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27 Cards in this Set
- Front
- Back
If we are using pitocin for augmentation we must follow hospital ? Every hospital says that the ? must be present. We must always use a ? to monitory fetus, Always administer Pitocin using ? on a pump. In order to administer Pitocin the baby must be in a ? facing direction and the ? must be WNL. We need to know that we have a good situation going on!!!!!
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protocol,
doctor, FHRM, IVPB, head down, HR |
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What are contraindications for Pitocin use: the baby is in a ? lie. The baby is in a ? presentation. The baby is too?, pt had a previous ?
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transverse,
large, C/S |
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Mom can P-U-R-R her way through labor.
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P-position changes- use gravity and keep mom moving
U-Urinate q2h to assist fetal descent R- relax R-Respiration, encourage mom to breathe |
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The dose of pitocin during labor is ?-?milliunits with max dose of ? milliunits per minute.
We must have effective oxygenation of the ? in order to keep increasing the pit. |
1-2milliunits,
20 milliunits, fetus |
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For an effective pattern of labor when using pit what is the goal for the DIF?
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D=60-90seconds
I= strong F=2-5minutes |
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Squatting during labor can be used if ? is appropriate. The pt cannot have an ? for pain. How does this position help ? What needs to be below the pt ? How would we assess the FHR in this postion ?
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LOC,
epidural, gravity, padding, doppler |
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When a mom in labor is pushing she should only hold her breath for ?-? seconds. We should change maternal position every ?-? minutes.
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6-8 seconds,
20-30minutes |
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Side lying may help a posterior facing baby turn to ?
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anterior
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When the baby is born we should note the time of the ? and whether there is ?/? Is there ? stool, is the baby ?, take APGARS at ? and ? min and provide ? for infant.
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birth,
CAN/Nuchal Cord, meconium, breathing, 1 and 5 min, Warmth |
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After baby is born the pt is going to get pitocin ?-? units in her IV of ? ml of ? and it can be run at a gravity flow of
?-? gtts/min. If the doctor ask for more Pitocin it isn't ? you can give up to ? but it isn't ? |
10-20 units,
1000ml LR, 20-40 gtts/mm, normal, 40, normal |
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If the doctor asks for Methergine or Hemabate prn to contract the uterus this is not ?
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normal
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Are you ready to assist a pt and her family through their birth experience? List what you need to do for a lady having a baby in an emergency ?GEFL, has SECS, at BARS, then needs a CBC
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Gloves, Eye protection, Face protection, Look at perineum, Support perineum, Ease out head, Check CAN, Shoulders, Body, Airway check, RR, Skin to skin, cover, Breast feed, Cord clamp, Don't cut cord.
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The RN ?'s for, ?'s, and strives to protect the ?, ?, and ?'s of pts.
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advocates,
promotes, health, safety, rights |
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If the Doctor asks the RN to get Methergine or Hemabate we need to know that these meds are for ? and are for a case that is ? and there maybe a problem.
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contracting the uterus,
Not WNL |
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What level of nursing can inform the pt of the risks, benefits, and outcomes of healthcare regimens ?
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APRN(advanced practice registered nurse)
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Are we required as RN's to give care that we do not ethically/morally support? What can we ask a hospital to find out if they do things that are against our ethics ?
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NO,
Ask what the hospitals Mission is, investigate to find out! Give nursing care that we believe in. |
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At how many weeks can a fetus sustain outside of mom?
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24 weeks
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The decision whether a pt and doctor have the right to decide to perform an abortion is in the ? trimester.
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first trimester
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In which of the trimesters can the state regulate abortion to protect the woman's health e.g. where the abortion is done, who does the abortion, etc...
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second trimester
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In what trimester can the law forbid a pt from having an abortion after the 6th month unless the woman's life or health is in jeopardy?, and health is defined very broad -
"Social Well Being" |
third trimester
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What is the biggest age group of women having
abortions ? |
20-24yrs college age
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Does a woman that has an abortion have an increased risk for breast cancer ? Why or Why not?
There is especially concern with a woman whose 1st pregnancy ended in abortion for ?-? years. |
YES,
The normal high hormones during pregnancy are cut off abruptly. 8-10yrs |
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There is a potential for an ? risk of depression, substance abuse and death as far as mental health concerns after a woman has an abortion.
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increased
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Women have an increased risk for ? as they have more and more abortions.
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pre-term birth
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In the first trimester abortions can be performed ? or ? with meds or D&C. In the 2nd trimester abortions must be performed ?
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medically or surgically,
surgically |
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At 14-20 weeks an abortion can be performded via ?
At 20-27 weeks a ? birth abortion must be performed. |
D & C,
partial birth abortion |
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It does not count as a birth until the ? baby is out. This is why doctors can perform abortion without going to jail for ?
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whole,
murder |