• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/40

Click to flip

40 Cards in this Set

  • Front
  • Back
Shock
NARM check list
1. Recognition of shock, or impending
shock
2. Assessment of the cause of shock
3. Treatment of shock
a) Provide fluids orally
b) Position mother flat, legs elevated 12
inches
c) Administer oxygen
d) Keep mother warm, avoid overheating
e) Administer/use non-allopathic remedies

f) Encourage deep, calm, centered
breathing
g) Activate emergency medical services
h) prepare to transpport
Shock
non allopathic treatment
Rescue remedy
Calms
Shock

personal guidelinsa
!. Recognize the symptoms of shock, and alert birth team, call 911
2 asses cause of shock (address if possible)
a pitocin, methragine, cytotec,
b bi manual compression of uterus
cdirect pressure on wound
3 treat shock
a) position mom
b) O2
c warm
d start IV
e prepare to transport
Calcium
1000 to 1300 mg/day
milk. dairy, corn tortillas, cal.set tofu, kale, brocolli
Iron
Between 30 and 100 mg of elemental iron in divided doses
heme iron
clams, oysters, liver, turkey, beef,
non heme
soybeans, lentils, molasses blackstap, prunes,
side effects, nausea, abdominal cramping, tarry black stools
B vitamins
1.4 mg/day
meat, organ meats, leafy green vegetables
vitamin c
75 mg/day
citrus, tomatoes, greens
Folic acid
dosage for women of childbearing age
CDC recommendations for women of childbearing age.

0.4 mg a day to prevent neural tube defects.
Lidocaine
indications
dosages
cautions
Indications: use to relieve pain for suturing repair.
How Supplied: 1% 50 mL Multiple Dose Vial
2% 50 mL multiple Dose Vial/

dosage Not to exceed 3.2m/lb of body weight and generally recommended not to exceed 500mg. Usually 10 ml injected in and near wound site.
Cautions: aspirate the needle to R/O placement in a vein
metheragine
Indications PPH,
Conraindications Hypertension
how supplied 0.2mg/ml in a 1-ml syringe, 0.2 mg tablets
use/dosage 0.2 mg I.M. q 2 to 4 hours up to a maximum of 5 doses/
0.2 mg P.O. q 6 to 8 hours for 2 to 7 days.
Pitocin
Indications: PPH, active managment of third stage
Supplied: 10 units IM, or 10 to 40 units, in 1000 ml/ NS or lactated ringers.
Rhogam
Indications, Rh- woman, at the time of birth, abortion or during pregnancy to prevent isoimunization.
How Delivered
Injection IGIM
300mcg of Rh D immune globulin /vial Standard Dose
50 mcg of Rh D immune globulin/ vial micro dose


Contraindications
Rh (D) positive or Rh – DU positive patient.
Hx of anaphylaxix or severe systemic reaction to human globulin
vitamin K
injectable
Indications: prophylaxis for hemorrhagic disease of the newborn
0.5 to 1mg I.M. within 1 hour of birth.
Lidocaine
Contraindications
Side effects
Allergies to lidocaine
Systemic
Light-headedness
Apprehension
Nervousness
Dizziness
Euphoria
Drowsiness
Tinnitus
Excitability
Blurred or double vision
Sleepiness
Respiratory depression
Loss of consciousness
Vomiting
Sensations of heat or cold

Cardiac
Bradycardia
Hypotension
Cardiac arrest

Allergic
Cutaneous legions
Uticaria
Anaphylactic reactions

Neurological
Positional HA
Hypotension
Ultrasounds
routine 1 st trimester
Assess fetal gestational age
R/O ectopic pregnancy/molar pregnancy
Ultrasounds
routine 2nd trimester
18 to 20 week anatomy scan to R/O fetal anomalies, with renal, pulmonary, cardiac systems, and neural tube and facial anomolies.
gender
Placental placement,
Ultrasounds
Diagnostic
2nd and 3rd trimester
Assess fetal growth
R/O IUGR, SGA, LGA
at term fetal size may be +or- 10 %
Fetal breathing movements
AFI/amniotic fluid index
R/O previa
Modified BPP
Biophysical Profile
Includes: AFI, NST.
Kick counts
schedule one session of fetal movement count a day.
chart how long it takes to reach 10 movements
Report to midwife if htere are < 10 movements in 10hr. or if movement decreases, or if it takes longer than usual to reach 10 movements
Auscultated Fetal heart rate
For use with low risk women, along with Fetal movement, to evaluate oxygenation of fetus,
Single fetus @ 34 weeks gestation or >
Allen fetocope
listern for 6 minutes
record fetal heart rate q5 seconds
chart on AAT graph
NST
Non Stress Test
EFM
Amnihook
Assess fetal station and wisdom of AROM. Use sterile gloved hand, place amnihook on palm side, on index finger, introduce into vagina.
gently advance until amnihook encounters the BOW and snag, releasing fluid. perform during CTX
Before, after and during amniotomy FHTs monitored. Assess for cord prolapse.
Bag and Mask
1 baby in sniff position
2 baby on warm station
3 apply bag
4 3 inhalation breaths
Using hemostats
apply hemostats to the umbilical cord prior to cutting the cord
Lancets
using clean technique open lancet, and insert into lancet gun. clean finger and dry. Apply lancet gun to side of finger and trigger, gather blood on glucose strip or hemogominometer, or in capillary tubes.
Nitrazine paper
positive for amniotic fluid blue
Catheter
equipment
Sterile cath kit
catheter, anaesthetic gel, container to catch urine, cleasnsers,
Sterile Gloves
light source
Catheter
position
Wash hands, ask for permission.
have mother in supine position with a shift off to one side, ask her place her ankles together and knees apart. Letting her legs fall open
Catheter
procedure
hold labia apart with one hand. Using forceps grasp guaze and dip in cleanser and wipe from anterior to posterior starting at center then L labia, R labia. Repeat 3 times.

Visualize urethra
Grasp catheter in dominant hand and dip in gel
apply to urethra and insert until urine passes
Catheter
Indications
inability to urinate or > 2 hours
palpation of a full bladder externally with inability to urinate
Blood Draws
Vacutainer
Equipment
drape, pillow to support arm, alcohol swab, gloves, tourniquet, vacutainer tubes, needle, needle holder/sleeve. butterfly
Blood Draw
Procedure
ask permission
wash hands
assemble equipment
examine patient for a "good vein" on arm or hand. Apply tourniquet,
wash area
apply needle to vacutainer needle holder,
Stabilize vein
insert needle at a 30degree angle
push vacutainer onto needle and watch blood fill tube, switch tube.
mix blood or spin tube or refridgerate as necessary
Multi dose vial medications
Assemble supplies wash hands
wipe the top of the vial, open and close syringe, place fill needle on syringe. Holding multi dose vial upside down insert syringe and fill syringe. Remove syringe and place needle for injections.
Single vial
Assemble supplies wash hands
open and close syringe, place fillter needle on syringe. using a guaze pad, grasp vial below neck place thumb of opposite hand above neck and break away from your body. Holding single dose ampule insert syringe and fill syringe. Remove syringe and place needle for injections.
Hematocrit HCT
Hemaglobin Hgb
35 to 40 %
10 to 14
VDRL
Syphillis
Non reactive
Blood Sugar
3 hour GTT
Random
Fasting 90
Rubella
Immune/no immunity detected
HIV
Antibodies
Hepatitis B and C
Im