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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