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NCLEX information review: Maternity
Terms in this set (42)
What is the name of the hormone that induces amenorrhea?
What are presumptive signs of pregnancy?
What are probable signs of pregnancy?
Positive pregnancy test
Goodell's sign (softening of cervix, 2nd mo)
Chadwick's sign (bluish color of vagina mucosa and cervix, 4th wk)
Hegar's sign (softening of lower uterine segment, 2nd/3rd mo)
Darkening of areola
What are positive signs of pregnancy?
Doppler 10-12 wks
Fetoscope 17-20 wks
What is gravidity?
Number of times a woman has been pregnant
What is parity?
Number of pregnancies in which the fetus reaches 20 weeks
What is viability?
Capacity to live outside the uterus
What is TPAL?
T- # of term deliveries (after 37 weeks)
P- # of preterm deliveries (After 20 weeks, but before 37 weeks)
A- # of pregnancies ending in abortion (before 20 weeks)
L- # of currently living children
What is a spontaneous abortion?
hCG levels drop with imminent miscarriage
Usually occur before 20 wks
What is Naegele's rule?
The rule estimates the expected date of delivery (EDD). LMP date + 7 days + 9 months = estimated date of delivery (older version + 1 year, - 3 months, + 7 days)
What are nutritional requirements in the 1st trimester?
Increase protein 60g/day
What is expected weight gain in the 1st trimester?
What are danger signs of pregnancy?
Sudden gush of vaginal fluid
No fetal movement
What are common discomforts in the 1st trimester?
Increased vaginal secretions
What is smoking during pregnancy associated with?
Small for gestational age
Low birth weight
Risk for placental abruption doubles
How often should a pregnant pt visit PCP the first 28 wks?
Once a month
How often should a pregnant pt visit PCP wks 28-36?
Every 2 wks
How often should a pregnant pt visit PCP after 36 wks?
What should a pt do prior to an US?
What are nutritional requirements for the 2nd trimester?
Add 300 calories/day
What is expected weight gain in the 2nd trimester?
What is considered a term pregnancy?
What is expected weight gain in 3rd trimester?
What is pre-eclampsia?
Develops after 20 wks
2 or more lbs weight gain in a wk
Can have seizure --> eclampsia
Tx with Magnesium sulfate
What is magnesium sulfate?
Acts as anticonvulsant
How do you determine fetal position/presentation?
What are signs of labor?
Lightening ("dropping" of fetus into pelvis)
Increase in levels of activity (Nesting)
Ripening of the cervix (softening)
Rupture of membranes
What is a non-stress test (NST)?
2 or more accelerations of 15 bpm with or without fetal movement
Each acceleration should last for 15 secs
Recorded for 20 mins
Want a reactive result
What is a biophysical profile (BPP)?
Commonly done in 3rd trimester
Measures 5 parameters by US (2 pts each)
HR, muscle tone, movement, breathing, amount of amniotic fluid around baby
Observed for 30 mins
What is a contraction stress test (oxytocin challenge test)?
For high risk pregnancies
Determines if baby can deal with stress of contraction
Want a negative result
Usually not done before 28 wks
Results only good for 1 wk
What is an early deceleration?
Caused by fetal head compression
What is a late deceleration?
Caused by utter-placental insufficiency
What is a variable deceleration?
Caused by umbilical cord compression
What is true labor?
Contractions are regular and increasing and are not relieved by change in position. In fact, activity makes pain worse. Discomfort in back radiates around to abdomen.
What is false labor?
Discomfort in abdomen
Decreased with activity change
What is done for preterm labor?
Goal is to stop labor
Treat any existing vaginal infections or UTIs
May be given
What is epidural anesthesia?
Position: Lie on left side, legs flexed, prop over bedside table
Give stage 1 at 3-4 cm
Usually no HA
Major complication is hypotension
Put pt in semi-Fowlers
What are nursing considerations for oxytocin?
Alert for complications
Want contractions q2-3 mins lasting 60 sec
Too often contractions
Too long contractions
Piggybacked into mainline
What is a normal postpartum assessment?
Temp: May increase to 100.4*F
HR: 50-70 for 6-10 days post
Breasts: Soft for 2-3 days then engorgement
Uterus: Want fundus to be firm
Rubra: 3-4 days
Serosa: 4-10 days
Alba: 10-28 days
What is breast care for breastfeeding mothers?
Cleanse with warm water after each feeding
Let air dry
Ointment for sores
Express colostrum and let dry
Increase calorie intake by 500 calories/day
Increase fluid intake
What is breast care for non-breastfeeding mothers?
Chilled cabbage leaves
What are postpartum complications?
Infection (within 10 days after birth)
Hemorrhage (early-first 24hrs, late-24hrs-6wks)
Retained fragments and forceps delivery
Mastitis (2-4 wks)
Swollen, hard, tender breasts
THIS SET IS OFTEN IN FOLDERS WITH...
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