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Details

Maternity
Test 1
14
Nursing
Undergraduate 3
03/01/2011

Additional Nursing Flashcards

 


 

Cards

Term
Ectopic Pregnancy
Definition
History of missed periods and spotting, Check for slight abdominal pain
Evaluate uterus for size etc., Assess for sudden excruciating pain in lower abdomen indicating ruptured tube (often first indication of tubal pregnancy), Evaluate fainting, signs of shock resulting from hemorrhage into peritoneal cavity (usually little external bleeding), Ultrasound
Term
Tx for Ectopic
Definition
Methotreaxte and surgery
Term
Charecteristics of Preclampsia
Definition
Maternal vasospasm
Decreased perfusion to virtually all organs
Decrease in plasma volume
Activation of the coagulation cascade
Alterations in glomerular capillary endothelium
Edema
Term
Late signs of exlampsia
Definition
Subcapsular hematoma of the liver
Term
PROM
Definition
goal is not to have rupture membrane more than 24 hours- infection might develop. Try not to use the 24 hour rule on the premature woman because lungs are not developed. Need to assess gestational age and observe sign and symptoms of infection. Once determine need to make a decision Need to assess hydration status, the fetus status and how is it doing w/o the amniotic fluid (look at function of amniotic fluid), childhood preparation (emotional if mom is really Coping), encourage rest on left side, provide comfort measures and education. Denial will first experience (o my child will be fine), reeducate patient
Term
Abruptea placentae
Definition
Dark red bleed , premature separation of a normally implanted placenta from the uterine wall
Term
Tx of Placenta Previa
Definition
C- section if complete or incomplete
Term
Plecenta Previa symptoms
Definition
bleed without contractions worse second time
Term
Incomptant Cervix
Definition
Diatlation w/o pain
Term
Signs of eclampsia
Definition
Scotomata
Blurred vision
Epigastric pain
Vomiting
Persistent or severe headache
Neurologic hyperactivity
Cyanosis
Pulmonary Edema
Term
heroin
Definition
Poor nutrition and iron-deficiency anemia
Preeclampsia-eclampsia
Breech position
Abnormal placental implantation
Abruptio placentae
Preterm labor
Term
Fetal Affects of Heroin
Definition
Decreased birth weight and head circumference
Feeding difficulties
Neonatal effects from breast milk:
Extreme irritability
Vomiting and diarrhea
Dilated pupils and apnea
Term
Heroin effects
Definition
Maternal effects:
Premature rupture of the membranes (PROM)
Meconium staining
Higher incidence of STIs and HIV
Fetal effects:
IUGR
Withdrawal symptoms after birth
Term
Cocaine effects
Definition
Decreased birth weight and head circumference
Feeding difficulties
Neonatal effects from breast milk:
Extreme irritability
Vomiting and diarrhea
Dilated pupils and apnea
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