supplementing?
What is greater than 10% weight loss
Weight gain recommendation for a prepregnancy BMI of 17
What is 28-40 pounds
4 signs of Magnesium Toxicity
What is change in LOC, decrease/worsening of respiratory status (low rate, SOB, and low O2), decrease in DTRs, and Hypotension
**DAILY DOUBLE**
5 P's of Labor
What is powers, passage, passenger, psyche, and position
Educate patient to urinate frequently, utilize perineal bottle, increase acidic intake, and increase fluid intake to >3000mL per day to avoid...
What is a UTI
Educating parents to place their baby on it's back to sleep, avoid anyone who is sick, clear crib of all loose bedding, and don't smoke around the infant.
What is SIDS
Blue or purple coloration of the cervix
What is Chadwick's Sign
**DAILY DOUBLE**
Patient presents with painless, bright red vaginal bleeding
What is placenta previa
Condition that increases the risk of respiratory distress and hypoglycemia in newborns, polyhydramnios, and macrosomia (4000g-4500g)
What is Gestational Diabetes Mellitus
Your patient is complaining of abdominal pain 7 hours after a vaginal birth. You assess her fundus and find that it is firm and deviated to the right with light vaginal bleeding. Your finding leads you to assess further for...
What is a distended bladder
**DAILY DOUBLE**
1 hour after birth the newborn begins to grunt, retract, and have nasal flaring. Your concern is...
What is Respiratory Distress Syndrome
Hormone that slows the GI system and can cause constipation
What is Progesterone
Patient presents with HTN, an increase in ALT/AST levels, and a platelet level of 80,000.
What is HELLP
A patient who has polyhydramnios states she thinks her water is broken. When you place the baby on the external monitor, you note sudden drops in the heart rate that are reoccurring. This is the immediate concern.
What is umbilical cord prolapse
*DAILY DOUBLE!*
Promoting early ambulation, no smoking, SCD's, and not pushing for long periods in stirrups.
What is DVT prevention
Galactosemia, HIV, herpetic lesions, and drugs such as cocaine.
What are breastfeeding contraindications
Hormone that causes an increase supply of blood flow to mucous membranes and is the cause for a positive Chadwick's Sign.
What is Estrogen
Your patient is laboring with an epidural. She is attempting a vaginal birth after a history of a cesarean section. She has sudden, sharp abdominal pain. When you perform a cervical exam, the fetal head is no longer palpable. Your immediate concern is...
Uterine Rupture
Differentiating the two phases in the first stage of labor.
What is Latent (1-6cm and last longest) and Active (6cm to complete, increase in pain, with regular and strong contractions).
Actions taken to manage a patient who is in hypovolemic shock following a postpartum hemorrhage
What is IV fluids, non-rebreather O2 administration, hemorrhage meds, administer vasopressors to raise BP, and plan for Massive Transfusion Protocol.
First assessment needed in an infant with a temperature of 97.2F, respiratory rate of 64, and presents with hypotonia and jitters.
What is hypoglycemia
**DAILY DOUBLE**