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20 Cards in this Set
- Front
- Back
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If a pregnant mom shows up at the hospital and says "My water broke", "I feel wet all the time", "I think I peed myself" all of these need ? ASAP to be sure that the ? ruptured and to assess the ? status.
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ASSESSMENT,
membrane, fetal |
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The doctor will due a pelvic exam using a ? to inspect to see if moms membrane has ruptured via a pelvic ? The doctor will have the pt cough to check for fluid
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speculum,
exam |
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We can use ? paper that will turn from yellow - green to dark blue if pH is > ? meaning that the fluid being tested is ?
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6.5,
alkaline |
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If we test the fluid under a microscope and we see a fern pattern we now that her water has ? Which puts her at risk for ?
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broke,
infection |
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Once the water breaks the most important Nsg Dx is ?
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PC Fetal Distress stat
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If we see a prolapse of the Umbilical Cord we need to stay ? call for ?, we can restore blood flow to fetus by moving the presenting part off the cord with your ?
The ? will be present for this type of birth. |
calm,
help, finger, Pediatrician |
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If the water has broken SROM/AROM then use "Heart TACO" acronym
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heart = FHR,
T=time of rupture, A=amount of fluid, C=color of fluid, O=Odor |
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We need to know the time of rupture b/c we want the baby delivered within ? hrs.
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24
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The normal amount of fluid for a normal pregnancy is ?-?ml The normal color of fluid is ? with flecks of ?
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750ml-1000ml,
clear, white |
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If the fluid is green the meconium indicates possible ? distress due to ? this fetus must have continuous ?
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fetal,
hypoxia, EFM |
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For a regular admission of a pregnant mom we need to obtain ? get pt a ? get a ? sample consider using the bathroom as a private space to screen for ? or other ? information, obtain an EFM strip for ? min and the moms ? Do a ? check. Notify the ? Start ? and get ? drawn
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C-L-I-V-E D H-U-G-G-S
Hx, gown, urine, GBS+?, violence, private, 20min, VS, cervix, doctor, IV, labs |
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We need to ask mom or find out if she is ? asap so we can get antibiotics(penicillin, ampicillin, vancomycin) started.
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GBS+
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The admission labs for mom are ?, ?, ?,?, ? and the triple or quad screen a.k.a. the AFP ?
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T-H-A-T-R-C
type and screen, type and match, Hep B surface antigen, Rubella, CBC, Alpha Fetal Protein |
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Type and Screen is screening for ? in the persons plasma that would respond to donor blood and create a negative reaction to ?
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antibodies,
antigens |
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Type and cross match is to determine if the blood that is being given is ? with the persons blood that is getting the blood to see if it will coagulate.
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compatible
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The blood test that tests for a protein produced by the fetus that helps us determine if the fetus has ? syndrome or a spina ? This test is a risk analysis using the ? protein.
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down,
bifida, Alpha Fetal Protein |
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When would we use EFM ? When mom is being given ? if the mom is being given ? medicine, or if there is a ? stained fluid.
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Pitocin,
epidural, meconium |
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When do we assess moms vital signs for a regular admission, q ?hr if ROM or q ?hr if membrane is intact.
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2hrs,
4hrs |
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If mom is in stage 1 and she is not on continuous FHRM, she is going natural, the membranes are intact, and she doesn't have pitocin we need to check the fetal heart rate every ?-? mins and moms VS q ?hr
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15-30min,
1hr |
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If mom is in stage 2 dilated to 10 and pushing we need to check FHR q ? min and moms VS at q ? hr.
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5min,
1hr |
