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;
50 Cards in this Set
- Front
- Back
Osmolarity
|
275-295
|
|
sodium
|
135-145
|
|
potassium
|
3.5-5.0
|
|
calcium
|
9-10.5
|
|
phosphorus
|
3-4.5
|
|
magnesium
|
1.3-2.1
|
|
chloride
|
98-106
|
|
important infectious diseases during pregnancy
|
Toxoplasmosis
Other Rubella Cytomegalovirus Herpes |
|
Leopold maneuver
|
determine the fetal lie
|
|
weight gain in 1st trimester
|
2.2-5.5
|
|
weight gain in second and 3rd trimester
|
1.1 lb/week for underweight
.8 lb/week for normal 0.66 lb/week for overweight |
|
indications of amniocentesis
|
lung maturity
genetic analysis treatment for polyhydramnios rh-sensitization |
|
oligohydramnios
|
<500ml at term
|
|
polyhydramnios
|
>2000 ml at birth
|
|
Non stress Test
|
tests for coordination of cardiovascular and musculoskeletal systems that develops between 28-32 weeks
|
|
reactive Non stress test
|
two accels of 15 bpm lasting 5 sec within a 20 min period
|
|
non reactive non stress test
|
accels are not present
biophysical profile needed |
|
biophysical profile
|
receive up to 2 points in each category:
fetal breathing movements (30 consecutive seconds) gross body movements (desire 2) amniotic fluid volume NST reactive |
|
biophysical profile rating
|
8-10 normal
6-7 equivocal <4 abnormal |
|
Contraction stress test
|
nipple stimulation to release oxytocin in order to assess uterine blood flow and affect on fetus, stress indicated by late decels of fhr
must have 3 contractions lasting 40-60 seconds over 10 minutes |
|
reading of contraction stress test
|
absence of decels- normal
>50% decels-abnormal <50% decels- equivocal |
|
Combs test
|
tests for RH
|
|
indication for Rhogam
|
RH- mother
|
|
Normal Hgb
|
12-16 g/dl
|
|
Normal Hct
|
37%-47%
|
|
Normal platelet
|
150,000-400,000
|
|
Normal WBC
|
5,000-10,000
|
|
gynecoid pelvis
|
ideal
head engages so largest diameter of pelvis accommodates largest diameter of fetal head |
|
android pelvis
|
heart shaped like a males pelvis
usually not adequate for childbirth |
|
anthropoid pelvis
|
oval shaped
adequate but may need forceps |
|
platypelloid pelvis
|
flat
narrow front to back |
|
primary power
|
uterus
|
|
secondary power
|
mother pushing
|
|
first stage of labor
|
uterine or womb stage
|
|
second stage of labor
|
pushing stage
|
|
third stage of labor
|
placenta
|
|
fourth stage of labor
|
mother recovers
|
|
3 phases of 1 stage
|
early 0-3
active 4-7 latent 8-10 |
|
how long should it take to deliver the placenta after the baby
|
30 min
|
|
BP changes during delivery
|
1st stage-10mmHg increase
2nd stage- 30/25 increase |
|
WBC and delivery
|
may increase to 25,000
|
|
early deceleration
|
head compression
healthy sign when with contractions |
|
late deceleration
|
uteroplacental insufficiency
after every contraction, otherwise it is a variable deceleration |
|
variable deceleration
|
cord compression
quick drop and return to baseline reposition on side and give O2 |
|
VEAL
CHOP |
Variable---------Cord
Early-------------Head Acceleration---Ok Late---------------Placenta |
|
Opiod analgesics
|
Demerol
Fentanyl Butorphanol Nalbuphine have narcan on hand |
|
Stadol and Nubain
|
more frequently used during delivery
pain relief without causing significant respiratory depression in the mother or fetus |
|
AR of opioid use
|
tachycardia
hypotension decrease fhr variability |
|
Use of Narcan
|
used to counteract opioids when causes respiratory depression in the newborn
|
|
Nursing considerations for general anesthesia
|
NPO
IV wedge placed under hips to displace uterus |