Labor
cervix is changing
2.
Dilation
3.
Effacement
4.
Passsage
5.
Gynecoid pelvis
6.
Anthropoid pelvis
7.
Platypelloid pelvis
8.
Android pelvis
9.
Passsenger effects on
birth
10.
Fetal lie
11.
Fetal attitude
12.
Fetal presentation
13.
Vertex presentation
14.
Military presentation
15.
Brow presentation
1.
16.
Face presentation
17.
Complete breech
presentation
18.
Incomplete breech
presentation
19.
Frank breech
presentation
20.
Compound presentation
21.
External version
22.
Fetal engagement
23.
Station
24.
Fetal position
25.
26.
27.
28.
Easiest fetal positions to ROA, then LOA. Posterior is difficult to deliver because
deliver
bony part of head puts pressure on mother's sacrum
Contractions
Contraction intensity
30.
Ferguson's reflex
31.
32.
33.
Psychosocial factors of
labor
34.
Causes of labor
35.
Contractions increased
by..
36.
Real labor
37.
False labor
Bloody show
How membranes
rupture
29.
38.
39.
Amniotic fluid
41.
Lightening
42.
Braxton Hicks
contractions
43.
Signs of impending
labor
40.
44.
45.
46.
GI response to labor
47.
48.
49.
Respiratory response to
labor
50.
52.
53.
54.
55.
56.
57.
58.
Episiotomy
59.
60.
61.
62.
63.
51.
64.
Cephalohematoma
65.
Subgaleal hematoma
66.
Caput succedaneum
67.
Cardinal movements
68.
Fetal assessment
69.
Cervical assessment
70.
When is it ok to
induce?
71.
Risk of induction
72.
Cervical ripening
Induction methods
Cesarean risks
73.
74.
75.
Labor support
76.
Epidural options
77.
78.
Epidural effects on
newborn
Epidural positives
80.
Epidural nursing
responsibility
81.
Nulliparous
82.
Primiparous
83.
Multiparous
84.
Grand multiparous
>6 deliveries
Dystocia
79.
85.
86.
Labor augmentation
87.
Hypertonic
labor/tachysystole
88.
Nurse tachysystole
interventions
Precipitous labor
90.
91.
Macrosomia
92.
Macrosomia causes
93.
Macrosomia problems
94.
Nonreassuring fetal
heart rate
95.
96.
Abruption
89.
97.
Abruption causes
98.
Abruption S/S
99.
Abruption interventions
Placenta previa
100.
102.
103.
Prolapsed umbilical
cord
Can occur with ROM (cord washes out before baby), most
often iatrogenic (pushing too hard on present part, ROM
too soon), malpresentations
105.
Prolapsed cord
interventions
106.
Polyhydraminos
107.
Polyhydraminos
interventions
108.
Oligohydraminos
109.
Mutliple gestation
110.
Cephalo pelvic
disproportion
111.
Shoulder dystocia
Shoulder dystocia
interventions
112.
113.
Shoulder dystocia fetal Asphyxia, brachial plexus injuries, clavicle and humerus
risks
fractures
114.
Shoulder dystocia
maternal risks
Hemorrhage, lacerations
115.
VBAC benefits
116.
TOLAC
Placenta
117.
118.
119.
120.
121.
122.
Placenta function
Umbilical cord
Fetal circulation
Ductus arteriosus
Fetal oxygenation
Maternal O2 diffuses from PO2 of 50 to fetal PO2 of 3040. Fetal Hgb carries 20-30% more O2 than adult. Higher
O2 carrying capacity, more RBC, higher CO due to higher
HR
125.
Foramen ovale
127.
Ductus venosus
128.
Newborn respiration
129.
Symptoms of NB
resipiratory distress
TTN
130.
132.
Apgar scoring
133.
HR apgar score
134.
136.
137.
138.
Early assessments
139.
Early interventions
N416-2
Study online at quizlet.com/_8emnw
What did electronic fetal monitoring have an
1
effect on in pregnancies
2 does fetal monitoring improve fetal outcomes
3 what does fetal monitoring tell us?
4
measuring variability
causes of decreased variablility
interventions for decreased variability
abrupt change in FHR
1st trimester
2cd trimester
third trimester
definition of survive of preterm baby
full term babies is until
48
62 PPROM
63 cause PPROM
64 risk factors for PPROM
65 treatment of PPROM
66 decision to deliver
67 chronic hypertension
68 gestational hypertension
69 BP in gestational hypertension
70 pre eclampsia
71 mild pre-eclampisa
72 severe pre-eclampsia
73 what you see in sever pre eclampsia
74 eclampsia
75 treatment for pre eclampsia
76 HELLP
77 cause of preeclampsia
78 thromboxane
79 HELLP sign and symptoms
80 labs for HELLP
81 pulmonary edema presentation
82 when should a preterm baby eat
83 how much to feel baby in the first few days?
84 newborn responses
85 in the 1st hour to 1.5hr of life babys will be
86 physical assessment standards
87 NIPS pain scale is based off
88
89
90
91
92
93
94
95
134
135
136
137
138
139
140
NO
fatigue
physical activity
cerebral palsy
5-7ml
22-27ml
60-80 ml
1.
2.
3.
4.
5.
PP panic disorder
6.
PP OCD
7.
8.
PP dpression tx
PP psychosis symptoms
9.
10.
11.
PP psychosis management
12.
PP psychosis tx
13.
PP vital signs
14.
PP pain
15.
Involution
16.
Fundal assessment
Lochia
PP breast assessment
19.
Mastitis
20.
Breast engorgement
17.
18.
PP uterine assessment
PP bowel assessment
23.
PP bladder assessment
24.
PP episiotomy or incision
assessment
25.
Cleansing incision
26.
Incision care
27.
PP DVT
28.
PP emotions
29.
PP rest
30.
PP activity
31.
PP nutrition
21.
22.
32.
PP health promotion
33.
34.
35.
Laceration hemorrhage
36.
Uterine atony
37.
38.
39.
Hemorrhage actions
40.
CV changes in PP
41.
PP bladder issues
Corks
42.
43.
Early hemorrhage
44.
Hemorrhage surgical
intervention
45.
Late hemorrhage
46.
47.
48.
PP hematoma
49.
Hematoma tx
50.
Rhogam
51.
52.
Contraction frequency
53.
Contraction duration
Contraction intensity
55.
Tachysystole
56.
Terbutaline
57.
58.
59.
Baseline FHR
60.
Fetal tachycardia
61.
62.
Fetal bradycardia
63.
54.
64.
Variability
65.
66.
67.
68.
69.
70.
71.
Abrupt
72.
Gradual
73.
Prolonged
any change in rate that lasts >2 min but <10 min
Acceleration
Early decelerations
Variable deceleration
74.
75.
76.
Late decelerations
78.
Prolonged deceleration
79.
Recurrent/repetitive decels
80.
VEAL CHOP
81.
1st trimester
82.
2nd trimester
83.
3rd trimester
84.
Perinatal
85.
Neonatal
86.
Infant
87.
Infant survival
discharged alive
88.
Preterm labor
89.
90.
77.
91.
92.
93.
Preterm labor tx
94.
Terbutaline
95.
Indomethacin
17P
99.
Cervical insufficiency
100.
96.
97.
98.
101.
Cervical insufficiency tx
102.
PROM
103.
PPROM
104.
PPROM management
105.
Decision to deliver
106.
Gestational HTN
107.
Pre-eclampsia
108.
MIld pre-eclampsia
109.
Severe pre-eclampsia
110.
Eclampsia
HELLP syndrome
111.
112.
113.
Thrombaxane
114.
Prostacyclin
115.
Placental ischemia
116.
Spasmodic vasospams
Pre-eclampsia S/S
117.
119.
Pulmonary edema
120.
121.
122.
Ballard assessment of
gestational age
125.
126.
Newborn Hgb
127.
Newborn Hct
43-61 %
128.
129.
80-85 mL/kg
130.
Newborn coagulation
Newborn GI adaptation
Renal function limited, easily dehydrated. Voiding by 2448 hrs (delayed with pitocin), 2-6 voids per 24 hrs first 2
days, 6+ after. May see rusty color caused by uric acid in
urine.
123.
124.
131.
132.
Brazelton test
135.
Newborn discharge
136.
137.
Newborn meds
138.
Breastfeeding
139.
Newborn thermoregulation
140.
Thermoregulation actions
141.
Convection
142.
Radiation
143.
Evaporation
144.
Conduction
145.
146.
147.
IgA
148.
IgG
149.
IgM
MADE BY BABY
150.
N416-3
1
2
3
4
5
6
7
23
24
25
26
27
28 Prevention of hypoglycemia
29 Assessing jaundice
31 conjugated billrubin
32 unconjugated billirubin
anything that effects the amount
33
effects the billirubin
of RBC
if baby doesnt pass stool what
34
their billrubin level
goes up
does oxytocin increase billrubin
35
yes
levels
36
37
38
39
40
41
42 breastfeeding jaundice
43 starvation jaundice
53 spinal bifida
all problems that were just
described are prevented by
55 in utero surgeries
54
56
57
58
59
67
68 infant formula
69 estrogen drops when
70 progesterone
71 prolactin anterior pituitary
72 oxytocin post pituitary
73 WHO recommendations
78
84 contrindications to breastfeeding
85
88
interventions for alcohol toxicity screening and education among women who drink,
during pregnancy
also have them sign I will not drink contract
90
103
104
105
106
107
108
109
110
112
113
How can text messaging be used Can send messages about the babies health every two
for pregnancy?
weeks and ideas for care
OB exam 3; 192 cards; WSU College of Nursing Obstetrics N416 exam 3 material
1.
SGA
2.
AGA
3.
LGA
4.
Hypoglycemia
5.
Autonomic regulation
6.
Motoric stress
7.
State regulation
8.
Attention interaction
9.
Premature lungs
10.
Premature gut
11.
Hypothermia therapy
12.
Kernicterus
Phototherapy
14.
Neonatal infection
15.
16.
Cyanotic lesions
17.
Necrotizing enterocolitis
18.
SIDS prevention
19.
20.
Crank/ice
21.
Dopamine release
22.
Gastrochisis
23.
Meth exposed
infants/children
13.
24.
25.
Necrotizing entercolitis tx
26.
Jaundice assessment
27.
Normal physiology of
bilirubin
29.
30.
31.
Hyperbilirubinemia
28.
Physiologic jaundice
34.
Pathologic jaundice
35.
Breastfeeding jaundice
36.
Kernicterus phase 1
37.
Kernicterus phase 2
38.
Kernicterus phase 3
39.
40.
32.
33.
41.
Septic newborn
42.
43.
44.
45.
Anencephaly
46.
Hydrocephalus
47.
Spina bifida
48.
Cleft lip/palate
49.
Meningomyelocele
50.
400 mcg
51.
600 mcg
52.
4,000 mcg
53.
40,000 mcg
54.
Oomphalocele
55.
Risk of diabetes on
pregnancy
Risk of pregnancy on
diabetes
56.
57.
58.
Macrosomia
59.
60.
61.
DMT1 SGA
Polycythemia from DM
63.
64.
62.
65.
66.
67.
68.
69.
70.
DMT1 tx
71.
72.
73.
DMT2 tx
74.
GDM tx
75.
Breast development
76.
Lactogenesis I
77.
Lactogenesis II
78.
Estrogen
79.
Progesterone
80.
Prolactin
81.
Oxytocin
WHO recommendations
83.
Benefits of breastfeeding
84.
Foremilk
Hindmilk
Good latch
82.
85.
86.
87.
89.
Formula
90.
91.
92.
Medications with
breastfeeding
88.
93.
94.
100-115 kcal/kg/day
95.
6-12 mo calories
85-95 kcal/kg/day
96.
97.
Lactation consultant
98.
Bicornuate uterus
99.
100.
101.
Cervix changes
103.
Cardiovascular changes
Physiologic anemia in
pregnancy
106.
GI changes in pregnancy
107.
105.
109.
Musculoskeletal changes
110.
Weight gain
recommendations
111.
Metabolism changes
112.
Endocrine changes
113.
114.
Pregnancy hormones
108.
115.
116.
117.
Adolescent pregnancy
Delayed pregnancy
Diagnostic signs of
pregnancy
121.
122.
Gravida
# of pregnancies
123.
Para
124.
TPAL
125.
Antepartum assessments
126.
120.
127.
McDonald's rule
128.
129.
Rhogam
130.
Direct Coombs
131.
Indirect Coombs
132.
Hyperemesis gravidarum
134.
Nausea tx
135.
136.
Spontaneous abortion
137.
Incomplete abortion
138.
Missed abortion
133.
141.
Ectopic pregnancy
142.
Ectopic pregnancy dx
143.
Ectopic pregnancy
management
144.
Molar pregnancy
145.
Partial GTD
146.
Compete GTD
147.
GTD diagnosis
148.
GTD management
139.
140.
149.
150.
Exercise contraindications
153.
154.
Elective abortion
Amniocentesis
155.
156.
157.
159.
Group B strep
160.
161.
Fetal NST
162.
163.
Kick counts
164.
Biophysical profile
165.
Aneupolidies
166.
Carrier testing
167.
Preimplantation testing
168.
170.
Newborn screening
171.
NBS benefits
172.
NBS risks
174.
Healthy preconception
behavior
175.
Preconceptual screening
176.
Pre-embryonic stage
177.
Zygote
178.
Morula
169.
173.
179.
Blastocyst
180.
Trophoblast
181.
Implantation
182.
Placenta growth
183.
Placenta accreta
184.
Placenta increta
185.
Placenta percreta
186.
Dizogotic twins
187.
Monozygotic twins
188.
Monochorionic
189.
Monoamniotic
190.
191.
192.
Embryonic stage
Amniotic fluid
1 afterpains
2 autolysis
3 involution
4 subinvolution
failure of the uterus to return to a nonpregnant state, most common cause is retained
placental fragments and infection.
5 lochia rubra
6 lochia serosa
7 lochia alba
9 lochial bleeding
10 puerperium
11 pelvic relaxation
14 HcG
18 urine compenents
19 postpartal diuresis
300 to 500 mL
500 to 1000 mL
23 cardiac output
24 abdomen
3 homans sign
4 uterine atony
12 fundal massage
13 breastfeeding promotion
14 lactation suppression
15 rubella vaccine
16 RhoGam
4 acquaintance
5 claiming process
6 en face position
7 early contact
8 extended contact
9 biorhythmicity
10 reciprocity
11 synchrony
12 postpartum blues
14 engrossment
15 rhythm
16 repertoire of behaviors
17 responsivity
Thermoregulation
Thermogenesis
Nonshivering
thermogenesis
molding
Caput succedaneum
mongolian spots
Acrocyanosis
vernix caseosa
Milia
Jaundice
meconium
Erythema toxicum
Pseudostrabismus
Hydrocele
Desquamation
Pseudomenstruation
Prepuce
Smegma
Epithelial pearls
Polydactyly
Syndactyly
sleep wake states
deep light
16-18
increasing
1. drowsy
2. quite alert
3. active alert
4. crying
quiet alert
State modulation
Grasp
Extrusion
Bulb syringe
Ophthalmia Neonatorum
Vitamin K
Petechiae
Bradypnea
Tachypnea
Hand washing (hand
hygiene)
2 preeclampsia
3 eclampsia
4 chronic hypertension
5 preeclamsia physiology
6 140/90
7 160/110
8 HELLP, hepatic
10 30, 1
11 s/s of severe preeclampsia
12 150/100, 500
13
14 FHR
15 seizure
16 diminished DTRs, clonus
18 magnesium sulfate
20 renal
21 expected side effects of mag
22 s/s of mild toxicity of mag
23 increasing toxicity of mag
24 160, 110
25 seizure
26 diuresis, edema
34
27 headache, mental
28 alone
29 not
1 atelectasis
2 community acquired pneumonia
3 hospital acquired pneumonia
4 cor pulmonale
5 hemothorax
6 lung abscess
7 pleural effusion
8 pleurisy
9 pneumothorax
10 tension pneumothorax
11
medical emergency,
decompression, chest tube
14 pulmonary embolism
15
17 thoracentesis, intercostal
21 bubbling, tidaling
26 rise, fall
27 blocked, suction
28 call, NOT
29 >100
30 TB
32
33 outpatient, compliance
6 IUGR
8 tocolytics
9 magnesium sulfate
10 Brethine
11 Brethine
12 Nifedipine
13 antenatal glucocorticoids
14 dystocia
15 hypertonic
16 therapeutic rest
17 hypotonic
18
measures to reduce back pain during a counterpressure, heat or cold applications, double hip
contraction
squeeze, knee press
21 Bishop score
1 PPH
2 early PPH
3 dark red blood
4 bright red blood
5 spurts of blood with blood clots
6 incomplete placental separation
7 uterine atony
8 lacerations
12
13
14
15
16
17
18
21 hypovolemic shock
25 urinary output
26 nursing interventions hypovolemic shock
27
29 thrombophlebitis
32 pulmonary embolisim
34 postpartum infection
35 endometritis
4 2, serious
5 fingers, not
6 forceps, linear
8 clavicle, dystocia
9 linear, depressed
10 treatment
11 glucose, insulin
12 8th
13 insulin, growth hormone
14 macrosomia
15 normal
16 hospital acquired
17 BP
18 lethargy
19 IgA
20 TORCH
21 cat liter
22 eye prophylaxis
23
24 early
25 birth, first few
27 universal
28 avoided completely
29 hearing loss
31 Group B streptococci
2 flaring, grunt
3 kangaroo
4 large, weight
Ch 20, 21, 22, 23, 24, 27, 28, 32, 33, 34, 35, 37
Multiple Choice
2 (Ch20)
5 (Ch21)
6 (Ch21)
7 (Ch21)
B. Filling the sitz bath basin with hot water (at least
42 C)
C. Taking a sitz bath once a day for 10 minutes
D. Squeezing her buttocks together before sitting
down, then relaxing them
Before discharge at 2 days postpartum, the nurse
evaluates a woman's level of knowledge regarding
the care of her episiotomy. Which statements made
by the woman indicate the need for further
instruction before she goes home? (Circle all that
apply.)
9 (Ch21) A. Temperature-38 C
B. Fundus-midline, boggy
C. Lochia-three quarters of pad saturated in 3 hours
D. Positive Homans sign in right leg
E. Anorexia
F. Voids approximately 150 to 200 ml of urine for
each of the first 3 voidings after birth
During the final phase of the claiming process of a
newborn, a mother might say:
B. "His ears lie nice and flat against his head, not
like mine and his sister's, which stick out."
C. "She gave me nothing but trouble during
pregnancy, and now she is so stubborn she won't
wake up to breastfeed."
D. "He has such a sweet disposition and pleasant
expression. I have never seen a baby quite like him
before."
Which nursing action is least effective in facilitating
parent attachment to their new infant?
11 (Ch22)
13 (Ch22)
A. Taking-hold (dependent-independent phase)
B. Taking-in (dependent phase)
C. Letting-go (interdependent)
D. Postpartum blues (baby blues)
Before discharge, a postpartum woman and her
partner ask the nurse about the baby blues. "Our
friend said she felt so let down after she had her
baby, and we have heard that some women actually
become very depressed. Is there anything we can do
to prevent this from happening to us or at least to
cope with the blues if they occur?" The nurse could
tell this couple:
14 (Ch22)
Ch23
Ch23
Ch23
Ch23
Ch23
Ch24
Ch24
Ch24
Ch24
Ch24
Ch24
Ch24
7 Ch27
8 Ch27
9 Ch27
10 Ch27
10 Ch27
11 Ch27
12 Ch27
13 Ch27
14 Ch27
15 Ch27
Ch 28
16 Ch28
17 Ch28
17 Ch28
18 Ch28
19 Ch28
20 Ch28
37 Ch32
38 Ch32
39 Ch32
39 Ch32
40 Ch32
41 Ch32
42 Ch32
C, E, F
B, D, E
D
A reflects the first phase of identifying likeness; B
reflects the second phase of identifying
differences; C reflects a negative reaction of
claiming the infant in terms of pain and
discomfort; D reflects the third or final stage of
identifying uniqueness.
A
Engrossment refers to a father's absorption,
preoccupation, and interest in his infant; B
represents the claiming process phase I identifying
likeness; C represents reciprocity; D represents en
face or face-to-face position with mutual gazing.
d) Amoxapine (asendin)
A) have you thought of hurting yourself?
b) does it seem like your mind is filled with
cobwebs?
c) have you been feeling insecure, fragile, or
vulnerable?
d) does the responsibility of motherhood seem
overwhelming?
a) prolonged, difficult labor
B) premature separation of the placenta
c) increased risk for vaginal and urinary tract
infections
d) PROM
a) alcohol
b) caffeine
c) cocaine
D) OTC and prescription medications