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20 Cards in this Set
- Front
- Back
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What is the new way to monitor fetal O2, that ACOG cannot endorse yet, do to not enough clinical trials ?
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Fetal Pulse-oximetry
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Where is blood drawn and analized from to assess the infants oxygentation and acid-base balance immediately after the birth ?
What type of syringe is used ? What are we looking for with this ABG? |
The artery of the umbilical cord,
heparanized, 02level and acid-base |
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What is the normal range for a blood gas drawn from an umbilical cord pH > ? and this falls into a category ?, if the range is between pH ? and pH ? we need to watch the baby for 30 min for improvement and this is a category ?, and if the pH < ? we need to provide STAT interventions this is a category ?
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>7.25, category I
7.2 and 7.25, category II <7.2, category III |
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What does the Joint Commission say the RN's responsibility in regard to EFM is ?
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to prevent sentinal events
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The goal of preconception counseling is to promote a well balanced diet including 400mcg of ? to prevent neural tube defects and get a Hx and psych eval to see if the parents want ?
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folic acid,
the baby |
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The first prenatal visit is best if done in the ? but better ? We will draw labs, get a complete Hx and PE, and confirm the ?
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1st trimester,
late than never, pregnancy |
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What is the leading cause of death in pregnancy ? How will we assess the risk for this ? Who helps you get the ? to ? things you need.
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Homocide,
ask pt if she feels safe at home, in private, day to day |
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In the first prenatal visit if we are drawing a Urine drug screen we need written or oral ?
If we are drawing to test for HIV we need written ? |
consent,
consent |
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In the 1st trimester at any time between weeks 10.5-14, US is used to screen for ? to see if there is fluid building up behind the neck of the fetus, this can tell us about any anomilies in the fetus e.g. Down Syndrome. We also use US to determine gestational ?
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nuchal translucency,
age |
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What is the method for figuring out the estimated date of conception(EDC) - find out the ? from pt, subtract ? months and add ? days from the 1st day and correct the year prn. If the pt doesn't know when her last period was expect a ? to be ordered so that we know the accurate ?
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LNMP,
3 months, 7days, US, due date |
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There will be STD/STI screening during the 1st prenatal visit, never ? a pts risk, this screening is done by drawing ? cultures and ? exam.
The fastest growing STD problem in the US is ? and women under the age of ? are the greatest number acquiring this disease. |
assume,
blood, visual, chlamydia, 20 |
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A blister like lesion in the perineal region is probably ? it is life long and can be active or dormant.
Outbreaks are brough about by ? the pt may have ? symptoms, |
Herpes,
stress, prodromal |
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The CDC recommends that all girls/women recieve a HPV vaccine from the ages of ?-? There are currently no ?'s for HPV only Tx.
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9-26,
cures |
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Vaginal ? is never normal when a women is pregnant.
If a woman is bleeding when she is pregnant it could be a ? or ? pregnancy if she is having syncope we should think ? pregnancy |
bleeding,
miscarriage, ectopic, ectopic |
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Why is the fetal HR finally audible between weeks 11-13 ?
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The Uterus has popped out of the pelvis b/c it is getting bigger with the fetus growing in it.
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Why are we watching the amount of urine output during pregnancy ? What could some signs be ?,?
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to assess for hydration status,
not going enough, check skin turgor |
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What do we need a pregnant woman to know about weight gain and being pregnant ? if she is underweight she can gain ?-? lbs, if the pt is at her Ideal wgt she can gain ?-? lbs, and if she is overweight she can gain ?-? lbs, and if she is obese she can gain ?-? lbs.
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that everybody gains weight while pregnant,
28-40lbs, 25-35lbs, 15-25lbs, 11-20lbs |
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The weight gain breaks down to- in the first trimester the pt can gain ?-? lbs, in the second trimester she should gain ?-?lbs a week.
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0-4 lbs,
3/4-1lb |
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At the 1st prenatal visit we ask the pt what she has eaten in the last ? hrs this is called 24hr diet ? and is she taking ? vitamins.
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24hrs,
recall, prenatal |
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Moms weight should be evaluated at each ?
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prenatal visit
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