Term
| Preeclampsia is considered mild when 3? |
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Definition
1-when diastolic blood pressure does not exceed 100mm Hg
2-proteinuria is no more than 500 mg/day (trace to 1+)
3-absent headache, visual disturbances, or abdominal pain |
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Term
| The hormone responsible for Chadwick's sign is? |
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Definition
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Term
| In response to the increasing levels of estrogen, the cervix becomes congested with blood, resulting in the characteristic bluish tinge that extends to include the vagina and labia. This discoloration, referred to as ____, is one of the earliest signs of pregnancy. |
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Definition
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Term
| Heart Disease-stress causes an increased cardiac workload. Too much weight gain causes an increase in body requirements and stress on the heart. It is best to rest ____? |
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Definition
| It is best to rest on the the left side to promote blood return |
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Term
| A nurse is planning to teach a pregnant client about assessment of preterm contractions. The nurse plans to use which strategy as the effective teaching method? |
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Definition
| Palpate for uterine contractions at the same time as the client |
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Term
| The therapeutic range for magnesium sulfate is approximately? |
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Definition
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Term
| Know risk factors that increase the risk of developing gestational diabetes include 5? |
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Definition
1-obesity(more than 198lb)
2-chronic hypertension
3-family history of DM2
4-previous birth of large infant(4000g)
5-gestational diabetes in a previous pregnancy |
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Term
| A nurse is preparing to monitor a fetal heart rate. The nurse knows that the fetal heart rate can first be heard with a fetoscope at gestational week? |
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Definition
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Term
| With a doppler ultrasound a fetal heart rate can be heard by gestational age of? |
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Definition
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Term
| Physiological anemia of pregnancy or hemodilution is a result of? |
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Definition
| Increased blood volume of the mother |
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Term
| During the latter part of the first trimester, the blood volume of the mother increases rapidly, more rapidly than blood cell production, leading to decrease in the concentration of hemoglobin & erythrocytes. This is a normal process that causes 2? |
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Definition
1-physiological anemia
2-hemodilution
There is an increased metabolism of iron and maternal hemoglobin formation. The increased demand for iron is not a factor in the development of physiological anemia. |
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Term
| A pregnant client is anxious to know the sex of the fetus and asks the nurse when she will be able to know. The nurse responds by telling the client that the sex of the fetus can usually be determined by? |
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Definition
| By the end of the 12th week, can be determined by the apperance of the external genitalia on ultrasound |
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Term
| What is dietary management for a client with diabetes mellitus? |
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Definition
| 1-High fiber foods will control blood glucose levels and prevent constipation |
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Term
| Leopold's maneuvers--What is the first maneuver? |
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Definition
| Fetal lie-to determine the contents of the fundus (either fetal head or breech) |
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Term
| Leopold's maneuvers--What is the fourth maneuver? |
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Definition
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Term
| Leopolds maneuvers should not be performed during a __? |
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Definition
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Term
| A client does not attend usual social functions because of the fear of stress incontinence. Her oldest child is in a school play, Which she wants to attend. What is an appropriate suggestion for the client? |
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Definition
| Wear a perineal pad to the play. |
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Term
| A nurse assigned to care for a client with a diagnosis for sickle cell anemia. The nurse plans care, knowing that __ problem should receive highest priority. |
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Definition
| Fluid Volume Deficit--For the client with sickle cell anemia, dehydration will precipitate sickling of the RBC's |
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Term
| A nurse is collecting data from a pregnant client with a history of cardiac disease and is checking the client for VENOUS CONGESTION. Venous Congestion is most commonly noted where? 3 |
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Definition
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Term
| What are risk factors for Disseminated Intravascular Coagulation (DIC)? 5 |
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Definition
1-Fetal demise
2-infection/sepsis
3-PIH (preeclampsi)
4-abruptio placentae
5-amniotic fluid embolism |
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Term
| What is pt. home management of preeclampsia? 6 |
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Definition
1-bed rest(left side lying)
2-client needs to weigh self daily and report greater than 2lb/wk gain
3-Monitor BP in the same arm, in the sitting position
4-high protein diet/no salt
5-check urine w/dipstick every day for protein and call Dr. if it is 2+ or more
6-Stress reduction/Home help |
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Term
| When measuring fundal height, the client lies in a supine position, and the nurse instructs the woman to turn to her left side. The nurse then elevates the left buttock by placing a pillow under. This position will assist with preventing ____? |
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Definition
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Term
| Placental abruptin-It is possible that maternal __, which causes degenerative changes in the small arteries that supply intervillous spaces. This results in thrombosis, causing retroplacental hematoma, and leading to placental separation |
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Definition
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Term
| An inevitable abortion is a termination of pregnancy that can not be prevented. S&S are 3 |
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Definition
1-moderate to severe bleeding
2-mild abdominal cramping
3-cervical dilation |
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Term
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Definition
1-heavy bleeding
2-severe cramping
3-cervical dilation
4-passage of large clots |
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Term
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Definition
1-slight to moderate bleeding
2-intermittent cramping |
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Term
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Definition
1-bleeding with odor
2-cervical dilation
3-fever
4-cramping may be present |
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Term
| Food items high in FOLIC ACID include 5 |
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Definition
1-green leafy vegetable
2-whole grains
3-fruits
4-liver
5-dried peas
6-beans |
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Term
| Food items high in FOLIC ACID include 6 |
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Definition
1-green leafy vegetable
2-whole grains
3-fruits
4-liver
5-dried peas
6-beans |
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Term
| A client asks the nurse to describe how her developing baby will get enough blood and oxygen. The nurse responds that fetal circulatory system accomplishes this task by 4? |
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Definition
1-Carrying more oxygen on fetal hemoglobin than maternal hemoglobin
2-Making the fetal cardiac output higherper unit of body weight than the maternal cardiac output
3-Bypassing the fetal lungs to circulate oxygen rich blood
4-Using the fetus's beating heart to pump blood in the circulatory system |
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Term
What are S&S of Hypoglycemia
7 |
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Definition
| 1-shakiness 2-sweating 3-pallor(cold, clammy skin) 4-Disorientation, irritability 5-H/A 6-hunger 7-blurred vision |
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Term
What are S&S of Hyperglycemia
7 |
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Definition
1-fatigue
2-flushed, hot skin
3-dry mouth/excessive thirst
4-frequent urination
5-rapid, deep respirations:odor of acetone on breath
6-drowsiness, H/A
7-depressed reflexes |
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Term
| Magnesium sulfate, the anticonvulsant agent of choice for preventing eclampsia, requires careful monitoring of 3 |
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Definition
1-reflexes
2-respirations(<12, call Dr.)
3-urinary output |
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Term
| The Rh- mother may require special interventions to prevent sensitization, which may have an effect on ___? |
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Definition
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Term
| Mastitis is an ifection of the lactating breast. Client instructions inclue 7 |
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Definition
1-wear a supportive bra
2-rest during the acute phase
3-maintain a fluid intake of at least 3000 ml.
4-continue to breast feed q2-3hrs. making sure to empty both breast
5-take antibiotics until complete
6-use moist heat or ice packs
7-take analgesics |
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Term
| When uterine atony cannot be reversed, what is required? |
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Definition
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Term
| __ is one of the most common reasons for uterine atony and/or hemorrhage in the first 24 hrs pp. |
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Definition
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Term
| Uterine Atony-if the nurse finds the fundus soft, boggy, and displaced above and to the right of the umbilicus, what action should be taken first |
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Definition
| First perform fundal massage, then have the client empty her bladder. Recheck the fundus q15min. for one hour, then q30mins for the next 2hrs |
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Term
| __ is a slowed labor process. A prolonged labor is a potential for fetal distress. The nurse would specifically monitor the characteristics of contractions |
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Definition
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Term
| The most accurate method for determining the amount of locial flow is to ___? |
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Definition
| Weighing the perineal pad before and after use and the amount of time between pad changes. |
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Term
| Although the toxic S/E of magnesium sulfate are well known and watched for, it is just as important to get serum blood levels of magnesium sulfate above__, to prevent convulsion and reach therapeutic range |
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Definition
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Term
| Hold next dose of magnesium sulfate and notify Dr. if any toxic symptoms occur such as 4 |
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Definition
1-respirations are <12 per min.
2-absence of deep tendon reflexes
3-urine output <30ml/hr
4-magnesium sulfate level >8mg/dl |
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Term
| A cephalohematoma indicates what? It does not cross the suture line. It is most likely d/t ruptured blood vessels from head trauma during birth. develops w/in 1-2 days after birth and resolves in 2-3 wks. |
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Definition
| Edema resulting from bleeding below the periosteum of the cranium. |
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Term
| Women w/previous uterine scars are prone to uterine rupture, especially if oxytocin or forceps are used. if a women complains of a sharp pain and contractions stop, suspect this, a MEDICAL EMERGENCY, PREPARE FOR SURGICAL DELIVERY. Pt will have S&S of shock which are 7 |
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Definition
1-falling BP
2-tachycardia
3-tachypnea
4-pallor
5-cool clammy skin
6-anxiety
7-pain |
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Term
| compression of the inferior vena cava and aorta by the uterus may cause __, during pregnancy. |
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Definition
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Term
| what are s&s of placenta previa 6 |
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Definition
1-Bright red vaginal bleeding
2-soft, relaxed, nontender uterus
3-fundal height may be greater than expected
4-possible signs of shock
5-usually occurs in 3rd trimester
6-FHR is usually normal |
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Term
| Severe preeclampsia is characterized by 3 |
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Definition
1-BP >160/110
2-proteinuria 3+ or higher
3-oliguria |
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Term
| By the end of ___gestational wk. all fetal organs and external structures are developed. |
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Definition
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Term
| Maternal infections such as 3 are causes of spontaneous abortion. |
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Definition
1-syphilis
2-toxoplasmosis
3-rubella |
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