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25 Cards in this Set
- Front
- Back
Proteinurea during PREGNANCY is ? normal.
But, Renal adaptations during LABOR include protenuria of +1 which is WNL, Why? |
NOT,
because the uterus is breaking down, |
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Prolonged straining to urinate during stage 2 of labor may cause injury to the ?
Spontaneous voiding may be ? even if there is no epidural due to pressure on the bladder. |
bladder,
difficult |
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Integument adaptations during pregnancy include hyperpigmentations like a tan dark skin coloring of the face known as ? a.k.a.- the mask of pregnancy, or linea-? or linea-? which are stretch marks.
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melasma,
alba, nigra |
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Mom may have increased ? growth which is an integument adaptation also blood vessels have increase permeability so there may edema that causes spider ?
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hair,
nevi |
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Gastrointestinal adaptations during pregnancy include gums become ?, ? and have a tendency to ? So pts need to make sure to keep up on ?
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swollen,
soft, bleed, dental hygiene |
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GI tract adaptations during pregnancy include the action of progesterone which causes smooth muscle relaxation which causes ? peristalsis which can cause ?, ?, ?
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decreased,
constipation, hemorrhoids, heartburn |
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GI tract adaptations during labor include GI motility and absorption are ? Stomach emptying time is ? so there is more of a chance for the pt to suffer with ?
? is also possible with the onset of labor. |
decreased,
slowed, N/V, diarrhea |
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Endocrine adaptations during pregnancy includes increased production from the pituitary gland of the hormone ? which increases milk production.
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prolactin
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Endocrine adaptations during pregnancy includes Thyroid increase of Basic Metabolic rate of ?%.
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25%
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Endocrine adaptations during pregnancy includes the Pancreas increasing ? production for the entire pregnancy to compensate for placental hormone insulin antagonism. The hormone that antagonizes insulin during pregnancy is ? it secreted by the placenta to help facilitate glucose getting to the ? This is the basis of gestational ?
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insulin,
antagonism, HPL(human placental lactogen), fetus, diabetes |
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Endocrine adaptations concerning the ovaries and placenta during pregnancy include increased production of ?,?, and ? helps the joints of the pelvis and other joints to relax.
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estrogen,
progesterone, relaxin |
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Endocrine adaptations during labor include ?ing progesterone, ? ing estrogen, prostoglandins, and ? to increase contractions.
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decreasing,
increasing, oxytocin |
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What would you ask your pt about her psychological adaptations to labor. What has she done to ? How does she plan to ? with labor. What is her usual response to ? (intrinsic vs extrinsic locus of control). Who will be with her and ? or ? her.
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prepare,
cope, pain, help or hinder |
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What should the RN and other medical staff expect of the mom in labor ?
What are the moms expectations and are they realistic! |
that they can cope the best that they can
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How can childbirth education benefit a woman and her family?
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It can get them more prepared.
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All pregnant moms can have the nursing DX of ?
Anxiety rt ? aeb ? Infection rt ? aeb? |
impaired comfort rt contractions, aeb pain level rated 9 untollerable.,
rt birthing process aeb primipara, rt birthing process aeb decreased immune system |
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During the admission process of a mom in labor there are ? areas of assessment to focus on, and they are ?, ?, ?
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3,
Impending Birth, FHRM e.g. Baseline,Var, Acells, Dcells, Moms VS |
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S/S of emergent/impending birth are, is the baby's head ? What do we need to find out after we look: Is mom ? to any meds, have there been any ?'s with this pregnancy, has she had a previous ? delivery, expected due ?, who is her ?
Let's get this process C-A-P-P-E-D |
crowning,
allergic, problems, passed C/S, expected due dat, doctor |
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What s/s of emergent/impending birth are we looking for with the fetus: FHR ?'s, is there any ? present, are there any ?'s, Is the baseline ?,
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decels,
variability, accels, WNL |
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In an emergent/impending birth things we need to watch mom for include ?, ?, and ?
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VS,
PIH, Shock |
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So how would I know if baby is coming; 1st to do is ?, there would be and increase in ? More ? show. The pt may say "I have to have a ?"
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look,
DIF, bloody, BM |
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If we see crowning there isn't much time so we should be ?, put on ?, get ?
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calm,
gloves, help |
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If we see perineal bulging we have a little ?
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time
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SROM = ?
AROM= ? |
Spontaneous Rupture of Membrane,
Artificial Rupture of Membrane |
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If we see SROM with fetal presenting part we should put on ? get ? and be ready to support the perineum and ease ? out.
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gloves,
help, baby |