NCLEX > OB > Flashcards

OB Flashcards

(74 cards)

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1
Q

how long to wait after rubella vaccination to get pregnant

A

wait 1-3 months after vaccination

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2
Q

reactive nonstress test

A

HR: 110-160
moderate variability (6-25/min)
> 2 accels in 20 mins (15 by 15)

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3
Q

contraction stress test

A

evaluates fetal capability to handle stress

goal: 3 contractions (40-60secs) in 10 mins with no late or variable decels (negative)

late decels w/ 50% contractions is positive –> bad

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4
Q

pregnant nurses can not care for which patients

A

TORCH

  • toxoplasmosis
  • other viruses (parvovirus, varicella-zoster virus, zika virus)
  • rubella
  • cytomegalovirus
  • herpes simplex virus
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5
Q

prenatal visits scheduling

A

qmonth until 28 weeks

every other week from 28-36 weeks

qweek after 36 weeks until 42 weeks

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6
Q

quickening introduction

A

16-20 weeks GA

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7
Q

GDM screenings

A

24-28 weeks GA

1h glucose challenge test

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8
Q

fetal heart rate heard

A

8-12 weeks GA

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9
Q

infertility

A

inability to conceive after 12 months of frequent, unprotected sex w/out medical complications

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10
Q

subjective signs/ presumptive

A
  • amenorrhea
  • n/v
  • urinary frequency
  • breast tenderness
  • quickening
  • excess fatigue
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11
Q

objective signs/ probable

A
  • goodells sign
  • chadwick sign
  • hegar sign
  • uterine enlargement
  • braxton hicks contractions
  • ballottement
  • fetal outline palpation
  • uterine and funic souffle
  • chloasma
  • linea nigra
  • areola darkening
    • pregnancy test
  • striae gravidarum
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12
Q

positive signs/diagnostic

A
  • FHR heard on doppler
  • fetal movement palpated by HCP
  • visualization of fetus via US
  • fetal skeleton on xray
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13
Q

term pregnancy

A

> or = to 37 weeks 0 days

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14
Q

rhogam administration

A

within 72h of birth

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15
Q

indirect coombs test

A

determines antibody presence in Rh neg mom (if + –> can not give rhogam)

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16
Q

cervical cerclage

A

placed anywhere from 12-23 weeks GA, removed around 36-37weeks GA

activity restriction required

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17
Q

s/s of preterm labor

A

low back ache, contractions, pelvic pressure, ROM

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18
Q

fundal height at 16 weeks GA

A

halfway between symphysis pubis and U

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19
Q

fundal height at 20-22 wks

A

at U

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20
Q

fundal height at 36 wks

A

approaching xyphoid process

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21
Q

fundal height beyond 20 weeks

A

cm matches weeks of GA

ex: 24cm at 24 wks

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22
Q

syphilis Tx and screening

A

screening: first prenatal visit, 3rd trimester, at delivery

Tx: penicillin

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23
Q

prenatal folic acid intake

A

400-800mcg/day

fortified cereals, green leafy veggies, enriched breads

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24
Q

anemia in pregnancy

A

Hgb < 10.5 in 2nd trimester
Hgb < 11 in 3rd trimester

increase intake of iron rich foods in the second trimester

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25
1h oral glucose challenge test
tests for GDM > or = to 130-140 is abnormal
26
optimal BMI for fertility
18.5-24.9
27
Naegele's rule
first day of LMP - 3 months + 7 days = EDD
28
weight gain for BMI < 18.5
28-40lbs total | 1lb/week for 2nd/3rd trimesters
29
weight gain for BMI 18.5-24.9
25-35lbs total | 1lb/week for 2nd/3rd trimesters
30
weight gain for BMI 25-29.9
15-25lbs total | 0.5lb/week for 2nd/3rd trimesters
31
weight gain for BMI >30
11-20lbs total | 0.5lb/week weight gain for 2nd/3rd trimesters
32
weight gain during first trimester of pregnancy
1.1-4.4lbs
33
nitrazine pH strip
determines presence of amniotic fluid (alkaline) may be contaminated by sperm or blood
34
Leopold maneuver
1. Fundus 2. sides 3. fetal part closest to vagina (presenting part) 4. fetal flexion
35
gestational HTN
new onset elevated BP at >20wks w/ no proteinuria
36
chronic HTN in pregnancy
SBP >140 or DBP >90 at < 20wks
37
preeclampsia
new onset elevated BP at >20wks + proteinuria and signs of end organ damage
38
P/C ratio indicative of preeclampsia
0.3
39
DTR assessment in eclampsia
2+ is normal 0-1 is hypo --> mag tox 3-4 is hyper --> seizure risk
40
HELLP syndrome and s/s
hemolysis elevated liver enzymes low plt s/s: RUQ pain, N/V, malaise Tx: deliver fetus
41
GTPAL
``` G: # of pregnancies T: # of babies delivered at 37.0 wks P: # of babies delivered at 20.0-36.6wks A: number of pregnancies ending before 20.0 wks L: # of living children ```
42
category III tracing
``` absent variability fetal bradycardia (<100/min) prolonged or recurrent variable or late decelerations or sinusoidal FHR pattern ``` Tx: deliver baby
43
variable decels cause
cord compression or prolapse | oligohydramnios
44
early decels cause
head compression
45
late decels cause
placental insufficiency
46
PPROM
rupture before 37wks
47
oxytocin --> contraction goal
q 2-3 mins | lasting 80-90secs
48
uterine tachysystole
>5 contractions in 10mins | contractions lasting >90 secs
49
stage 1 | latent phase
0-5cm dilation | best time for education
50
stage 1 | active phase
6-7cm dilation | contraction s q3-5mins (30-60secs)
51
stage 1 | transition phase
7-10cm dilation | contractions q2-3mins (60-80secs)
52
stage 2
10cm dilation until birth | monitor & document FHR q5mins
53
stage 3
birth of baby until expulsion of placenta
54
stage 4
1-4hs after birth
55
Tx for shoulder dystocia
McRoberts maneuver | suprapubic pressure
56
bishop score indicative of cervical favorability (successful induction)
``` >6-8 consistency position dilation effacement station ```
57
onset of postpartum depression
4-6 wks postpartum (up to 12 months)
58
taking in period
24-48h PP | mother dependent of healthcare team
59
taking hold period
2-10 days PP | mother learns to care for baby
60
letting go period
10 days PP | mother becomes comfortable in new role
61
PP uterine involution
should reduce 2cm qday PP
62
macrosomia infant size
>8lbs 13oz
63
timing of occurrence of secondary PPH
>24h-6wks PP
64
LBW newborn
<2500g
65
normal percentile weight for newborns
between 10-90th
66
APGAR
indicates how well a newborn is transitioning into life performed at 1 and 5mins of life scores <7 may require extra efforts ``` Appearance Pulse grimace Activity Resp effort ```
67
newborn hypoglycemia
BG <35 (maybe <40)
68
pathological jaundice
occurs in first 24h of life
69
first void and meconium passage
void: 24h | meconium 24-48h
70
normal newborn head circumference
13-14inches
71
newborn temp
36.5-37
72
newborn HR
110-160
73
newborn RR
30-60 apnea pauses <20secs normal
74
weight loss expected of newborns during first 3-4 days of life in %
5-6%
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