Term
Normal fasting blood glucose for a woman with GDM? |
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Definition
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Term
A 35 year old who is 18 weeks pregnant needs what? |
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Definition
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Term
A woman comes in who has a positive MFASP, what would you do? |
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Definition
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Term
A woman has HIV. Her baby will have a better outcome if what is done? |
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Definition
ZDV during pregnancy and labor, then a cesarean birth. |
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Term
You know a patient needs additional teaching when she states what regarding diabetes? |
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Definition
I need to increase my insulin in the 1st trimester. |
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Term
A patient with preeclampsia needs further teaching when she states what? |
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Definition
Need tylenol for headaches. |
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Term
For diabetics, the best predictor of pregnancy outcome is? |
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Definition
The degree of maternal glycemic control. |
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Term
Patient has a BMI of 17, family history of diabetes and neural tube defects, she also reports using cocaine and alcohol. What are her risk factors? |
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Definition
BMI, family history, and drug use. |
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Term
A patient comes in who is 30 weeks pregnant, and she is having severe contractions. She appears to be irritated, has nausea and vomiting and is depressed. What is she experiencing? |
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Definition
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A patient comes in with with heavy bleeding but her cervix is closed. What do you expect this to be? |
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Definition
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Term
What baby is most at risk for RH incompatibility? |
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Definition
one in which the mother is Rh negative and the father is homozygous for the RH factor. |
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Term
What is the purpose of giving Rhogam to the mother? |
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Definition
Helps to form maternal antibodies. |
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Term
A patient comes in with DIC, what would you expect to give them? |
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Definition
Anticipate a blood transfusion. |
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Term
A patient with preeclampsia comes with a pulse of 96, respirations of 24, BP of 155-112, +3 deep tendon reflexes, no ankle clonus, on MgSO4 for 8 hours. What should the nurse do? |
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Definition
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Term
Difference between placenta previa and placenta abruption? |
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Definition
Placenta previa has no abdominal pain. |
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Term
A mother is at risk for gestational diabetes when what happens? |
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Definition
Previous delivery of 10 pound baby. |
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Term
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Definition
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Term
When a mother has rupture of membranes, what should you monitor? |
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Definition
Monitor vital signs q hour, monitor the fetus and limit vaginal exams. |
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Term
A patient has a platelet count of 90000, decreased HCT, elevated lipid levels, what would you expect this patient to have? |
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Definition
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Term
A patient has preeclampsia and is having a seizure. What should you do? |
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Definition
Stay with them and call for help. |
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Term
A cardiac patient has to be on prophylactic antibiotics to prevent endocarditis. What did you expect them to have? |
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Definition
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Term
A patient has cardiac decompensation. What would you expect to see? |
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Definition
Crackles, dyspnea, and hypotension. |
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Term
What test would you do on the mom to see if she has RH? |
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Definition
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Term
A patient has cardiac class III. What would you tell them about their activity? |
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Definition
They need to be on bedrest most of the day. |
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Term
According to the article for people who get pregnant over 35, what is a woman pregnant with one baby most at risk for? |
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Definition
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Term
A patient with gestational diabetes is at risk for what? |
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Definition
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Term
A patient comes in and had a nuchal translucency test done which showed abnormal levels. The mother already has one child that has down syndrome. What should you tell the mother? |
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Definition
That more testing is needed before a diagnosis can be made. |
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Term
A mother who is 37 weeks pregnant is in labor. Her i/s ratio is 3:1 and she has a negative phophatidylglycerol. From these values what would you expect the baby to be like? |
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Definition
The baby will have problems out of utero. |
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Term
A woman comes in who is 2cm dilated and states she had an exam earlier using KY Jelly. The results of her test show she is in labor. What should you do next? |
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Definition
Recognize that the test was a false positive because KY was used. |
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Term
Which of the following should you give antidepressants to? |
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Definition
A mother who is threatening suicide. |
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Term
What should you anticipate to give a mother with an uncomplicated ectopic pregnancy? |
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Definition
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Term
What is a side effect of brethine? |
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Definition
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Term
What is a diagnosis of preeclampsia? |
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Definition
Hypertension at 20 weeks with proteinuria. |
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Term
How do you know you can give brethine? |
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Definition
The patients BP is 110/80 |
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Term
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Definition
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Term
Nuchal translucency if greater than 3 |
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Definition
Tell her it is not definitive. |
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Term
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Definition
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Term
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Definition
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Term
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Definition
G-gravida (# of pregnancies) T-Term births P-Preterm births A-Abortions L-Living children |
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Term
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Definition
Respiratory complications |
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Term
Dyspnea and shortness of breath? |
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Definition
Category 3 and needs to be on bedrest (exertion with increased activity) |
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Term
Birth injuries with macrosomia infant |
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Definition
Dsytopia-Shoulder displacement |
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Term
Don't do vaginal exam with bleeding or |
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Definition
PROM b/c of infection & lactopic preg?? |
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Term
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Definition
drug of choice. reduces risk of seizures, has transient effect of lowering BP. |
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Term
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Definition
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Term
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Definition
Indirect coombs test (test mom's blood) |
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Term
Blood type mom and baby + and dad is + |
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Definition
homozygous for Rh. All offspring. |
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Term
Placement of placenta previa? |
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Definition
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Term
Abrupt previous difference |
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Definition
Abruptio has intensifying abdominal pain. |
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Term
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Definition
Causes UTI so give fluids and frequent voiding. |
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Term
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Definition
Most at risk for developing HTN |
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Term
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Definition
Give brethane to prolong pregnancy |
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Term
What must you watch with brethane? |
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Definition
Watch fluids. Pulmonary edema 1500-2400ml. |
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Term
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Definition
Sudden inability to perform activities that normally do. |
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Term
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Definition
Want C-section to deliver prior to ROM. |
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Term
Pregnant woman with type 1 |
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Definition
Most common problem-birth complication |
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Term
Woman with valvular disease (endocarditis) |
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Definition
Should receive prophylactic antibiotics. |
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Term
Platelets less than 100,000, elevated lipids, HTN, decreased hematocrit? |
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Definition
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Term
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Definition
Used for ectopic pregnancy. |
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Term
Dangerous sign at 14 weeks? |
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Definition
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Term
Inadequate weight gain during pregnancy? |
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Definition
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Term
Most common cause of decreased viability? |
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Definition
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Term
What is the cure for preeclampsia? |
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Definition
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Term
If mom has gestational diabetes then the baby is |
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Definition
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Term
Compression of umbilical cord causes? |
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Definition
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Term
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Definition
Chronic hypoxia and frequent pulmonary infections |
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Term
What is the indication for giving brethane? |
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Definition
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Term
Woman at 39 weeks has uterine contraction 1-2 minutes apart, bleeding from vagine, and pain in ab |
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Definition
Abrupto placenta which can occur from hyperstimulation |
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Term
Amniotic fluid has mecomium? |
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Definition
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Term
Lady with PIH (pregnancy induced hypertension)? |
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Definition
BP is 130/70 (only has to increase 15 points) |
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Term
Woman with cerclage for incompetent cervix, what do you tell her? |
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Definition
Restrict activity/backache and uterine cramping, report to doc (2 answers) |
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Term
What is the problem with MgSO4? |
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Definition
Therapeutic level of 10 (4-8 is normal) |
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Term
When woman is 24-28 weeks pregnant what type if test do they do for diabetes |
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Definition
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Term
Woman gains 5 lbs in one week during pregnancy, nurse should? |
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Definition
consider that patient has preeclampsia. |
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Term
Severe symptoms of eclampsia? |
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Definition
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Term
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Definition
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Term
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Definition
Decreased reflexes and decreased RR |
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Term
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Definition
Spotting and closed cervix. |
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Term
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Definition
Heavy profuse bleeding with open cervix. |
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Term
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Definition
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Term
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Definition
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Term
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Definition
Do doppler flow analysis. |
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Term
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Definition
Doesn't understand When husband and friends are coming to watch the football game. |
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