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Childbearing Client and Neonatal Client- Nclex

Terms in this set (29)

Presumptive Signs of pregnancy
Amenorrhea, Breast sensitivity, Chadwicks sign, Fatigue, Fingernail changes, Urinary frequency, weight gain, quickening (baby movement), N/V
Probable Signs of pregnancy
Ballottement, Chawick's sign, Goodell's sign, Hegar's sign, Positive pregnancy test, McDonalds sign, Mask of pregnancy
Positive Signs of pregnancy
Fetal heart tones, Leopold's maneuver, Ultrasound
Ballottement
A technique of palpation to detect or examine a floating object in the body. In obstetrics, the fetus, when pushed, floats away and then returns to touch the examiner's fingers.
Goodell's sign
softening of the cervix
Hegar's sign
Softening of the lower uterine segment
McDonald's sign
enlargement of uterus
Leopold's sign
fetal outline noted on palpation of the abdomen
Normal range of Fetal heart tone
110-160 beats per minute
Drug to induce labor
Pitocin- use pump or controller
Presentation of labor and delivery
Part of fetus that engages and prsnt first at delivery- Cephalic (head) or buttocks or feet.
Position of labor and delivery
Presenting part of the mothers Pelvis- LOA: back of babys head is anterior to the pelvis and tilted to the left side. ROA: Back of baby's head is anterior and tilted to right side. OA: back of baby's head is directly to the front of the mothers pelvis.
Fetal Lie of labor and delivery
Uses Leopold's maneuver to determine where the baby's position is to the pelvis
Dystocia of labor and delivery
Abnormal progression of labor- abnormal or difficult labor
Effacement of labor and delivery
Thinning of the cervix
Dilation of labor and delivery
Opening of the cervix
Precipitate delivery
rapid and uncontrolled labor and delivery- Fetal complications: Hypoxia, Intracranial hemorrhage. - At risk for Uterine rupture, vaginal lacerations, amniotic emboli, postpartal hemorrhage.
Station of labor and delivery
Biparietal diameter or widest part of fetal head as it relates to the maternal ischial spines (0 station is Ischial spine)
Stages of of labor and delivery
Stage 1: 0-10 centimeters of dilation of cervix, Stage 2: complete dilation, Stage 3: delivery of baby and placenta, Stage 4: delivery of placenta until complete recovery.
Postpartum Care
Turn on left side to help increase blood supply to the kidneys, do not give Coumadin
Preeclampsia
Abnormal high blood pressure in pregnancy- 140/90, facial edema, proteinura
Ectopic Pregnancy
Any pregnancy that occurs outside the body of the uterus- mostly in fallopian tube.
Hydratidiform Mole
What results in grapelike swelling of chronic villi & trophoblastic hyperplasia from errors in chromosomal duplication occuring during fertilization- chorionic carcinoma- do not get pregnant for at least a year after evacuation of mole.
Incompetent Cervix
(obstetrics) uterine cervix that becomes dilated before term and without labor often resulting in miscarriage or premature birth
Placenta Previa
pregnancy in which the placenta is implanted in the lower part of the uterus (instead of the upper part)
Abruptio Placenta
premature separation of the normally implanted placenta away from the uterine wall.
Premature Labor
before 37 weeks gestation
Cord Prolapse
Umbilical cord presents first during delivery and is seen within the cervix.
Cesarean Birth Nursing Care
Assess signs of infection, hemorrhage, urinary problems, thrombophelbitis, Pre-
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