Maternity Nursing

Front 1

Umbilical cord for fetal circulation has _ arteries and _ veins. What does each do?

Back 1

Two arteries - carries deoxygenated blood and waste products from fetus
One vein - carries oxygenated blood and provides oxygen and nutrients to the fetus.

Front 2

* Fetal HR first trimester is (range)? and after that is (range). MD notified if outside of these

Back 2

First trimester - 160-170 bpm
After that 120-160 bpm

Front 3

Describe the:
1.Ductus arteriosus
2. Ductus venosus
3. Foramen ovale

Back 3

1. Connects the pulmonary artery to the aorta, bypassing the lungs.
2. Connects the umbilical vein and the inferior vena cava, bypassing the liver
3. Opening between the right and left atria of the heart by passing the lungs (Saunders page 256)

Front 4

Ovulation - temperature info. and when to take temperature

Back 4

Basal body temperature drops right before ovulation (0.5 degress) and then rises 1 degree after ovulation. Take temp before getting out of bed (because temp rises throughout the day)

Front 5

The diaphram predisoses a woman to _ and is contraindicated if have hx of these

Back 5

UTIs

Front 6

Contraindication oral contraceptive
2.Contraindication for condom and spermicide

Back 6

A cigarette smoker 35 years or older
2. Allergy to either

Front 7

Depo-Provera information:
How is it administered
side effect

Back 7

IM injections every 3 months
side effects irregular menses and peripheral edema
Medication is not effect for approximatley 2 weeks use other method at that time

Front 8

Reactive nonstress test is

Back 8

2-3 FHR increases of 15 beats of more/min lasting for at least 15 seconds or more with fetal movement (aka 15 x 15 criteria) Nonreactive may indicate fetal hypoxia

Front 9

Rhogam is given to who and at what time

Back 9

All Rh negative pregnant women at 28 weeks gestation

Front 10

Glucose tolerance test for pregnant women? Time periods and normal results

Back 10

After drinking: 30 minutes, 1 hours, and 3 hours
First hour should be < 180
Third hour 70-120 is normal range

Front 11

When are these test performed on someone who is pregnant?1. TB testing? 2. HIV testing? 3.Glucose tolerance testing?

Back 11

1. After 20 weeks gestation
2. Done anytime, only with permission
3. 24-28 weeks gestation

Front 12

Test done 10-12 weeks gestation for genetic disorders?

Back 12

Chorionic villi sampling

Front 13

GTPAL system

Back 13

G - no. of pregnancies
T- carried to term
P- Preterm births
A - Abortions or miscarrages
L- Currently Living

Front 14

Rhogam

Back 14

Is administered before and after the birth of a Rh positive baby and a Rh negative preg. woman

Front 15

Preeclampsia s/s

Back 15

Hypertension, proteinuria, swelling of face and hands, abnormally large weight gain

Front 16

Etopic pregnancy

Back 16

Sudden, sustained lower left sided abdominal pain

Front 17

HELLP syndrome is a group of symptoms that occur in pregnant women who have:

Back 17

•H -- hemolysis (the breakdown of red blood cells)

•EL -- elevated liver enzymes

•LP -- low platelet count

Front 18

Ruptured etopic pregnancy can lead to:

Back 18

Shock: decreased BP, increased respirations and pulse. Also Sudden sharp stabbing pain lower quad.

Front 19

Severe prelampsia could have these symptoms _ _ _ that could mean impeding _

Back 19

headache, severe epigastric pain, hyperreflexia these could be sign of impending seizure

Front 20

Diabetes and pregnancy: What happens to insulin needs last two trimesters?

Back 20

Normally develop increased insulin resistance so that need for insulin should rise. If insulin increase doesn't occur hypoglycemia may be happening

Front 21

Classic progression of preclampsia to eclampsia is __

Back 21

Seizures

Front 22

If given magnesium sulfate check for too high a level by _

Back 22

Checking patellar reflexes every hour. Other signs are depressed respirations and decreased urinary output

Front 23

Success with magnesium sulfate to treat severe preeclampsia is _

Back 23

Lowering of Blood Pressure

Front 24

This drug is used for hypertension >160/110 for severe preeclampsia, the pregnant woman is also on mag sulfate

Back 24

Drug is hydralazine (Apresoline)

Front 25

1. s/s of threatened abortion
2. s/s inevitable abortion
3. s/s complete abortion
4. s/s incomplete abortion

Back 25

1. spotting, mild cramps, no cervical dialation, no fetal passing
2. Similiar to above but more severe with cervical dilation
3. Fetus has passed through and anything else included
4. Some fetal parts have passed but not all

Front 26

For a diabetic during the first trimester insulin needs _?
During the last two insuline needs _?
Does insulin cross the placenta? Does glucose?

Back 26

Decrease
Increase
Insulin does not; glucose does
(Saunders page 282)

Front 27

Does the fetus produce insulin? Does it pull glucose from the mother?

Back 27

Fetus produces its own insulin
Fetus pulls glucose from mom, making mom possibly hypoglycemic (Saunders page 282)

Front 28

*What type of hypoglcemic agents are never prescribed during pregnancy?

Back 28

Oral

Front 29

For diabetic women Labor depletes _ , so careful regulation of _ and IV _ is often prescribed

Back 29

glycogen; insulin: glucose

Front 30

Hepatitis B facts

Back 30

Breast-feeding is not contraindicated if neonate has been vaccinated

Front 31

HIV mom facts

Back 31

Retrovir recommend for prevention of maternal-fetal HIV transmission. Oral beginning afte 14 weeks gestation; IV during labor; syrup form to newborn for 6 weeks after birth (Saunders page 285)

Front 32

Neonates born to HIV moms, will they test positive?

Back 32

May test positive for up to 18 months after birth due to antibodies received from mom.

Front 33

Does a infant at risk for HIV receive immunizations?

Back 33

All recommended immunizations on schedule except those with live vaccine
(web says chicken pox and MMR are live)

Front 34

Risk factors for DIC

Back 34

SEVERE PREECLAMPSIA and dead fetus symdrome; not delivering a large baby or hemorrage after birth

Front 35

Second stage of labor begins with _ and ends with _

Back 35

Complete dilation of the cervix and ends with birth of neonate

Front 36

WBC's during pregnancy

Back 36

Normally increase in the 2nd and 3rd trimester (11,000-15,000) but can be as high as 18,000 (Saunders CD)

Front 37

Stations during delivery - what part and what does positve and negative mean

Back 37

Landmark with ischial spine negatives above and positives below that point

Front 38

Rubella vaccine facts

Back 38

Administered subcut. and may have reaction if allergic to eggs (this is from duck eggs). Avoid pregnancy for 1-3 months afterwards.Avoid immunosup. people.

Front 39

Rubella fact

Back 39

Do not have to stop breastfeeding if vaccine is given