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21 Cards in this Set
- Front
- Back
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How does oxygenation for mothers change during pregnancy?
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Mothers have a hard time breathing since the baby is pushing up on her diaphragm.
Have her sitting up more often than not. Don't lay flat since that will push down on her superior vena cava. |
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Regarding the reproductive area, what are three things that would require immediate attention and hospitalization for the ante partum mother?
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Foul smelling discharge.
Excessive bleeding. Burning urination. |
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Give examples of positive, presumptive, and probable signs of pregnancy.
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Positive is getting a fetal heart rate from the doctor.
Probable is getting a positive result on a home pregnancy test. Presumptive is missing your period and assuming you are pregnant. |
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Why do we do a V.D.R.L. test on a mother?
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Test for syphilis.
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When do we give a mother the Rubella vaccine?
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After she delivers.
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What week is Alpha Fetal Protein tested during gestation?
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16 to 18 weeks
Abnormal concentrations of A.F.P. are linked to fetal anomalies. Example: Low A.F.P. is down syndrome High A.F.P. is spina bifida |
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Why do we use amnio centesis?
At which weeks in gestation do we use it? |
To detect:
Errors in metabolism Chromosomal abnormalities At 28 weeks we can use it to detect the sex link disorders. At 30 weeks we can use it to detect lung maturity. |
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#1 cause of pre-term labor?
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Infection
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What would you test for on a mom you suspect has ectopic pregnancy?
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Hormone levels
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What is a threatened abortion?
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Bleeding and cramping
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What is an inevitable abortion?
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Water breaks and cervix dialates. Enocourage D and C
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A person with a mole pregnancy needs to do what after?
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Chemo
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What are signs of concealed hemorrhage?
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Hard abdomen
High uterine baseline (contractions) High fundus High heart rate Low blood pressure |
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What blood pressure counts for hypertension?
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140 over 90
If they have a low blood pressure normally its 30 over systolic and 15 over diastolic |
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What is Nagels rule?
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Plus 1 year
Minus 3 months Plus 7 days |
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What are the different nutritional needs for the pregnant mother?
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300 extra calories
Increase of iron Increase of folic acid Limit caffeine No artificial sweeteners |
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What are danger signs of pregnancy requiring immediate assessment and evaluation?
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Premature contractions
Bleeding Rupture of membrane Signs of pre-eclampsia |
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What will you do for a patient who has pre mature rupture of membranes?
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Put her on bedrest
Usually you delivery baby within 24 hours (check lung function with amniocentesis) |
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If the you have a total occlusion with placenta previa what can you not do?
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Vag delivery
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Explain the process of placenta abruption.
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Seperation of the placenta due to a hematoma growing on the side of the uterus.
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What is a Hydatitiform mole?
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Spectrum of disease that include benign moles and gestational trophoblastic tumors.
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