Shared Flashcard Set

Details

Pregnancy and FHR
Fall 2012
21
Nursing
Professional
09/20/2012

Additional Nursing Flashcards

 


 

Cards

Term
During pregnancy in the baby, which valve bypasses the liver?
Definition

The ductus venosus bypasses this organ in the baby during pregnancy.

Term
During pregnancy, in the baby, which valve deviates blood from the lungs?
Definition

The ductus areteriosus deviates blood from this organ.

Term
In the umbilical cord, how many arteries and how many veins are there?
Definition

AVA

  • 2 arteries
  • 1 vein 
Term
At what week of gestation can the FHR (Fetal Heart Rate) be heard by the Doppler?
Definition

The FHR can be heard at 10 weeks of gestation by this device.

Term
At what week of gestation can the FHR be heard with the fetoscope?
Definition

The FHR can be heard at 18 weeks of gestation by this device.

Term
What is the normal heart rate for the fetus?
Definition

110-160 is within normal limits for this age.

Term
What is fetal Tachycardia?
Definition

This pathology is >160 for >10 minutes.

Term
What is fetal bradycardia?
Definition

This pathology is <110 for <10 minutes.

Term
What are variable decelerations and what are the nursing interventions (if any)?
Definition

This heart rate is caused by cord compression. Nursing interventions would be:

  • Knee to chest
  • Trendelenburg position
  • UNCOIL
Term
What are early decelerations and what the nursing interventions (if any)?
Definition
This type of heart rate is caused by head compression and is a normal heart rate. There are no nursing implications.
Term
What are accelerations and what are the nursing implications (if any)?
Definition

This type of heart rate is normal and there are no nursing implications.

Term
What are late decelerations and what are the nursing implications (if any)?
Definition

This type of heart rate is caused by placental insufficiency. The nursing implications are:

  • placing the pt on her left side
  • UNCOIL
Term
  • V-C
  • E-H
  • A-O
  • L-P
Definition
  • Variable Decelerations- Chord compression
  • Early Decelerations- Head Compression
  • Accelerations- OK
  • Late Decelerations- Placental Insufficiency 
Term
What is UNCOIL?
Definition
  • UN
  • C-call the Dr
  • O-Increase O2 to 10L
  • I-Increase IV fluid and stop pitocin
  • L-Left side/Knee to chest (As applicable) 
Term
What is GTPAL?
Definition
  • Gravida
  • Term
  • Preterm
  • Abortions
  • Live children
Term
What is the appointment schedule for a pregnant woman with no complications?
Definition
  • From implantation-7 months: qmo
  • 8-9 months: q2wks
  • 9 months-birth: qwk
Term
What is Naegal's rule?
Definition

This is the EDD (Estimated Date of Delivery). It is determined by finding the date of the LMP (Last menstral period), adding 7 days, and subtracting 3 months.

Ex: LMP- Aug 5,10

        EDD- May 12,11

Term
What is McDonald's rule?
Definition

This is the measurement of where the top of the fundus should be in accordance to each week of gestation. It can vary up to +/- 1 or 2 cm.

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Term
Inform a pt to go to the hospital when what occurs?
Definition

When the pregnancy membranes ruputre, there is an increased risk for infection and umbilical cord prolapse so they should do this.

Term
When should the RhoGAM shot be given?
Definition

This shot should be given:

  • After invasive procedures
  • at 28-30wks gestation
  • w/in 24hrs of labor
  • prevents Rh sensitization

 

Term
How many extra calories should the pregnant woman consume daily?
Definition

This woman should consume 300 extra calories daily.

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