Term
| What differentiates Hypermesis gravidarum from morning sickness |
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Definition
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Term
| What type of food do you give the mom suffering from hypermesis during the nursing care process |
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Definition
Small high carb dry meals
boiled chicken bland things |
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Term
| What is an incompetent cervix |
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Definition
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Term
| Why do we want to get mom to 32 weeks |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| Allow the lungs to expand and contract |
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Term
| Can do a cerclage if dilated more then |
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Definition
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Term
| A cervical cerclage is basically |
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Definition
| Suture or tieing up the cervix |
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Term
| Why do we only do a cerclage between 14 & 26 weeks |
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Definition
Too early its enviable she will have an abortion
After 26 weeks its considered pre term labor and too late to stop it |
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Term
| What does mom have to stay on after cerclage |
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Definition
| Mom has to stay on bedrest after cerclage |
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Term
| Spontaneous abortions occur before |
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Definition
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Term
| After 24 weeks and a mom loses the pregnancy that is called |
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Definition
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Term
| Threatened abortion mom has |
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Definition
| vaginal bleeding but the cervix is still tightly closed |
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Term
| Inevitable abortion means |
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Definition
Nothing you can do to stop it
Cervical dilation and ruptured membranes |
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Term
| A complete abortion is when mom expels the products of |
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Definition
Conception
Significant bleeding
Contractions |
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Term
| An incomplete abortion is the loss of pregnancy with some tissue parts |
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Definition
Retained
Profuse bleeding |
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Term
| A missed abortion the fetus dies but it is retained in |
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Definition
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Term
| In the missed abortion due to the fetus decaying the discharge is |
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Definition
| Foul smelling and/or bleeding |
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Term
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Definition
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Term
| Mom is termed habitual aborter because she has had |
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Definition
| 3 or more consecutive loses |
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Term
| If its a threatened abortion mom gets put on |
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Definition
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Term
| In all the spontaneous abortions minus threatened an IV of |
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Definition
| Ocytocin gets started to cause muscle contraction to remove all tissue |
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Term
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Definition
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Term
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Definition
| Of uterine lining to make sure all of the products of conception has been removed |
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Term
| A vacuum evacuation sucks out |
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Definition
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Term
| You want to give rhogam if mom is RH |
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Definition
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Term
| Ectopic pregnancy occurs in the |
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Definition
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Term
| Increase of ectopic pregnancy in the women who have |
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Definition
STD's
Appendicitis
Endometrioes |
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Term
| If we see bulging in the Fallopian tube we know |
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Definition
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Term
| Some s/s of ectopic pregnancy include |
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Definition
Abd. tenderness
Bleeding
Low HCT & HGB
High WBC
Shoulder pain |
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Term
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Definition
Stop cells from growing during ectopic pregnancy
Also used in Chemotherapy |
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Term
| If the growth of the ectopic pregnancy is too big and can't be removed safely the doctor has to perform a |
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Definition
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Term
| Another name for Fallopian tube is |
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Definition
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Term
| During a hyditaform mole fertilization does |
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Definition
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Term
| The fertilized ovum during hyditaform spiral down and form |
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Definition
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Term
| An abnormal trophoblast during a hyditaform mole is basically just |
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Definition
Quick cell division
Just a whole group of cells |
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Term
| During hyditaform mom HCG |
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Definition
Is up
Due to the trophoblast |
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Term
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Definition
| Positive sign of pregnancy |
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Term
| During the hyditaform mole moms uterus grows |
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Definition
Too quickly
8 to 9 weeks during her visit they realize the growth is too much and HCG unusually high |
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Term
| During the hyditaform mole mom can develop PIH which is |
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Definition
| Pregnancy induced Hypertension |
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Term
| Ont he ultrasound for a mom going through hyditaform mole they will see |
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Definition
Just a sac but no fetus
Looks like a cluster of grapes
D&C performed |
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Term
| Hyditaform mole can lead to |
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Definition
Chorinic carcinoma
Which is chorian layer cancer. Very invasive |
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Term
| What is a placenta previa |
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Definition
Placenta is ahead of the fetus
Abnormal placement
Marginal
Partial
Total |
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Term
| Ideal placement for the placenta is |
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Definition
| The upper portion of the uterus |
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Term
| A marginal placenta previa is |
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Definition
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Term
| A partial placenta previa is |
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Definition
| Covering the cervix even lower |
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Term
| A complete placenta previa is |
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Definition
| The entire cervix covered |
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Term
| We can diagnosis placenta previa early in pregnancy from a |
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Definition
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Term
| When does placenta previa interfere with the pregnancy |
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Definition
3rd. trimester
Painless bleeding |
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Term
| Why during the 3rd. trimester during placenta previa is it now painless bleeding |
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Definition
| Due to the fetus right up against the cervix putting pressure |
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Term
| The important thing to know about the bleeding of placenta previa is that it is |
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Definition
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Term
| The goal in form of weeks for placenta previa is 34 because that is |
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Definition
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Term
| During placenta previa mom during the 3rd. trimester will probably be on |
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Definition
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Term
| During a placenta previa mom will have a |
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Definition
C section
Sometimes if marginal doctor may let their be natural birth |
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Term
| What is at risk or happening in utero if the placenta is misplaced |
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Definition
| Umbilical cord can get wrapped around the fetus |
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Term
| What kind of education do you think the family needs for mom going on bedrest last three months of pregnancy during placenta previa |
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Definition
| Not to view mom as lazy or exaggeration |
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Term
| What is an abruptio placentae |
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Definition
| Premature separation of placenta |
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Term
| What do you not do with a mom who has an placenta previa |
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Definition
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Term
| Those who have a history of abruptio placentae |
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Definition
| Have a higher risk of it happening again |
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Term
| What causes abruptio placentae |
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Definition
Pregnancy induced hypertension (PIH)
H/O Abruption
Smokers and cocaine (vasoconstriction)
PROM (Premature rupture of membranes) |
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Term
| What is Premature rupture of membranes (PROM) |
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Definition
| Amniotic fluid rupture before labor has started |
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Term
| What are s/s of abruptio placentae |
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Definition
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Term
| What are some more signs of abruption placentae |
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Definition
Hard uterus
Fetal distress (gotta get out 10-15 min.)
Maternal shock |
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Term
| If its a partial abruption mom needs to be on |
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Definition
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Term
| What is another name for PIH (pregnancy induced hypertension) |
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Definition
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Term
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Definition
| Elevated BP after 20 weeks |
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Term
| What type of diet will you put the mom who is PIH |
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Definition
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Term
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Definition
| Hypertension after 20 weeks with protein in the urine |
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Term
| What are some more s/s of pre eclampsia |
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Definition
Edema hands and face
Headache
Blurry vision |
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Term
| Huge difference between mild pre eclampsia versus |
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Definition
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Term
| Mom can go from mild headache and blurry vision |
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Definition
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Term
| Because of the hypertension and blood vessel lining become damaged can lead to |
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Definition
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Term
| The H in HELLP stand for (pre eclampsia) |
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Definition
| Hemolysis (Breakdown of RBC) |
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Term
| The E in HELLP stand for (pre eclampsia) |
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Definition
Elevated liver enzymes (Low Vit.K used for clotting)
Lead to hemorrhaging |
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Term
| The L in HELLP stand for (pre eclampsia) |
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Definition
| Low platelets which lead to hemorrhaging |
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Term
| Mom who has mild pre eclampsia we will limit |
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Definition
Bedrest
Mild activity
Antihypertensives |
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Term
| In Severe eclampsia the huge difference and only added thing different from pre eclampsia is |
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Definition
Seizures
BP as high as 300/150 usually runs in the 100's
Can damage kidneys on dialysis
IV hypertensives can become hypotensives |
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Term
| Mom with severe eclampsia will be given what drug |
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Definition
Magnesium sulfate SO4 to prevent seizures
Decrease incident of seizures |
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Term
| The antidote to magnesium sulfate is |
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Definition
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Term
| Mom with severe eclampsia will be on the diuretic |
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Definition
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Term
| Mom with severe eclampsia we will do an amniocentesis because |
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Definition
| We want to see if the lung has matured in the baby |
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Term
| What is tonic clonic response during a seizure |
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Definition
| Muscle contract and relax very strongly and rapidly (Can cause an abruption) |
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Term
| What is the treatment of Severe eclampsia |
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Definition
Antihypertensives
Magnesium sulfate
Monitor I&O
Quiet private dim lit room
Working suction machine
C section a must |
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Term
| Magnesium sulfate can become toxic and cause what |
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Definition
| Affect the tendons and cause decrease in the reflex |
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Term
| Putting mom on the side does what |
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Definition
| Makes the fetus get off the large vessels helps mom |
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Term
| Up to 48 hours after delivery with severe eclampsia mom is still at risk for |
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Definition
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Term
| If mom has a seizure put her on the side why |
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Definition
| So mom doesn't aspirate (secretion falls out the side) |
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Term
| ABO incompatibility means? |
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Definition
| Mom and the fetus has different blood |
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Term
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Definition
| Jaundice and Hepatosplenomegaly |
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Term
| What is gestational diabetes |
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Definition
| Mom who develops diabetes during pregnancy due to too much HPL |
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Term
| Major difference between gestational diabetes and type 1 |
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Definition
| After mom delivers the baby she will not have diabetes any longer |
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Term
| S/S of gestational diabetes |
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Definition
Rapid weight gain
Increase sugar in the urine and blood
DKA |
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Term
| What is an effect on the fetus due to gestational diabetes |
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Definition
Macrosomia (large body babies)
Neonate hypoglycemia (Baby pancreas keeps secreting insulin after birth) |
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Term
| Possible C/section with gestational diabetes but risk because |
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Definition
Risk of infection
Bad wound healing |
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Term
| With sickle cell and the thickness of blood mom is at risk for |
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Definition
MI
CVA
PE
need O2
Fluid
lack of Hgb |
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Term
| With anemia you need an increase of |
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Definition
Iron
Leads to constipation
Need fluid, fiber |
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Term
| With cardiac mom no labor |
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Definition
Due to stress
She will have C/section |
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Term
| With infections mom will have |
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Definition
| Vaginal cultures to check for diff. infections either treat or c/section |
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Term
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Definition
| Word that means dysfunctional labor |
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Term
| Dystocia in most cases are prolonged |
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Definition
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Term
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Definition
| Waves from a fetal monitor that can tell dilation and decent |
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Term
| With prolonged labor a potential problem is |
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Definition
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Term
| Abnormal contractions can be classified as |
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Definition
| Hypo or hypertonic contractions |
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Term
| Hypotonic contractions of dystocia are |
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Definition
Weak ineffective contractions
Active phase |
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Term
| What are some ways to treat hypotonic contractions of dystocia |
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Definition
Amniotomy (opening into amniotic sac)
To speed up contractions |
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Term
| IV pitocin (oxytocin) does what |
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Definition
| Causes uterine contractions |
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Term
| With hypotonic contractions c/section |
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Definition
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Term
| Hypertonic contractions of dystocia are |
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Definition
Frequent strong uterine contractions
Latent phase (mom only 0-3cm dilated) |
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Term
| Hypertonic contractions of dystocia we need to slow it down so we can |
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Definition
| Give mom a sedative (relax her) |
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Term
| Breathin is a resp. drug that can decrease the action of smooth |
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Definition
muscle in the lungs and uterus
Give for secondary effect
Same with procardia |
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Term
| Magnesium sulfate in the uterus will also decrease contractions for hypertonic contractions of dystocia in the |
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Definition
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Term
| Cephalopelvic disproportion means |
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Definition
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Term
| Anything other then cephalic mom will probably have a c/section but we can try external version which means |
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Definition
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Term
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Definition
| Too quick delivery within 3 hours |
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Term
| With precipitous labor the type of contractions are |
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Definition
| Strong, frequent contractions |
|
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Term
| if mom is a multipara do not leave alone because |
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Definition
| Contractions can be even faster |
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Term
| Induction of labor is basically |
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Definition
| Done to stimulate labor before it naturally starts |
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Term
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Definition
| Accelerates or help labor after it has started |
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Term
| Nipple stimulation can cause |
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Definition
| Oxytocin to be secreted towards end of labor |
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Term
| Walking helps with labor cause it can |
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Definition
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Term
| With precipitous labor and delivery it can happen before |
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Definition
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