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D.Dressler Quiz 4 Complications of labor Core Quiz
Semester 2
122
Nursing
Professional
03/31/2015

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Term
What differentiates Hypermesis gravidarum from morning sickness
Definition
Electrolyte imbalances
Term
What type of food do you give the mom suffering from hypermesis during the nursing care process
Definition
Small high carb dry meals

boiled chicken bland things
Term
What is an incompetent cervix
Definition
Cervix dilates too early
Term
Why do we want to get mom to 32 weeks
Definition
Lungs develop
Term
What happens at 34 weeks
Definition
Lungs mature
Term
What happens at 36 weeks
Definition
Sirfactant is developed
Term
What does sirfactant do
Definition
Allow the lungs to expand and contract
Term
Can do a cerclage if dilated more then
Definition
3cm
Term
A cervical cerclage is basically
Definition
Suture or tieing up the cervix
Term
Why do we only do a cerclage between 14 & 26 weeks
Definition
Too early its enviable she will have an abortion

After 26 weeks its considered pre term labor and too late to stop it
Term
What does mom have to stay on after cerclage
Definition
Mom has to stay on bedrest after cerclage
Term
Spontaneous abortions occur before
Definition
20 weeks
Term
After 24 weeks and a mom loses the pregnancy that is called
Definition
Pre term labor
Term
Threatened abortion mom has
Definition
vaginal bleeding but the cervix is still tightly closed
Term
Inevitable abortion means
Definition
Nothing you can do to stop it
Cervical dilation and ruptured membranes
Term
A complete abortion is when mom expels the products of
Definition
Conception

Significant bleeding
Contractions
Term
An incomplete abortion is the loss of pregnancy with some tissue parts
Definition
Retained
Profuse bleeding
Term
A missed abortion the fetus dies but it is retained in
Definition
Moms body
Term
In the missed abortion due to the fetus decaying the discharge is
Definition
Foul smelling and/or bleeding
Term
Septic means
Definition
Infection of uterus
Term
Mom is termed habitual aborter because she has had
Definition
3 or more consecutive loses
Term
If its a threatened abortion mom gets put on
Definition
Bedrest
Term
In all the spontaneous abortions minus threatened an IV of
Definition
Ocytocin gets started to cause muscle contraction to remove all tissue
Term
A D&C stands for
Definition
Dilation and Curettage
Term
D&C is a scraping
Definition
Of uterine lining to make sure all of the products of conception has been removed
Term
A vacuum evacuation sucks out
Definition
Products of conception
Term
You want to give rhogam if mom is RH
Definition
Negative
Term
Ectopic pregnancy occurs in the
Definition
Fallopian tubes
Term
Increase of ectopic pregnancy in the women who have
Definition
STD's
Appendicitis
Endometrioes
Term
If we see bulging in the Fallopian tube we know
Definition
Its an ectopic pregnancy
Term
Some s/s of ectopic pregnancy include
Definition
Abd. tenderness
Bleeding
Low HCT & HGB
High WBC
Shoulder pain
Term
What is methotrexate
Definition
Stop cells from growing during ectopic pregnancy

Also used in Chemotherapy
Term
If the growth of the ectopic pregnancy is too big and can't be removed safely the doctor has to perform a
Definition
Salpinectomy
Term
Another name for Fallopian tube is
Definition
Salpinges
Term
During a hyditaform mole fertilization does
Definition
Take place
Term
The fertilized ovum during hyditaform spiral down and form
Definition
An abnormal trophoblast
Term
An abnormal trophoblast during a hyditaform mole is basically just
Definition
Quick cell division

Just a whole group of cells
Term
During hyditaform mom HCG
Definition
Is up

Due to the trophoblast
Term
Positive HCG is not a
Definition
Positive sign of pregnancy
Term
During the hyditaform mole moms uterus grows
Definition
Too quickly
8 to 9 weeks during her visit they realize the growth is too much and HCG unusually high
Term
During the hyditaform mole mom can develop PIH which is
Definition
Pregnancy induced Hypertension
Term
Ont he ultrasound for a mom going through hyditaform mole they will see
Definition
Just a sac but no fetus
Looks like a cluster of grapes

D&C performed
Term
Hyditaform mole can lead to
Definition
Chorinic carcinoma

Which is chorian layer cancer. Very invasive
Term
What is a placenta previa
Definition
Placenta is ahead of the fetus

Abnormal placement

Marginal
Partial
Total
Term
Ideal placement for the placenta is
Definition
The upper portion of the uterus
Term
A marginal placenta previa is
Definition
Side of the uterus
Term
A partial placenta previa is
Definition
Covering the cervix even lower
Term
A complete placenta previa is
Definition
The entire cervix covered
Term
We can diagnosis placenta previa early in pregnancy from a
Definition
Sonagrom
Term
When does placenta previa interfere with the pregnancy
Definition
3rd. trimester
Painless bleeding
Term
Why during the 3rd. trimester during placenta previa is it now painless bleeding
Definition
Due to the fetus right up against the cervix putting pressure
Term
The important thing to know about the bleeding of placenta previa is that it is
Definition
PAINLESS BLEEDING
Term
The goal in form of weeks for placenta previa is 34 because that is
Definition
Maturity of the lungs
Term
During placenta previa mom during the 3rd. trimester will probably be on
Definition
Bedrest
Term
During a placenta previa mom will have a
Definition
C section

Sometimes if marginal doctor may let their be natural birth
Term
What is at risk or happening in utero if the placenta is misplaced
Definition
Umbilical cord can get wrapped around the fetus
Term
What kind of education do you think the family needs for mom going on bedrest last three months of pregnancy during placenta previa
Definition
Not to view mom as lazy or exaggeration
Term
What is an abruptio placentae
Definition
Premature separation of placenta
Term
What do you not do with a mom who has an placenta previa
Definition
Internal exams
Term
Those who have a history of abruptio placentae
Definition
Have a higher risk of it happening again
Term
What causes abruptio placentae
Definition
Pregnancy induced hypertension (PIH)
H/O Abruption
Smokers and cocaine (vasoconstriction)
PROM (Premature rupture of membranes)
Term
What is Premature rupture of membranes (PROM)
Definition
Amniotic fluid rupture before labor has started
Term
What are s/s of abruptio placentae
Definition
PAINFUL BLEEDING
Term
What are some more signs of abruption placentae
Definition
Hard uterus
Fetal distress (gotta get out 10-15 min.)
Maternal shock
Term
If its a partial abruption mom needs to be on
Definition
Bedrest
Term
What is another name for PIH (pregnancy induced hypertension)
Definition
Toxemia
Term
PIH is classified after
Definition
Elevated BP after 20 weeks
Term
What type of diet will you put the mom who is PIH
Definition
Low salt diet
Term
What is pre eclampsia
Definition
Hypertension after 20 weeks with protein in the urine
Term
What are some more s/s of pre eclampsia
Definition
Edema hands and face
Headache
Blurry vision
Term
Huge difference between mild pre eclampsia versus
Definition
Severe pre eclampsia
Term
Mom can go from mild headache and blurry vision
Definition
To full sight loss
Term
Because of the hypertension and blood vessel lining become damaged can lead to
Definition
HELLP syndrome
Term
The H in HELLP stand for (pre eclampsia)
Definition
Hemolysis (Breakdown of RBC)
Term
The E in HELLP stand for (pre eclampsia)
Definition
Elevated liver enzymes (Low Vit.K used for clotting)

Lead to hemorrhaging
Term
The L in HELLP stand for (pre eclampsia)
Definition
Low platelets which lead to hemorrhaging
Term
Mom who has mild pre eclampsia we will limit
Definition
Bedrest
Mild activity
Antihypertensives
Term
In Severe eclampsia the huge difference and only added thing different from pre eclampsia is
Definition
Seizures

BP as high as 300/150 usually runs in the 100's

Can damage kidneys on dialysis

IV hypertensives can become hypotensives
Term
Mom with severe eclampsia will be given what drug
Definition
Magnesium sulfate SO4 to prevent seizures
Decrease incident of seizures
Term
The antidote to magnesium sulfate is
Definition
Calcium gluconate
Term
Mom with severe eclampsia will be on the diuretic
Definition
Lasix
Term
Mom with severe eclampsia we will do an amniocentesis because
Definition
We want to see if the lung has matured in the baby
Term
What is tonic clonic response during a seizure
Definition
Muscle contract and relax very strongly and rapidly (Can cause an abruption)
Term
What is the treatment of Severe eclampsia
Definition
Antihypertensives
Magnesium sulfate
Monitor I&O

Quiet private dim lit room
Working suction machine
C section a must
Term
Magnesium sulfate can become toxic and cause what
Definition
Affect the tendons and cause decrease in the reflex
Term
Putting mom on the side does what
Definition
Makes the fetus get off the large vessels helps mom
Term
Up to 48 hours after delivery with severe eclampsia mom is still at risk for
Definition
Seizures
Term
If mom has a seizure put her on the side why
Definition
So mom doesn't aspirate (secretion falls out the side)
Term
ABO incompatibility means?
Definition
Mom and the fetus has different blood
Term
With ABO it can cause
Definition
Jaundice and Hepatosplenomegaly
Term
What is gestational diabetes
Definition
Mom who develops diabetes during pregnancy due to too much HPL
Term
Major difference between gestational diabetes and type 1
Definition
After mom delivers the baby she will not have diabetes any longer
Term
S/S of gestational diabetes
Definition
Rapid weight gain
Increase sugar in the urine and blood
DKA
Term
What is an effect on the fetus due to gestational diabetes
Definition
Macrosomia (large body babies)
Neonate hypoglycemia (Baby pancreas keeps secreting insulin after birth)
Term
Possible C/section with gestational diabetes but risk because
Definition
Risk of infection
Bad wound healing
Term
With sickle cell and the thickness of blood mom is at risk for
Definition
MI
CVA
PE

need O2
Fluid
lack of Hgb
Term
With anemia you need an increase of
Definition
Iron
Leads to constipation

Need fluid, fiber
Term
With cardiac mom no labor
Definition
Due to stress

She will have C/section
Term
With infections mom will have
Definition
Vaginal cultures to check for diff. infections either treat or c/section
Term
What does dystocia mean
Definition
Word that means dysfunctional labor
Term
Dystocia in most cases are prolonged
Definition
Labor
Term
Freidmans curve is
Definition
Waves from a fetal monitor that can tell dilation and decent
Term
With prolonged labor a potential problem is
Definition
Exhaustion
Term
Abnormal contractions can be classified as
Definition
Hypo or hypertonic contractions
Term
Hypotonic contractions of dystocia are
Definition
Weak ineffective contractions

Active phase
Term
What are some ways to treat hypotonic contractions of dystocia
Definition
Amniotomy (opening into amniotic sac)

To speed up contractions
Term
IV pitocin (oxytocin) does what
Definition
Causes uterine contractions
Term
With hypotonic contractions c/section
Definition
Is possible
Term
Hypertonic contractions of dystocia are
Definition
Frequent strong uterine contractions

Latent phase (mom only 0-3cm dilated)
Term
Hypertonic contractions of dystocia we need to slow it down so we can
Definition
Give mom a sedative (relax her)
Term
Breathin is a resp. drug that can decrease the action of smooth
Definition
muscle in the lungs and uterus

Give for secondary effect

Same with procardia
Term
Magnesium sulfate in the uterus will also decrease contractions for hypertonic contractions of dystocia in the
Definition
Uterus
Term
Cephalopelvic disproportion means
Definition
Head too large
Term
Anything other then cephalic mom will probably have a c/section but we can try external version which means
Definition
Try and turn baby
Term
Precipitous labor means
Definition
Too quick delivery within 3 hours
Term
With precipitous labor the type of contractions are
Definition
Strong, frequent contractions
Term
if mom is a multipara do not leave alone because
Definition
Contractions can be even faster
Term
Induction of labor is basically
Definition
Done to stimulate labor before it naturally starts
Term
Augmentation is
Definition
Accelerates or help labor after it has started
Term
Nipple stimulation can cause
Definition
Oxytocin to be secreted towards end of labor
Term
Walking helps with labor cause it can
Definition
Stimulate decent
Term
With precipitous labor and delivery it can happen before
Definition
The transition stage
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