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21 Cards in this Set
- Front
- Back
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Post due dates for pregnancy are > ? wks. When a pregnancy reaches this length the ? begins to malfunction. Deposits of ? accumulate. Decreased ? and ? for the fetus take place. The fetus is at risk for ? aspiration when delivered this late, placental ? causing ? and ? may also be present.
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42wks,
placenta, calcium, nutrition, oxygen, meconium, insufficiency, hypoxia, hypoglycemia |
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A scoring system called the ? system is used to assess whether a woman is ready for induction a score > ? means she is ready for induction. (look in notes to see the Bishop scoring chart pg 19 in DM section.)
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Bishop
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The oxytotic ?/? stimulates smooth muscle ?'s, it increases the ? of ctx in pregnant women. It is used to ? labor and also to increase ctx in a spontaneous labor that has slowed ctx, this is called ?, and it is used pp to ? the uterus to control ?
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Oxytocin(Pitocin),
contractions, DIF, induce, augmentation, contract, bleeding |
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What would some of the contraindications be for Pit administration: ? placenta, nonreassuring ?, abnormal fetal ?, prolapsed ?, active genital ?, classical uterine ?
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previa, FHR, position,
cord, herpes, incision |
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What should the nurse do prior to administrating Pitocin: Assess ? at least 20min prior to induction to identify reassuring ? Monitor moms BP q?-? min, Monitor ?&?, The goal for Pitocin is uterine ctx every ?-?min for ?-? sec, intensity ?-?mmhg with a resting tone ≤ ? mmHg. If there is a problem with Pitocin then ?
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FHR,
FHR tracing, 30-60min, I's&O's, 2-3min, 40-90 sec,, 50-80mmHg, ≤20mmHg, POISON |
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Oxytocin(Pitocin) during labor is always adminstered via ? on a ?, ?-?Units are diluted in 1000ml of ? and then Pit can be started at ?-? mU/min and can be increased by ?-? mU/min every ?-? min. PP Pitocin will be ?-? units in 1000ml of ? and the rate will be between ?-?mU/min to control bleeding.
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IVPB, Pump,
10-20U, LR 0.5-2mU/min, 1-2mU/min, 15-30min, 10-40U, LR, 20-40mU/min |
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When Rh+ blood from the fetus enter the blood stream of the Rh- mom the Rh- mom develops ? to destroy the invading ?
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antibodies,
antigen |
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Rhesus(Rh) incopatibility requires Mother Rh ?, fetus Rh ?, Dad Rh ? We always check the baby after the birth for ?
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Mom Rh -, Baby Rh+, Dad Rh +, Rh +/-
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Rh sensitization can occur during ? or ? abortion, from a ? test, or corionic ? sampling. Most exposure occurs during the ? stage of labor. The first ? is not affected b/c ?'s are formed after the birth of the child. A very small amount of blood ? can start this chain reaction.
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spontaneous, elective,
amniocentesis, villus, child, antibodies, O.25ml |
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What is the pathophysiology of Rh incompatibility: if ?'s are present in maternal blood, they cross the ? barrier and destroy the fetuses ?'s The fetus becomes ? and is unable to transport O2. The fetal bilirubin levels increase causing ? gravis, which can lead to ?(neurologic disease and encephalopathy) and hemolytic proccesses may proceed to ?
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Antibodies, placental, RBC's,
Anemic, Icterus/Jaundice, Kernicterus, Erythroblastosis Fetalis |
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Erythroblastosis fetalis is the rapid production of ?'s which are immature ?'s which cannot carry O2. The fetus becomes so anemic that generalized fetal ? results this is known as ? fetalis and can progress to ? heart failure.
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erythroblasts, RBC's,
edema, Hydrops, congestive |
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How do we prevent Rh incompatiblity from happening: Check the ? type and ? factor at the first prenatal visit. An indirect ? test will be performed to determine if their are any antibodies to Rh+ ? If the moms Coomb's test is ? then we repeat it at ? weeks to be sure and if moms test is positive she will get a shot of ?
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blood, Rh,
Coomb's, blood, negative, 28wks, Rhogam |
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Prenatal mgmt of Rh sensitivity includes indirect Coomb's test. If the test is positive this indicates maternal ? and the presence of ? it is repeated at frequent intervals to determine whether the antibody titer is rising, if it is rising this puts the ? in jeopady. A ? test can be performed to test the Rh +/- of the fetus, or and US can be performed to evalute the fetus for ?, ?, enlarged ?
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sensitivity,
antibodies, fetus, amniocentesis, edema, ascites, heart |
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For pp management of Rh compatibility: If the mom is Rh- a ? Coombs test will be performed on the umbilical cord blood collected to determine fetal ? type and ? If mom is Rh- and baby is Rh+ then mom gets a shot of ?
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DIRECT,
blood type, Rh+/-, Rhogam |
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Rhogam is classified as an ? directed toward the RBC antigen ? The dosage is 1stanard vial with ?mcg IM in the ? muscle and is administered at ? wks during pregnancy of within ? hrs of delivery or ?
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immunoglobulin,
Rho(D), 300mcg, deltoid, 28wks, 72hrs |
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ABO incompatibility is when the mothers blood type is ? and the fetus is either ?, ?, ? Blood types A,B, AB carry ?'s that are not components of type O. People with type O develop Anti-A or Anti-B antibodies naturally as a result to exposure to antigens in ? or ?'s by gram neg. bacteria. So if the fetus is A,B,AB and mom is type O and the fetuses blood gets into ? circulation, moms blood will develop antibodies that have the potential to cross the ? barrier and cause ? , but most of the time the the primary antibodies of the ABO system are ?, which do not readily cross the placental barrier.
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O,
A,B, AB, anigens, food, infections, matenal, placental, jaundice, IgM |
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With ABO incompatibility No ? care is needed however the nurse must be aware of the possibility of ABO ? During delivery cord blood is taken to determine the blood type of the newborn and the antibody titer with a ? test
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prenatal,
incompatibility, Direct Coomb's |
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Infants that are born ABO incompatible are not born ? like Rh sensitized infants. The nurse must be aware that ABO incompatibility can cause RBC destruction for up to ? weeks after the birth.
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anemic,
2wks |
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Mitral valve prolapse is one of the most common ? conditions among the general population. This is when the mitral valve prolapses into the ? atrium during ventricular ? it is usually a ? condition. S/S the pt may have chest ?, ?'s and risk for bacterial ? The physician may order prophylactic ? before and during labor if the pt has this.
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cardiac,
contraction, benign, pain, arrythmias, endocarditis, antibiotics |
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Iron deficiency anemia is one of the most common problems of ? 20-60% will be ? during pregnancy. S/S ?,?,? Profound maternal anemia can reduce fetal ? supply.
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pregnancy,
anemic, fatigue, HA, Pica, O2 |
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The primary source of iron are ?, ?, ? leafy vegetables, ?, and ?
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Chicken, Fish, Green, LIver, Meat,
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