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PNUR 104 (OB Exam 2)
The second and final OB exam.
79
Nursing
Undergraduate 1
10/19/2009

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Cards

Term
Shaping of the head to conform to the birth canal?
Definition
molding
Term
What do chest retractions show?
Definition
respiratory distress
Term
Number of days until a baby can recodnize mom's voice?
Definition
2-3 days
Term
% of birth weight lost in first 3-4 weeks?
Definition
5-10%
Term
How do yu treat milia?
Definition
Leave it alone.
Term
What system can be damaged by jaundice?
Definition
The nervous system is the most affected.
Term
What can help strenghten a fetus' lungs?
Definition
steroids
Term
How long does it take for a preterm infant to catch up to a full term infant?
Definition
2 years
Term
What happens to the placenta after 40 weeks gestation?
Definition
It does not function properly.
Term
How do you feed a baby after cleft palate surgery?
Definition
Feed with a dropper until the sutures heal, so they will not suck.
Term
What are babies with cleft palate susceptable for?
Definition
ear infections
Term
How does a nurse check for hip dysplasia?
Definition
One leg longer than the other and there are more skin folds on one side than the other.
Term
Women with gestational diabetes can have babies with this? Why?
Definition
Hypoglycemia, because the fetus was so dependant on mom's glucose in utero.
Term
Where do you assess dehydration in infants?
Definition
the fontanelle
Term
How are lacerations/ epistotomy treated?
Definition
ice pack
Term
The two imbulical arteries carry blood from who to whom?
Definition
From baby to mother.
Term
The one umbilical vein carries blood from from who to whom?
Definition
From mother to baby.
Term
After forcepts are used to help with delivery, what should the nurse look for?
Definition
facial assymetry in the infant (to check for nerve damage)
Term
What is an early sign of hypovolemic shock during or after delivery?
Definition
tachycardia
Term
What is the Bishop's score?
Definition
Checks readiness for a vaginal delivery. Needs a score of 6.
Term
How should the fundus feel immediately after delivery?
Definition
firm
Term
Is it normal for a new baby to strain while pooping?
Definition
yes
Term
How to describe locia after birth?
Definition
rubra, cirrosa, and alba
Term
What is uterine atony?
Definition
Uterus is not firm. It is soft (boggy).
Term
What does the Homan's sign check for?
Definition
blood clots
Term
What is the narcotic antidote to have nearby?
Definition
Narcan
Term
Can an episiotomu be performed if the mother has an abnormal clotting condition?
Definition
No.
Term
Can an episiotomu be performed if the mother has an abnormal clotting condition?
Definition
No.
Term
Moro reflex?
Definition
A test to determine the normal reflexes of a newborn. Lift head then drop head- arms should reach out then rebound back in as if the baby is startled. It should disappear after 3-4 months.
Term
Rooting
Definition
Normal attempt of a newborn to look for a nipple.
Term
Rooting
Definition
Normal attempt of a newborn to look for a nipple.
Term
pseudomenstration
Definition
Uterine bleeding without the typical premenstrual endometrial changes.
Term
pseudomenstration
Definition
Uterine bleeding without the typical premenstrual endometrial changes.
Term
pseudomenstration
Definition
Uterine bleeding without the typical premenstrual endometrial changes.
Term
milia
Definition
Milia are tiny white bumps or small cysts on the skin.
Term
hydrocephalus
Definition
Excess fluid on the brain. Shows as bulges from fontanelle.
Term
What are the factors that influence labor pain?
Definition
Pain threshold and Pain tolerance.
Term
What are the factors that influence labor pain?
Definition
Pain threshold and Pain tolerance.
Term
analgesics
Definition
systemic drugs that reduce pain w/out the loss of consciousness
Term
anesthetics
Definition
cause a loss of sensation, especially to pain
Term
regional block
Definition
pain anesthetic that blocks sensation from a localized area without causing LOC
Term
general anesthetia
Definition
systemic drugs that cause LOC and loss of pain snesation
Term
Ex. of narcotic analgesics
Definition
demerol, fentanyl
Term
Ex of regional anasthetics
Definition
epidural, spinal block, general anesthesia
Term
What is a common side effect of an epidural?
Definition
maternal hypotension which can compromise fetal oxygenation and urinary retension
Term
What is amnioinfusion?
Definition
The injection of warmed saline into the uterus after membranes have ruptured.
Term
Oliohydramnios
Definition
decreased amniotic fluid
Term
When would amnioinfusion be done?
Definition
Oliohydramnios, Reducing recurrent decelerations of fetal heart rate, Dilute meconium stained amniotic fluid.
Term
Amniotomy?
Definition
The artificial rupture of membranes (AROM) by using an amnihook.
Term
Why would an amniotomy be done?
Definition
To stimulate/ enhance contractions.
Term
Complications of amniotomy?
Definition
Prolapse of umbilical cord, Infection, and Abrupto placentae.
Term
Induction of labor?
Definition
The initiation of labor before it can begin naturally.
Term
What must be confirmed prior to induction?
Definition
Fetal lung maturity.
Term
Contraindications for induction?
Definition
Placenta prevea, umbilical cord prolapse, abnormal fetal presentation, herpes infection, abnormal maternal pelvis.
Term
Induction techniques?
Definition
Amniotomy, Pitocin, Walking, Nipple stimulation
Term
Version?
Definition
A method of changing fetal presentation from breech to cephalic. After 37 weeks gestation.
Term
Internal vs External version?
Definition
Internal is only done in an emergency.
Term
Episiotomy?
Definition
The surgical enlargement of the vagina during birth.
Term
C-section?
Definition
The surgical delivery of the fetus. 27.6% in US. Goal is 15%.
Term
Abnormal labor and causes?
Definition
Does not progress normally (cervix does not dilate or fetus does not descend). Advanced maternal age, Obesity, Fatigue, Lack of pain meds, etc.
Term
Hypertonic labor?
Definition
contractions are cramp-like, frequent, and poorly coordinated.
Term
Hypotonic labor?
Definition
Contractions are too weak to be effective.
Term
Macrosomia?
Definition
8.8 lbs or more
Term
Precipitate birth?
Definition
Birth completed in less than 3 hours. Fetal oxygen can be compromised.
Term
Premature Rupture of Membranes?
Definition
Spontaneous rupture of membranes.
Term
Preterm labor?
Definition
20-38 weeks gestation
Term
What is the drug of choice for preterm labor?
Definition
magnesium sulfate
Term
What is the major cause of fetal morbitity?
Definition
Preterm labor
Term
Prolonged pregnancy risks?
Definition
Gestation >42 weeks. Placental insufficiency, Meconium passed to fetus, Macrosomia.
Term
Prolapsed umbilical cord?
Definition
Cord slips down into the pelvis after membrane rupture.
Term
Uterine rupture?
Definition
Tear in the uterine wall.
Term
Uterine Inversion?
Definition
Uterus turns inside out after infant is born.
Term
Lochia?
Definition
vaginal discharge after delivery
Term
Lochia?
Definition
vaginal discharge after delivery
Term
Lochia colors?
Definition
Rubra (bright red for up to 10 days), Serosa (pink), then Alba (white)
Term
What are s/sx of hypoglycemia in a newborn?
Definition
jitteriness, poor muscle tone, sweating, low temp, poor suck, lethargy, seizures.
Term
Foremilk?
Definition
The 1st milk the infant obtains.
Term
Colostrum?
Definition
"Liquid Gold", secreted for the first few days.
Term
Hemorrhage after delivery
Definition
Blood loss greater than
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