front 1 GTPAL SYSTEM | back 1
|
front 2 Nagales Rule | back 2 identify first day of LMP -subtract 3 months and add 7 days -its the start of the period |
front 3 physical exam position | back 3 lithotomy position |
front 4 chronic villi sampling | back 4 check for genetic disorders (11-13 weeks) |
front 5 nvchal transluceray testing | back 5 11-13 weeks chrome abnormalities |
front 6 amniocentesis | back 6 diagnose Down syndrome |
front 7 group B streptococcus | back 7 screening at 35 to 37 weeks to detect presence of GBS in the birth canal which would infect the newborn |
front 8 Quadruple screen | back 8 checking for Down syndrome |
front 9 Amnicentesis | back 9 usually done before 20 weeks, bladder should be fun to support the weight of the uterus. -after 20 weeks bladder should be empty to reduce risk of puncturing the placenta or fetus |
front 10 complications for amniocentesis | back 10 spontaneous abortion, leakage of fluid, and infection |
front 11 subsequent visit care | back 11 a urinalysis will be preformed to check for glucose, ketones, protein, and nitrates |
front 12 fundal height | back 12 helps to determine fetal growth/ amniotic fluid level |
front 13 fetal heart rate | back 13 normal is 110-160 BPM |
front 14 Quickening (the feeling of life inside) | back 14 16-22 weeks |
front 15 important to assess the mom's heart rate at the same time to ensure it is the fetal heart rate being heard (t/f) | back 15 true |
front 16 lightening | back 16 the uterus drops |
front 17 after delivering, the uterus should drop down to the umbilicus (t.f) | back 17 true |
front 18 40 weeks is a normal pregnancy (t/f) | back 18 true |
front 19 to much saline can cause dryness (t/f) | back 19 true |
front 20 how many minutes of exercise is permitted? | back 20 30 minutes -moderate exercise after being cleared by physician |
front 21 should you avoid prolonged standing and environmental hazards while being pregnant ? | back 21 yes |
front 22 while driving, how far from the airbag should you keep the abdomen away? | back 22 10 inches -second trimester is the safest to travel -avoid prolonged sitting; ambulate every 2 hrs |
front 23 TORCH | back 23 used to describe infections that are known to cause congenital defects |
front 24 TORCH | back 24
|
front 25 breast-feeding is contraindicated for what women? | back 25 HIV postive |
front 26 Group B (GBS) | back 26 leading cause of perinatal infection with high mortality rate treatment- penicillin |
front 27 Rubella (German measles) | back 27 most dangerous to developing fetus in first 12 weeks of pregnancy |
front 28 after rubella vaccine, women should NOT get pregnant for at least 1 month (T/F) | back 28 true |
front 29 rubella should avoid exposure to young children, especially during the first trimester (T/F) | back 29 true |
front 30 cytomegalo virus | back 30 intimate contact with saliva, urine, and other body fluids |
front 31 prevention for cytomegalovirus | back 31 using good hand washing technique, do not share food, drinks with young children treatment- NONE -theraputic abortion may be offered if CME infection is discovered early in pregnancy |
front 32 herpes simplex virus | back 32 one of the most common STI'S -most dangerous to the fetus during the third trimester -if we know mom has this, we schedule a c-section -mother and infant do not need to be isolated as long as direct contact with lesions is avoided |
front 33 nutriton in preganncy | back 33 take a multi vitamin with iron as long as cleared with practitioner |
front 34 general guidelines | back 34 ensure extra caloric needs of 300 cal/day during the last six months -recommended weight gain during pregnancy 25-35 lbs |
front 35 are live vaccines contraindicated during pregnancy ? | back 35 yess |
front 36 thimerosal (found in vaccines) | back 36 should not be given during pregnancy due to risk of mercury poisoning |
front 37 Hypercemesis grauidarum | back 37 excessive n/v persisting past 20 weeks gestation -can impact fetal growth -this is NOT. morning sickess;this Is more severe -reduced delivery of blood, oxygen, and nutrients to the fetus -BUN elevates, elevated HR and orthostatic |
front 38 types of abortions spontaneous | back 38 natural loss of pregnancy (miscarriage) |
front 39 types of abortions threatened | back 39 S/S of vagina, bleeding, cramping suggests miscarriage but fetus is still alive |
front 40 types of abortion inevitible | back 40 when miscarriage cannot be prevented -almost certain to be loss |
front 41 types of abortion incomplete | back 41 not all pregnancy tissue comes out of uterus, will cause mom to bleed until all tissue is out |
front 42 types of abortion complete | back 42 when all pregnancy tissue is expelled from uterus. bleeding stops and uterus goes back |
front 43 types of abortions missed | back 43 pregnancy has just stopped developing. the body doesn't immediately recognize, they will have to go in surgically and remove fetus |
front 44 bleeding disorder | back 44 document amount and charter of bleeding -save anything that looks like clots or tissue for evaluation by a pathologist -monitor vital signs -if actively bleeding, mom should be kept NPO in case surgery is needed |
front 45 methotrexate | back 45 used for arthritis and is used in ectopic pregnancy -dissolves the growth -the patient should avoid foods high in folic acid |
front 46 ectopic pregnancy | back 46 very painful -biggest thing: control bleeding -may be felt (pain) in tube (notes below) |
front 47 mittleshmirtz | back 47 pain in ovulation |
front 48 hydatiform | back 48 mole or molor pregnancy -occurs because the chronic villi abnormally increases and develop vesicles -no baby in the uterus: empty egg with no DNA cause: just a freak thing that happens 46 choromosomes all from the father |
front 49 a distinct "snow storm" pattern is an ultrasound with no evidence of a developing fetus (t/f) | back 49 true |
front 50 methotrexate | back 50 a medication used to stop the rapid growth of the mole |
front 51 placenta previa | back 51 the placenta is implanted near the opening of the cervix, the cervix dilates and bleeding occurs (painless bleeding) |
front 52 mardinal | back 52 low line, close to the cervix |
front 53 partial | back 53 partially covering the cervix |
front 54 complete | back 54 placenta is covering the cervix |
front 55 DIC Disseminated intravascular coagulation | back 55 s/s include petechiae, oozing from injection sites and hematuria |
front 56 placenta abruptio | back 56 premature separation of the placenta from the wall of uterus. s/s- patient will have dark red bleeding with pain, severe uterine tenderness, firm birdlike abdomen or lower back -life threatening for mom and fetus -monitoring bleeding, vital signs, and fetus HR |
front 57 care of patient with excessive bleeding | back 57 place patient on left side |
front 58 you always monitor from the beginning of one contraction to the beginning of the next (t/f) | back 58 true |
front 59 if the mom is RH negative and is exposed to RH positive, if the babys positive, maternal blood should be tested when? | back 59 at the initial appointment |
front 60 normal fetal heart rate | back 60 110-160 |
front 61 Rohgam | back 61 first injection given at 28 weeks, 72 hours after delivering |
front 62 high blood pressure can cause what? | back 62 preeclampsia and eclampsia -if renal heart tones remain from 120-160, consider this normal |
front 63 HELLP syndrome | back 63
|
front 64 HELLP- S/S | back 64 chronic HTN during pregnancy and b/p of 140/90mm hg or greater before pregnancy or that occurs before 20 weeks gestation |
front 65 what is the normal weight gain during pregnancy | back 65 25-35 lbs -moderate exercise, only if cleared by dr |
front 66 gestational hypertension | back 66 elevated blood pressure -b/p to return to normal less than 12 weeks postportum -rest on left side (helps with circulation to the baby) |
front 67 iron | back 67 better absorbed on an empty stomach and better with vitamin C |
front 68 pre-eclampsia | back 68 hypertension and proteinuria after 20 weeks gestation s/s- categorized as mild or severe -magnesium sulfate given to induce labor -first line treatment: hydralazinene and labatalol |
front 69 HELLP S/S | back 69 elevated LDH, AST, ALT, BUN, bilirubin, uric acid level and creatine counts -women ar risk for this is someone with chronic hypertension, older moms, previously had this syndrome |
front 70 erythroblastosis fetalis | back 70 condition of red blood cells in body -adminsiter rohgan at 28 weeks or within 72 hours -inta blood infusion for baby |
front 71 multiple gestation pregnancy | back 71 multiple babies -rapid weight gain -extreme breast tenderness |
front 72 diabetes mellitus | back 72 classified by weather it proceeded pregnancy or had its onset during pregnancy type 1- insulin type 2-diets and medications |
front 73 In true GDM, glucose usually returns to normal when? | back 73 by 6 weeks postpartum |
front 74 effects of pregnancy on glucose metabolism | back 74 hormones (estrogen and progesterone) |
front 75 the placenta hormones | back 75 glucose stays in the bloodstream instead of entering cells |
front 76 organogenesis | back 76 leads to neural tube defects -women with gestation diabetes during pregnancy have higher risk of getting type 2 later in life |
front 77 insulin is usually the first choice of medication as it does NOT cross __________ | back 77 the placental barrier |