Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
37 Cards in this Set
- Front
- Back
|
-as pregnancy progresses, the risk of trauma seems to increase because more cases of trauma are reported in what trimester
|
3
|
|
|
-most maternal injuries are a result of ___________, however falls assaults and burns are other major sources
|
motor vehicle accidents
|
|
|
-homicide was the ___ highest cause of injury related death for women of childbearing age
|
3rd
|
|
|
-the risk of trauma caused by battering and abuse is increased during pregnancy
true or false |
true
|
|
|
-______-is the leading nonobstetric cause of maternal mortality
|
trauma
|
|
|
-motor vehicle accidents accounts for more than __% of maternal trauma incidents
|
50
|
|
|
-maternal death caused by trauma is usually the result of _____ or _______
|
head injury or hemorrhagic shock
|
|
|
-fetal death usually occurs as a sequela to maternal death or as a result of
|
placental abruption
|
|
|
-trauma increases the incidence of -4
|
miscarriage,
preterm labor, abruption placentae, stillbirth |
|
|
-fetal death as a result of trauma is more common than both mom and fetal death.
true or false |
true
|
|
|
-fetal survival depends on maternal survival, so the pregnant mom must receive immediate stabilization and appropriate care for the optimal fetal outcome
true or false |
true
|
|
|
-___________ trauma is most commonly the result of motor vehicle crashes but may also be the result of battering or falls
|
blunt abdominal
-maternal death is usually the result of a head injury or exsanguinations from a major vessel rupture |
|
|
when maternal survival of trauma occurs, fetal death is usually the result of _______occurring within ____hrs of the accident
|
placental abruption
48 |
|
|
-s/s of abruption placentae include
|
uterine tenderness or pain,
uterine irritability, uterine contractions, vaginal bleeding, leaking of amniotic fluid a change in FHR characteristics |
|
|
-immediate priorities of the pregnant women after trauma should be identical to those of the nonpregnant trauma client
-pregnancy should not result in any restriction of the usual diagnostic, pharmacologic, or resuscitative procedures true or false |
true
|
|
|
-the initial response when caring for the pregnant woman is to assess fetal status first because of the concern for a healthy neonate
true or false |
false
-instead, the trauma team should follow an evaluation of maternal status to ensure complete assessment and stabilization of the mother. Fetal survival depends on maternal survival and stabilization of the mother improves fetal chances of survival |
|
|
-priorities if care for the pregnant women after trauma must be to resuscitate the woman and stabilize her condition first and then consider fetal needs
true or false |
true
|
|
|
what may be a diagnostic predictive of abruption placentae in pregnant trauma victims beyond week 20 of gestation
|
-electronic fetal monitoring (EFM)
|
|
|
-electronic fetal monitoring (EFM)
-may show early signs of abruptio placentae, including -3 |
a change in baseline rate,
loss of accelerations, or the presence of late decelerations |
|
|
-the external device to monitor uterine activity, the tocodynamometer, is unable to measure pressures, and the pattern made with this device shows the frequency and duration of contractions only.
-so what is requierd to evaluate the intensity of contractions and the uterine restine tone? -why is it important between contractions? |
palpation
It is important to palpate b/w contractions to verify that the uterus is relaxed. If the uterus does not relax b/w contractions, abruption placentae could be present |
|
|
-abruptio placentae occurring after trauma may be delayed up to __hrs after the incident
|
48
|
|
|
-after minor trauma, the pregnant woman may be discharged when?
|
after adequate period of EFM that demonstrates fetal reassurance and absence of uterine contractions
(clear instructions must be given for immediate return if vaginal bleeding, leaking of amniotic fluid, decreased fetal movement or abdominal pain |
|
|
After trauma, first priority is resuscitation and stabilization of mother before consideration of fetal concerns if you can, pillow under hip
true or false |
true
|
|
|
Help the mother, father, and other family members actualize the loss
-with early pregnancy loss, it is recommended that the terminology ‘________' be used consistently |
miscarriage
|
|
|
Help the mother, father, and other family members actualize the loss
-with infant death, caregivers should use the words _______________to assist the bereaved in accepting this reality |
‘dead’ and ‘died’ rather than ‘lost’ or ‘gone’
|
|
|
Help the mother, father, and other family members actualize the loss
-one way of actualizing the loss is to tell the parents what |
the sex of the baby and give them the option of naming the fetus or help them name to name an infant who has died. choosing a name helps make the baby a member of their family so that the baby can be remembered in a special way.
|
|
|
Help the mother, father, and other family members actualize the loss
-seeing the baby/fetus helps parents face the reality of the loss, reduces painful fantasies, and offers an opportunity for what? |
closure
|
|
|
Help the mother, father, and other family members actualize the loss
-a caution about naming is important. some cultural taboos and rules in some religions prohibit the naming of an infant who has died true or false |
true
|
|
|
Help the mother, father, and other family members actualize the loss
-the nurse should make the baby look as normal as possible true or false |
true
|
|
|
Help the mother, father, and other family members actualize the loss
-holding the baby close, touching a hand or cheek, using the babies name, talking with the parents about the special features of their child conveys that it is alright for them to do true or false |
true
|
|
|
Help the mother, father, and other family members actualize the loss
-if a baby has a congenital anomaly, what can the nurse do? |
desensitize the family by pointing out aspects of the baby that are normal
|
|
|
Help the mother, father, and other family members actualize the loss
-the nurse should watch for cues that the parents have had enough time with their baby, such as: (2) |
when parents are no longer holding their child close to them or have placed the baby back in the crib
|
|
|
Helping the bereaved to acknowledge and express their feelings
-one of the most important goals of the nurse is to (2) by encouraging them to tell their stories and listening with care |
validate the experience and feelings of the parents
|
|
|
Helping the bereaved to acknowledge and express their feelings
-the nurse should acknowledge the loss with a simple but sincere comment such as: |
“I’m sorry about the baby”
WHAT IS THE NEXT STEP -helping the parents to talk about their loss and the meaning it has for their lives and to share their emotional pain is the next step, ‘tell me about what happened’ |
|
|
Helping the bereaved to acknowledge and express their feelings
-leaning forward, nodding the head, and saying ‘uh huh’ or ‘tell me more’ is often encouragement enough for the bereaved person to tell his or her story true or false |
true
|
|
|
Helping the bereaved to acknowledge and express their feelings
-sitting through the silence can be therapeutic, it gives the bereaved person an opportunity to collect thoughts and to process what they are thinking true or false |
true
|
|
|
Helping the bereaved to acknowledge and express their feelings
-parents have many questions about the event of their loss that can leave them feeling guilty -the nurse must recognize that the answers to these questions must be answered by the : -trying to give answers when there are no clear answers or trying to squelch their guilt feelings by telling them they should not feel guilty does not help them process their grief |
bereaved themselves, its part of their healing
|
