Maternity-New Born

Front 1

Medication for Ectopic Pregnancy

Back 1

Methotrexate - which inhibits cell division and enlargement of embryo

Front 2

Medication for Ectopic Pregnancy

Back 2

Methotrexate - which inhibits cell division and enlargement of embryo

Front 3

Subjective and Objective data for Ectopic Pregnancy

Back 3

refered shoulder pain, one/two missed menses, unilateral stabbing pain, N/V, igns of hemorhage and shock, WBC Elevation

Front 4

Subjective and Objective data for Ectopic Pregnancy

Back 4

refered shoulder pain, one/two missed menses, unilateral stabbing pain, N/V, igns of hemorhage and shock, WBC Elevation

Front 5

S/S Placenta Previa

Back 5

painless bright red vaginal bleeding, soft/relaxed/nontender uterus, fundal height that is greater than normal,

Front 6

S/S Placenta Previa

Back 6

painless bright red vaginal bleeding, soft/relaxed/nontender uterus, fundal height that is greater than normal,

Front 7

Medication for Ectopic Pregnancy

Back 7

Methotrexate - which inhibits cell division and enlargement of embryo

Front 8

Leopold Maneuver

Back 8

fetal position, lie, and presentation

Front 9

Leopold Maneuver

Back 9

fetal position, lie, and presentation

Front 10

Subjective and Objective data for Ectopic Pregnancy

Back 10

refered shoulder pain, one/two missed menses, unilateral stabbing pain, N/V, igns of hemorhage and shock, WBC Elevation

Front 11

Tx of Placenta Previa

Back 11

fluids, no vaginal exams, bed rest, assess fist

Front 12

Tx of Placenta Previa

Back 12

fluids, no vaginal exams, bed rest, assess fist

Front 13

S/S Placenta Previa

Back 13

painless bright red vaginal bleeding, soft/relaxed/nontender uterus, fundal height that is greater than normal,

Front 14

Abruptio Placenta

Back 14

sudden onset of intense localized uterine pain with bright red vaginal bleeding,

Front 15

Leopold Maneuver

Back 15

fetal position, lie, and presentation

Front 16

Abruptio Placenta

Back 16

sudden onset of intense localized uterine pain with bright red vaginal bleeding,

Front 17

Nursing care of Abruptio Placenta

Back 17

palpate for tone, assess FHR, administer IV fluids, Oxyhgen, No vaginal exams, blood bproducts

Front 18

Nursing care of Abruptio Placenta

Back 18

palpate for tone, assess FHR, administer IV fluids, Oxyhgen, No vaginal exams, blood bproducts

Front 19

Tx of Placenta Previa

Back 19

fluids, no vaginal exams, bed rest, assess fist

Front 20

HIV/AIDs Drug Administration

Back 20

Retrovir to a neonate following delivery and for 6 wks following, Retrovir at 14 wks gestation, throughout pregnancy, and before onset of labor

Front 21

Abruptio Placenta

Back 21

sudden onset of intense localized uterine pain with bright red vaginal bleeding,

Front 22

HIV/AIDs Drug Administration

Back 22

Retrovir to a neonate following delivery and for 6 wks following, Retrovir at 14 wks gestation, throughout pregnancy, and before onset of labor

Front 23

TORCH Infection

Back 23

Toxoplasmosis - consuption of rw or undercooked meat (influenza symptoms), Rubella (children who have raqshes or noenates who are born to mothers with rubella, cytomegalovirus (droplet infection from person to person), herpes (direct contact with oral or gential lesions

Front 24

Nursing care of Abruptio Placenta

Back 24

palpate for tone, assess FHR, administer IV fluids, Oxyhgen, No vaginal exams, blood bproducts

Front 25

TORCH Infection

Back 25

Toxoplasmosis - consuption of rw or undercooked meat (influenza symptoms), Rubella (children who have raqshes or noenates who are born to mothers with rubella, cytomegalovirus (droplet infection from person to person), herpes (direct contact with oral or gential lesions

Front 26

Strep Group B Nursing Care

Back 26

administer prophlaxis during labor, penicillin,

Front 27

Strep Group B Nursing Care

Back 27

administer prophlaxis during labor, penicillin,

Front 28

HIV/AIDs Drug Administration

Back 28

Retrovir to a neonate following delivery and for 6 wks following, Retrovir at 14 wks gestation, throughout pregnancy, and before onset of labor

Front 29

TORCH Infection

Back 29

Toxoplasmosis - consuption of rw or undercooked meat (influenza symptoms), Rubella (children who have raqshes or noenates who are born to mothers with rubella, cytomegalovirus (droplet infection from person to person), herpes (direct contact with oral or gential lesions

Front 30

Strep Group B Nursing Care

Back 30

administer prophlaxis during labor, penicillin,

Front 31

Chlamydia (Assessment &Medications)

Back 31

Vaginal spotting, vulvar itching, white watery vaginal dischage, azithromycin/amoxicillin, erythromycin, adminster erythromycin to all neonates followiing delivery

Front 32

Gonorrhea

Back 32

yellowish dischage plus normal (pain, urinary frequency), azithromyycin

Front 33

Biphysical Profile

Back 33

ultrasound to visualize physical and physiological characteristics of fetus (FHR, breathing, body movements, fetal tone, amniotic fluid volume

Front 34

Nonstress Test

Back 34

Reactive - FHR is normal baseline arate with moderate variability, accelerates to 15 beats/min for at least 15 seconds, and occurs two or more time durring a 20min period

Front 35

Nursing Actions during Nonstress Test

Back 35

instruct clinet to press button each time she feels fetus move, vibroacoustic stimulation if no fetal movement, conduction gel needed

Front 36

Contraction stress Test

Back 36

Stimulate nipple, adminster pitocin if doesn't work, + CST is indicated with persisten and conssten late decelerations on more than half of the contractions (uteroplacental insufficiency).

Front 37

Amniocentesis

Back 37

Alpha fetal protein - measured during 16-18wks (high levels = neural tube defects, low levels = Downs); L/S ratio: 2:1, presence of phophatidylglycero is good, EMPTY Bladder before, drink plenty of fluids after

Front 38

Hyperemesis Gravidarum

Back 38

excessive N/V for over 12 wks, monitor I&Os, skin turgor, V/S, client's weight, client to remain NPO for 24-48hrs, IV fluids, small meals/crackers, clear fluids

Front 39

Glucola 1 - hr glucose tolerance test

Back 39

24-48wks gestation - fasting not necessary, need follow up if above 140

Front 40

3 h glucose tolearance test

Back 40

no soking, must fast, no caffeine, given carbs and check metabolism over 3 hrs,

Front 41

Mild Preeclampsia

Back 41

proteinuria of 1-2+ and weight gain, mild edema

Front 42

severe preeclampsia

Back 42

160/100 or greater 3-4+ protein in urine, elevated ceatine, hyperreflexia with possible ankle clonus, epigastric, thrombocytopenia, leads to eclampsia which includes seizures

Front 43

Mag sulfate

Back 43

anticonvulsant/lowers BP, depress CNS, fluid restriction, moitor for absence of deep tendon reflexes, low urine output, cardiac dysrhythmias, antidote: calcium gluconate, good for preeclampsia/preterm labor

Front 44

Propanolol

Back 44

beta blocker, used to treat tachycarrhythmias , and lower blood pressure

Front 45

Preterm Labor

Back 45

<37 wks, bed rest, left lateral position, ensur hydration, montior for fetal tachycardia (infection), Give terbutaline - relaxes uterine smooth muslce by stimulating beta-2 receptors

Front 46

Active Stage of Labor

Back 46

4-7cm cervix, 3-5 min contractions, duration 40-70 seconds

Front 47

transition stage of labor

Back 47

cervix 8-10cm, 2-3 min contraction, duration 45-90 seocnds

Front 48

Second Stage (birth)

Back 48

1-2min contractions, fulldilation,

Front 49

Third Stage

Back 49

delivery of neonate - delivery of placenta

Front 50

Pain Management

Back 50

Sedatives in First Stage, Opioids in second, epidural during first, spinal block at 2nd

Front 51

Hyperventilation

Back 51

light-headedness and tingling in fingers

Front 52

Pharmacological Pain Relief

Back 52

Vaginal exam to make sure labor has been established before giving pain meds,