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17 Cards in this Set
- Front
- Back
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What are nursing actions we do when giving analgesics?
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1. Monitor FHR
2. Monitor BP - have Ephedrine 3. Monitor Respirations - have Narcan available 4. Give them fluids (LR, etc) |
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When do you anagelsic?
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During or at the beginning of a contraction?
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Which c-section incision is the best and why?
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Lower transverse, less blood loss, can still have a vaginal in the future.
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What is Gestation?
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Gestation = prenatal age of the developing fetus
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Describe the difference between Gravida and Para.
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Gravida = total number of times a woman has been pregnant, including the present one.
Para = the number of a womans pregnancies that have ended after at least 20 weeks gestation. |
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How is stillbirth different from abortion?
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Stillbirth = fetus born dead AFTER gestation of 20 weeks. This is still considered a para.
Abortion = pregnancy that ends before 20 weeks gestation. |
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What are the 2 types of abortions?
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Spontaneous abortion (SAB) = one that occurs naturally
Therapeutic abortion (TAB) = intentional termination of the pregnancy |
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A patient is pregnant for the 5th time. She has had:
1. One elective abortion at 8 weeks 2. A daughter after 30 weeks 3. A son after 38 weeks 4. A stillbirth after 42 weeks. What is her gravida and para? |
Gravida 5
Para 4 |
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Whats the difference in care given for a primip vs a multip at 7 cm dilation?
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Multip is going to have the baby fast. Get her an epidural and ready to delivery asap.
Primip ideally will still have 3 hours to go (1 cm dilation per hour ideally for first time mothers) so its not as urgent |
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During labor, what are you going to do for the patient to ensure adequate oxygenation?
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Raise patients head at least 30 degrees to assist with breathing
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How much does the mothers blood volume increase during pregnancy?
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Around 50%
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During labor, what are you going to do for the patient to help with circulation?
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Position the mother laterally to optimize cardiac output and placental blood flow
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Your patient has a her membrane ruptured and a few hours later a rise in tempurature, what do you suspect? What are some nursing actions you will do for this?
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Intrauterine infection
After ROM, the moms tempurature should be assessed at least every 2 hours |
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Your patients just received an epidural, what is necessary for her to get via IV?
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IV fluids are necessary to keep the blood pressure from dropping to much
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Due to the fluids the mother is receiving during labor, what must you check for every 2 hours?
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Bladder distension. Try to get the patient to the bathroom every 2 hours.
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What C-section is preferred for multiple gestation?
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Low verticle
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What C-section cannot deliver vaginally in the future?
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Classical
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