Antepartum
Of the following statements, the primary focus of the pregnant woman during the first trimester is...
A. “How is the baby’s heart today?”
B. “Is the baby growing at the right rate?”
C. “Since I am not eating much because of the morning sickness, is the baby malnourished?”
D. “Why are my breasts so tender?”
What is D. “Why are my breasts so tender?”
During the first trimester, the primary focus of the woman is on herself, not the fetus.
Most injurious result that could occur from preeclampsia and drug that prevents it.
What is seizure and Mag sulfate
Reversal agent: calcium gluconate
With abnormal uterine bleeding after delivery what is the priority nursing intervention?
What is Assess the fundus
Detects antibody coated Rh+ cells in infant's blood after delivery
What is DIRECT Coombs
What is the best method of emergency contraception?
What is ParaGuard IUD (copper IUD)
Medication you can anticipate administering to a mother who is Rh-, and at what point in her pregnancy
What is RhoGAM, 28 weeks, then again at birth
A patient comes in with a total placenta previa, as the nurse what do you prepare the patient for?
What is C-section, NO VAG EXAM
What are the 3 steps in the attachment process?
What is Taking in, Taking hold, and Letting go
As a nurse, what would you be worried about if you saw acholic stools?
What is Biliary Atresia
Name 2 normal skin changes in pregnancy
What is Linea nigra, Striae gravidarum, Melasma, Spider nevi
An ultrasound is done immediately prior to an amniocentesis to:
A. Determine fetal age.
B. Locate fetal and placental position.
C. Determine maternal blood pressure.
D. Determine amount of fetal movement.
What is B. Locate fetal and placental position.
Determining fetal and placental position is important prior to amniocentesis to prevent damage by the needle.
**Most women have an u/s done before 16 weeks but that u/s would not be used to confirm position**
You’re observing a student nurse preparing to start pitocin on a laboring mother, the student attaches the IV bag of pitocin directly to the IV line, what do you do?
What is STOP the student and make sure the pitocin is hung piggy back.
Lochia pink brown tinged for 3-10 days
What is serosa
Rubra (red): 1 to 3 days
Serosa (pink, brown-tinged): 3 to 10 days
Alba (yellowish-white): 10 to 14 days, but can last 3 to 6 weeks and remain normal
In newborns every stress leads to____ and ________ which could result in _____
What is Hypoglycemia and Hypothermia, Respiratory distress
Define VEAL CHOP and priority nursing intervention for V and L
What is Variable...Cord Early...Head Acceleration...Ok Late...placenta
Variable and Late indicates fetal hypoxia
What is Turn to the L side
A pregnant woman comes in and has a blood pressure of 145/95, she is complaining of epigastric pain, and has been having nausea and vomiting for the past few hours. You are most concerned about?
What is HELLP (hemolysis, elevated liver enzymes, and low platelet)
Two risks when a mother has induction of labor.
What is increased chance of:
Infection
Hypertonic uterine activity
Uterine rupture
Increased risk for c-section
What would you be concerned about if your postpartum patient was complaining of myalgia, flu-like symptoms and a low grade fever
What is Mastitis
What are the 3 C's for Esophageal Atresia (EA) and Tracheoesophageal Fistula (TEF)
What is Choking Coughing and Cyanosis
Name 1 disadvantages of epidural analgesic and 1 priority nursing interventions.
What is Maternal hypotension, Limited mobility, Can slow fetal descent, Urinary retention, Blood coagulation
Nursing Interventions: Monitor VS & respiratory bolus IV fluids prior.
What does TORCH stand for?
What is
Toxoplasmosis
Other: Varicella, Hepatitis B, Rubella
Cytomegalovirus
Herpes Simplex
Three priority nursing interventions with spontaneous rupture of membranes
What is assess FHR, Observe for cord prolapse, and Note quality/quantity of amniotic fluid (color, odor) and time of occurrence
Immediately after birth, the nurse can anticipate the fundus to be located:
A. At the umbilicus.
B. 2 cm above the umbilicus.
C. 1 cm below the umbilicus.
D. Midway between the symphysis pubis and umbilicus.
What is D. Midway between the symphysis pubis and umbilicus.
2-4 hours postpartum: level of the umbilicus or one fingerbreadth above
Localized swelling of the soft tissues of the scalp caused by pressure on head during labor may cross over suture lines.
What is Caput Succedaneum
Cephalohematoma does not cross suture lines
Molly comes into triage she is assessed to be 6 cm dilated with contractions 4 min, 40-50 sec. Name the stage and phase of labor
What is first stage and active phase