Term
Are oxytocin contractions, hypotonic or hyertonic?
And what does it decrease? |
|
Definition
hypertonic.
placental perfusion |
|
|
Term
| Risk of Mag Sulfate is what two depressions and what is abscent. |
|
Definition
CNS
Respiratory
absent tendon reflexes |
|
|
Term
| hyperreflexia is seen in what disease |
|
Definition
|
|
Term
| ABO compatibility may cause |
|
Definition
|
|
Term
| Type I diabetes risk for what three things |
|
Definition
|
|
Term
| pre existing diabetes in mother, child at risk for |
|
Definition
|
|
Term
| 6 complications of pre existing diabetes is |
|
Definition
| hypoglycemia, hypocalcemia, hydramnios, preeclampsi UTI, PROM |
|
|
Term
| what does pre existing diabetes create besides congenital abnormalities in the child |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| powers, passengers, passage, psyche |
|
|
Term
| meconium aspiration can be caused by |
|
Definition
|
|
Term
| if neonate keeps growing then |
|
Definition
|
|
Term
| Amniotic fluid embolism can occur most likely when |
|
Definition
| labor is intense and membranes rupture |
|
|
Term
|
Definition
| gestational age and if fetus is alive. |
|
|
Term
| what can cause infection, two things. |
|
Definition
| increased blood supply to pelvis and alkalinization to vagina by amniotic fluid. |
|
|
Term
| what 6 things are late term infants at risk for |
|
Definition
| respiratory, thermoregulation, feeding problems, sepsis, hypoglycemia, hyperbilirubinea |
|
|
Term
| Characteristics of preterm in size, how they move, skin, what's on skin and ears, and genitals |
|
Definition
| small, limp, red skin, lots of vernix and lanugo, immature ears and genitals |
|
|
Term
| if decreased surfactant, too much energy to breathe then.... |
|
Definition
|
|
Term
| respiratory problems present with (3) |
|
Definition
| weak cough reflexes, narrow passeway, weak muscles |
|
|
Term
| What position for preterm infant and why does this matter |
|
Definition
| prone and reduces breathing effort and 02 |
|
|
Term
| dysfunctional labor does not result in |
|
Definition
| cevical dilation, effacement, fetal descent |
|
|
Term
| dysfunctional labor length is usually _________ but can be___________ |
|
Definition
prolonged,
can be short and intense |
|
|
Term
| you can tell fetal compromise in |
|
Definition
| non reassuring heart tones |
|
|
Term
| what two maternal statuses need prompt delivery |
|
Definition
|
|
Term
| dystocia that is prolonged or difficult leads to |
|
Definition
|
|
Term
| the two ineffective ctx patters are |
|
Definition
|
|
Term
|
Definition
| coordinated but ceome irregular after period of regular ctx |
|
|
Term
|
Definition
|
|
Term
| augmentation can cause hyperstimulation and |
|
Definition
| non reassuring heart tones |
|
|
Term
| for augmentation make sure of three things |
|
Definition
it is labor
mother and fetus stable
pelvis is adequate and baby will fit |
|
|
Term
| what type of ctx is more common |
|
Definition
|
|
Term
| what ctx are frequent and painful |
|
Definition
|
|
Term
| hypertonic ctx are what three things |
|
Definition
|
|
Term
| when is hypertonic ctx most seen |
|
Definition
| latent phase, and nulliparous |
|
|
Term
| in hyper ctx what is elevated? |
|
Definition
|
|
Term
| in hyper ctx what is decreased |
|
Definition
|
|
Term
| elevated resting tone causes _____ which causes contstat ________ |
|
Definition
uterine ischemia
cramping |
|
|
Term
| elevated resting tone increases risk for |
|
Definition
|
|
Term
| treatment for hyper ctx are |
|
Definition
| rest, hydration, sedation |
|
|
Term
for a woman to rest in hyper ctx will be oxytocin and epidural.
which will causes how much rest
and then produce what. |
|
Definition
|
|
Term
| perception of stress is bigger than |
|
Definition
|
|
Term
|
Definition
|
|
Term
| macrasomia is excissive size of how much |
|
Definition
|
|
Term
| what can cause shoulder dystocia |
|
Definition
|
|
Term
| what does macrosomia cause |
|
Definition
|
|
Term
| what is macrosomia associated with |
|
Definition
| DM, obesity, multiparity, large weight gain, large parents, multiple gestations |
|
|
Term
| 25% of multiple gestationals present with |
|
Definition
| occipital posterior (back labor) |
|
|
Term
| what is soft tissue dystocia...what may it likely be. |
|
Definition
obstruction of birth passageway
bladder in way |
|
|
Term
| how often should bladder be emptied during labor |
|
Definition
|
|
Term
| in shoulder dystocia what happens |
|
Definition
| head is delivered but shoudler is too broad. |
|
|
Term
| what two things happen with shoulder dystocia |
|
Definition
| prolonged descent and turtle signs |
|
|
Term
| tx for shoulder dystocia is |
|
Definition
| mcroberts and suprapubic pressure. |
|
|
Term
| what is considered dysfunctional labor |
|
Definition
|
|
Term
| what is the mortality rate in prolapsed cord |
|
Definition
|
|
Term
| an occult prolapse from the cord is |
|
Definition
| hidden and can't be sesen in SVE |
|
|
Term
|
Definition
| in front of fetal head, cannot be seen but can be felt |
|
|
Term
| a complete cord prolapse is |
|
Definition
| visible from vagina, hanging out |
|
|
Term
| risks for prolapsed cord are fetus in high station, small fetus, breech, transverse lie, hydramnios |
|
Definition
|
|
Term
| the priority treatment for prolapsed cord (2) |
|
Definition
| reliever pressure and immediate identificaiton |
|
|
Term
| what position should mom be in for prolapse cord |
|
Definition
|
|
Term
| after mom in correct position for prolapsed cord what to give |
|
Definition
| o2 and iv fluids and usually tocolytics, then c section |
|
|
Term
| monitor trial of labor carefully. may do trial if ... |
|
Definition
| pelvis quesitonale in size and shape, abnormal presentation of fetus, and VBAC |
|
|
Term
| two ways of non pharm augmentation of labor |
|
Definition
| nipple stimulation and hydrotherapy |
|
|
Term
| what is essential for induction of labor |
|
Definition
|
|
Term
|
Definition
| fetal UC branches over amniotic sac rather than placenta to hemmorage is possible with rupture of membranes |
|
|
Term
| when is induction of labor contraindicated |
|
Definition
| previa, prolapse, presentation, scarred upper uterus |
|
|
Term
| less than 5 on bishops means |
|
Definition
|
|
Term
| greater than 8 on bishop then |
|
Definition
|
|
Term
|
Definition
| dilation, effacement, fetal station, consistency of CS, and position |
|
|
Term
| cervical ripening agents are all |
|
Definition
|
|
Term
| what type of cervical ripening agent is laminiera |
|
Definition
|
|
Term
| cytotec is a cervical ripening agent that cannot be used if mother had |
|
Definition
|
|
Term
| three cervical ripening agents |
|
Definition
| cerviden, lamicil, dilapam |
|
|
Term
| if amniotomy is preformed when is their a BIG risk for infection |
|
Definition
|
|
Term
| in amniotomy, , brings baby down but what else needs to happen |
|
Definition
|
|
Term
| what is very important to do in ROM |
|
Definition
| note time, color, odor, consistency, typical volume, and amnio fluid |
|
|
Term
| amount of fluid in ROM is |
|
Definition
|
|
Term
| what is always hung as PB and 2nd line on pump |
|
Definition
|
|
Term
| what three things are problems with oxytocin on baby |
|
Definition
non reassuring fhr
late decels
decreased variability |
|
|
Term
| what are problems with oxytocin in mom, |
|
Definition
| hypotension from rapid infusion, hypertonic ctx, fluid retendtion, tachysystole, uterine rupture, abruptio |
|
|
Term
|
Definition
|
|
Term
| what should you do in tachysystole |
|
Definition
stop or reduce dose
keep non supine
give 02 at 8-10 liters
increase fluids
take vitals
administer tocolytic |
|
|
Term
| how long does it take for oxytocin to leave the system |
|
Definition
|
|
Term
| if using oxytocin and get hypertonic ctx may need what drug to decrease myometrial activity |
|
Definition
|
|
Term
| blood pressure and pulse are checked ________ when giving oxytocin |
|
Definition
|
|
Term
| uterus becomes soft at every |
|
Definition
|
|
Term
| what types of forceps do you use for someone crowing |
|
Definition
|
|
Term
| what forceps are used for fetus whose at 2 plus station or lower |
|
Definition
|
|
Term
|
Definition
| cx dilated, bladder empty, presenting part engaged, rom, abscense of cpd. |
|
|
Term
| when using foceps assess for what three things in mom |
|
Definition
| lacerations, urinary retention, hematoma |
|
|
Term
| when using forcepswhat to assess in baby |
|
Definition
| eccymosis, facial palsy, cephalahematoma |
|
|
Term
| when can a vacuum be used (weeks) |
|
Definition
|
|
Term
| ho many tugs can be tugged with a vaccuum |
|
Definition
|
|
Term
| what can result from bruising from a vaccuum |
|
Definition
|
|
Term
| can 4 things can happen with vaccuum to mother |
|
Definition
| cervical perineal and vaginal lacerations, soft tissue hematomas |
|
|
Term
| healthy people 2010, reduce c/s by |
|
Definition
|
|
Term
| healthy people 2010 reduce repeat c sections by |
|
Definition
|
|
Term
| what is greatest risk for readmit of patient once they've been sent home post partum |
|
Definition
|
|
Term
| check fetal heart tones at 20 weeks with |
|
Definition
|
|
Term
| check fetal heart tones at 30 weeks with |
|
Definition
|
|
Term
| anesthesia with spinal is |
|
Definition
| total motor and sensory nerve blockage from spinal insertion down |
|
|
Term
| spirdural for anesthesia is |
|
Definition
|
|
Term
| with c section, good to note |
|
Definition
|
|
Term
| in section you need to start and do |
|
Definition
| larve bore iv line, and cbc type and screen |
|
|
Term
| position for body in c section important to |
|
Definition
|
|
Term
| a purpueral infection is when |
|
Definition
|
|
Term
|
Definition
| endometritis wound infections mastitis |
|
|
Term
|
Definition
| 100.4 degrees to 38 degrees celcuis |
|
|
Term
| what in vagina can cause infection |
|
Definition
|
|
Term
| some risks for puerpural infection |
|
Definition
| GDM, trauma, prolonger labor with SVE's, internal monitoring, CS, prolonged ROM, longer genital tract colonization |
|
|
Term
| endometritis most common usually begins at |
|
Definition
| placental site and spreads all over endometrium |
|
|
Term
| way to tell if someone has endometritis |
|
Definition
| foull lochia and painfulness, chills, malaise, uterine cramping |
|
|
Term
|
Definition
| hot, tender, imflamed FLU LIKE SYMPTOMS |
|
|
Term
| who usually gets mastitis |
|
Definition
|
|
Term
| when mastitis happens should you stop breast feeding, |
|
Definition
| no you should continue to empty breasts |
|
|
Term
| gestational hypertension and preeclampsia is classified as what |
|
Definition
| 140/90 after twenty weeks |
|
|
Term
| is protein found in urine for gestational htn |
|
Definition
|
|
Term
| Premature babies have immature systems, particularly |
|
Definition
|
|
Term
| premies are at a disadvantage b/c they have what two things most importantly |
|
Definition
| immature systems, small size |
|
|
Term
| premies dont' have a coordinated |
|
Definition
| suck swallow and gag reflex |
|
|
Term
| you need to teach a woman signs of being |
|
Definition
|
|
Term
| when can a child leave the nicu |
|
Definition
| 34 weeeks, four pounds, normal temp, no apnea for 5-7 days |
|
|
Term
| predisposing factors to preterm babies are |
|
Definition
| previous preterm, history of pregnancy losses, competent cervix, use of assisted reproductive technology |
|
|
Term
| usually the using up of already small glucose stores, puts them at risk for what |
|
Definition
|
|
Term
| takes a preterm a long time to clear |
|
Definition
|
|
Term
| late preterm infants born |
|
Definition
|
|
Term
|
Definition
| before the beginning of the 38th week |
|
|
Term
|
Definition
| after 42 weeks of gestation |
|
|
Term
| problems with late term infants are |
|
Definition
| hypoglycemia, temp maintenance, hyperbilirubinia, seizures, feeding difficulty, sepsis |
|
|
Term
| what does extension decrease in a premie |
|
Definition
|
|
Term
| surfactant does what in lungs |
|
Definition
| releases surface tension, keeping alveoli open |
|
|
Term
|
Definition
| gi doens't get enough perfusion |
|
|
Term
| cardiac sphincter is loose in premie so what should you do for that |
|
Definition
| breastfeed b/c it's easier for infant to digest |
|
|
Term
| what type of problem could occur after delivery b/c of pressure on head. and what should you do? |
|
Definition
intercranial.
elevate head of bed, like on a slant. |
|
|
Term
| what system is def. not developed in premie |
|
Definition
|
|
Term
| a premie's renal system has a lower ability to concentrate |
|
Definition
|
|
Term
| is a premie more likely to be acidotic or alkalotic. |
|
Definition
| acidotic b/c of respiratory problem |
|
|
Term
| signs of respiratory distress |
|
Definition
| nasal flaring, see saw respirations, retractions, grunting, apnea, increased resp rate |
|
|
Term
| reasons premie has problems with thermo regulation |
|
Definition
less muscle mass, limp extended position.
less brown fat and sub q fat
limited ability to control skin capillaries |
|
|
Term
| resp distress increases risk for what two things |
|
Definition
| acidosis and hypoglycemia |
|
|
Term
| what should you cover up in phototherapy |
|
Definition
|
|
Term
| signs of infection in premie |
|
Definition
not feeding
behavior
temp down at first, then up |
|
|
Term
| nicu nurses want to cluster activities or interventions b/c |
|
Definition
| if pulse goes up it's hard to regulate back down. basically you can't |
|
|
Term
| preterm stress. you want to promote |
|
Definition
| clustered activies, and parental skin to skin bonding. keep noise and light to a minimum |
|
|
Term
|
Definition
|
|
Term
| characteristics of post term infant |
|
Definition
peeling skin
meconium stained
long nails
lots of hair
thing umbilical corn
not much vernix or lanuugo
crases over entire soles of feet
long thin extremities |
|
|
Term
| why do posterm have lowered nutrients and low o2 |
|
Definition
| b/c the placenta is too old and begins to fail |
|
|
Term
|
Definition
| fall below the 10th percentile |
|
|
Term
|
Definition
| above the 90th percentile |
|
|
Term
| head is large and extremities wasted and thin, is a |
|
Definition
|
|
Term
| what is the growth term for a small baby inside the mom |
|
Definition
|
|
Term
| what is the growth term for a small baby outside the mom, who has been born |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| lethargy, tachycardia, resp distress, jitteriness, poor feeding, jypothermia, diaphoresis, weak cry, seizures, hypotonic |
|
|
Term
|
Definition
| weak sucking, ruddy, tachypnea, jaundice, lethargic, jittery, irritalbe, hypotonic |
|
|
Term
| htn can cause what size baby |
|
Definition
|
|
Term
| maternal diabetes or glucose intolerance causes what size baby |
|
Definition
|
|
Term
|
Definition
| multiparity, prior history of large baby, maternal obesity, male, genetics |
|
|
Term
| when is an amniocentesis typically done for a lung check. |
|
Definition
|
|
Term
| what does an amniocentesis used to check lungs check for |
|
Definition
| working phopholipids present for surfactant |
|
|
Term
| transient tachypnea more prominent with |
|
Definition
|
|
Term
| respiratory distress is what type of condition |
|
Definition
|
|
Term
| an acquired disorder is soor after birth or at birth. usually got it in |
|
Definition
|
|
Term
| what disorder developed during antepartum |
|
Definition
|
|
Term
| bronchopulmonary dysplasia |
|
Definition
|
|
Term
| what is transient tachypnea and when does it resolve |
|
Definition
| liquid in lungs, and it usually resolves in 24-48 hours. |
|
|
Term
|
Definition
| retinopathy that effects immature blood vessels in the eyes 02 problem |
|
|
Term
| complications of retinopathy is blindness |
|
Definition
|
|
Term
| necrotizing entercolitis is always hypoxia to |
|
Definition
|
|
Term
| nursing interventions for necrotizing entercolitis |
|
Definition
| npo, gastric decompression, antibiotics or removing pieces |
|
|
Term
| hyperbilirubenemia is decreased after how much time |
|
Definition
|
|
Term
|
Definition
| transfer of bilirubin to brain |
|
|
Term
| nursing interventions fo rhyperbilirubinemia and kinicterus |
|
Definition
| phototherapy blood transfusion coombs |
|
|
Term
| meconium aspiration usually found in |
|
Definition
|
|
Term
| biggest problem with meconium aspiration is |
|
Definition
|
|
Term
| what two things are most important to give for meconium aspiration |
|
Definition
|
|
Term
| an amnioinfusion after meconium aspiration does what |
|
Definition
| thins it out so that it won't plug up lungs |
|
|
Term
| what is perventricular hemmorage is babies |
|
Definition
|
|
Term
| why do premies get perventricular hemmorage |
|
Definition
| immaturity of brain increases risks |
|
|
Term
| appearnace of infant with a diabetic mother would be |
|
Definition
| full rosy cheeks, ruddy color, short neck, buffalo hump, BIG SHOULDERS, distended upper abd. due to organ overgrowth, excessive fat tissue |
|
|
Term
| diabetic moms have babies that have problems with |
|
Definition
| shoulder dystocia and hypoglycemia |
|
|
Term
| what two things mostly are caused by substance abuse in infants |
|
Definition
| low birth weight, and neurological (CNS) problems |
|
|
Term
| withdrawl in infant has signs of |
|
Definition
| irritability, high pitched cry, tremors, jiitery |
|
|
Term
| waht to do with withdrawl baby |
|
Definition
| swaddle, decrease envorinment, methadone |
|
|
