2145 Ob/mcc Exam 2 Part 7

Front 1

Proteinurea during PREGNANCY is ? normal.
But,
Renal adaptations during LABOR include protenuria of +1 which is WNL, Why?

Back 1

NOT,
because the uterus is breaking down,

Front 2

Prolonged straining to urinate during stage 2 of labor may cause injury to the ?
Spontaneous voiding may be ? even if there is no epidural due to pressure on the bladder.

Back 2

bladder,
difficult

Front 3

Integument adaptations during pregnancy include hyperpigmentations like a tan dark skin coloring of the face known as ? a.k.a.- the mask of pregnancy, or linea-? or linea-? which are stretch marks.

Back 3

melasma,
alba,
nigra

Front 4

Mom may have increased ? growth which is an integument adaptation also blood vessels have increase permeability so there may edema that causes spider ?

Back 4

hair,
nevi

Front 5

Gastrointestinal adaptations during pregnancy include gums become ?, ? and have a tendency to ? So pts need to make sure to keep up on ?

Back 5

swollen,
soft,
bleed,
dental hygiene

Front 6

GI tract adaptations during pregnancy include the action of progesterone which causes smooth muscle relaxation which causes ? peristalsis which can cause ?, ?, ?

Back 6

decreased,
constipation,
hemorrhoids,
heartburn

Front 7

GI tract adaptations during labor include GI motility and absorption are ? Stomach emptying time is ? so there is more of a chance for the pt to suffer with ?
? is also possible with the onset of labor.

Back 7

decreased,
slowed, N/V,
diarrhea

Front 8

Endocrine adaptations during pregnancy includes increased production from the pituitary gland of the hormone ? which increases milk production.

Back 8

prolactin

Front 9

Endocrine adaptations during pregnancy includes Thyroid increase of Basic Metabolic rate of ?%.

Back 9

25%

Front 10

Endocrine adaptations during pregnancy includes the Pancreas increasing ? production for the entire pregnancy to compensate for placental hormone insulin antagonism. The hormone that antagonizes insulin during pregnancy is ? it secreted by the placenta to help facilitate glucose getting to the ? This is the basis of gestational ?

Back 10

insulin,
antagonism,
HPL(human placental lactogen),
fetus,
diabetes

Front 11

Endocrine adaptations concerning the ovaries and placenta during pregnancy include increased production of ?,?, and ? helps the joints of the pelvis and other joints to relax.

Back 11

estrogen,
progesterone,
relaxin

Front 12

Endocrine adaptations during labor include ?ing progesterone, ? ing estrogen, prostoglandins, and ? to increase contractions.

Back 12

decreasing,
increasing,
oxytocin

Front 13

What would you ask your pt about her psychological adaptations to labor. What has she done to ? How does she plan to ? with labor. What is her usual response to ? (intrinsic vs extrinsic locus of control). Who will be with her and ? or ? her.

Back 13

prepare,
cope,
pain,
help or hinder

Front 14

What should the RN and other medical staff expect of the mom in labor ?
What are the moms expectations and are they realistic!

Back 14

that they can cope the best that they can

Front 15

How can childbirth education benefit a woman and her family?

Back 15

It can get them more prepared.

Front 16

All pregnant moms can have the nursing DX of ?
Anxiety rt ? aeb ?
Infection rt ? aeb?

Back 16

impaired comfort rt contractions, aeb pain level rated 9 untollerable.,
rt birthing process aeb primipara,
rt birthing process aeb decreased immune system

Front 17

During the admission process of a mom in labor there are ? areas of assessment to focus on, and they are ?, ?, ?

Back 17

3,
Impending Birth,
FHRM e.g. Baseline,Var, Acells, Dcells,
Moms VS

Front 18

S/S of emergent/impending birth are, is the baby's head ? What do we need to find out after we look: Is mom ? to any meds, have there been any ?'s with this pregnancy, has she had a previous ? delivery, expected due ?, who is her ?
Let's get this process C-A-P-P-E-D

Back 18

crowning,
allergic,
problems,
passed C/S,
expected due dat,
doctor

Front 19

What s/s of emergent/impending birth are we looking for with the fetus: FHR ?'s, is there any ? present, are there any ?'s, Is the baseline ?,

Back 19

decels,
variability,
accels,
WNL

Front 20

In an emergent/impending birth things we need to watch mom for include ?, ?, and ?

Back 20

VS,
PIH,
Shock

Front 21

So how would I know if baby is coming; 1st to do is ?, there would be and increase in ? More ? show. The pt may say "I have to have a ?"

Back 21

look,
DIF,
bloody,
BM

Front 22

If we see crowning there isn't much time so we should be ?, put on ?, get ?

Back 22

calm,
gloves,
help

Front 23

If we see perineal bulging we have a little ?

Back 23

time

Front 24

SROM = ?
AROM= ?

Back 24

Spontaneous Rupture of Membrane,
Artificial Rupture of Membrane

Front 25

If we see SROM with fetal presenting part we should put on ? get ? and be ready to support the perineum and ease ? out.

Back 25

gloves,
help,
baby