Chapter 7
The type of prenatal class involves diet modification, frequent prenatal visits, and preventing infection and complications
Gestational diabetes Mellitus
An abnormal attachment of the placenta to the uterine wall occurs in 3 out of 1000 deliveries
Placenta Accreta
Extra 100: if you can tell me the usual end result of having this (Hysterectomy)
What is the woman's name for Artery Vein Artery
AVA
Extra 100 if you can tell me what it assessed
When the longitudinal abdomen muscles that extend from the chest to the symphysis pubis are separated this is also known as what
Diastasis recti
Narcotic antagonist used to reverse respiratory destress caused by opioid drugs
Naloxone (Narcan)
A nonpharmalogical pain relief measure that entails finding a focal point, using imagery or music
Diversion and Distraction
Name at least two types of nursing care for an episiotomy or a Laceration
cold packs to perineum for first 12 hours then warm heat packs 12 to 24 house, sitz baths, mild oral analgesics
Name two of Infant formulas
RTF
Concentrated liquid
Powdered
Another name for the postpartum period
Puerperium (6 weeks following childbirth)
Drugs that reduce uterine contractions
Tocolytics
These drugs are not relieve pain but are given to relieve nausea and vomiting
Adjunctive drugs
3 complications of an amniotomy
Prolapse of umbilical cord
infection
abrupt placentae
Phases of milk production
Colostrum first few days after birth
Traditional milk 7 - 10
Mature milk 14 days
What are the three most common post pregnancy complications when returning to the pre pregnancy state
Thrombosis, Hemorrhage and infection
Extra 100 if you can name one of the other symptoms to watch for:
Fever, lochia with oder, bright red, pains, UTI, DVT, tender breast, suture line concerns, depression prolonged
Name the two ways Prostaglandin E (Misoprostol) can be administered
oral (sublingual/buccal) Vaginal
Extra 100 if you can tell me the risk associated with prostaglandin E: Uterine tachysystole(increase uterine contractions) and fetal heart rate abnormalities
Name three important admission assessments related to pharmacological pain management.
Last oral intake, adverse reactions to drugs, other medications take, food allergies, latex allergy
4 risk factors for dysfunctional labor
Advance maternal age, obesity, over distention of uterus (hydramnios or multifetal), abnormal presentation, cephalopelvic disproportion, overstimulation of uterus, maternal fatigue, dehydration, fear, lack of analgesic assistance
When assessing the perineum what does REEDA stand for?
Redness
Edema
Ecchymosis
Discharge
Approximation
What happens in Phase 2 of the newborn transition phase (how long it lasts, motor, respiratory, cardiac, GI)
30 min to 2 hours decreased responsiveness
decrease motor activity
rapid respirations up to 60bpm
Normal HR in term newborn
audible bowel sounds
Name 4 adverse effects of Demerol during labor
hypotension, sedation, N&V, pruritus, decrease fetal heart variability and fetal sedation at birth. Respiratory depression in newborn within e hours after last dose (IV 5-10 minute peak of action or IM 50 minute peak of action)
Name 3 signs and symptoms of hyperventilation
Dizzy, Tingling hands and feet, cramps and muscle spasms of hands, numbness around nose and mouth, blurred vision.
Extra 100 if you can tell me how to correct it: breath slow on exhalation, breath in cupped hands, moist washcloth on mouth and nose while breathing, hold breath for few seconds before inhaling
Name 5 indications for an induction
BUBBLE HE stands for what
B breast
U uterus
Bladder and bowels
Lochia
Episiotomy
Homans sign
Emotions (bonding)
What are the 4 mechanisms of heat loss
Evaporation: dry cover head
Conduction: radiant warmer and warm equipment
Convection: crib away from windows and vent
Radiation: crib away from cold wall and wrap newborn
extra 100 if you can tell me the nursing intervention of two of them
Name 5 common screening tests done on newborns
PKU, hypothyroidism, galactosemia, Sickle Cell, Thalessemia, maple syrup disease, congenital hearing loss.