Shared Flashcard Set

Details

OB test 3
Flashcards for high-risk antepartum test
83
Medical
Undergraduate 4
03/02/2009

Additional Medical Flashcards

 


 

Cards

Term
Normal fasting blood glucose for a woman with GDM?
Definition
65-95
Term
A 35 year old who is 18 weeks pregnant needs what?
Definition
Triple marker test.
Term
A woman comes in who has a positive MFASP, what would you do?
Definition
Ultrasound
Term
A woman has HIV. Her baby will have a better outcome if what is done?
Definition
ZDV during pregnancy and labor, then a cesarean birth.
Term
You know a patient needs additional teaching when she states what regarding diabetes?
Definition
I need to increase my insulin in the 1st trimester.
Term
A patient with preeclampsia needs further teaching when she states what?
Definition
Need tylenol for headaches.
Term
For diabetics, the best predictor of pregnancy outcome is?
Definition
The degree of maternal glycemic control.
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?
Definition
BMI, family history, and drug use.
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?
Definition
Cocaine withdrawal
Term
A patient comes in with with heavy bleeding but her cervix is closed. What do you expect this to be?
Definition
Threatened miscarriage
Term
What baby is most at risk for RH incompatibility?
Definition
one in which the mother is Rh negative and the father is homozygous for the RH factor.
Term
What is the purpose of giving Rhogam to the mother?
Definition
Helps to form maternal antibodies.
Term
A patient comes in with DIC, what would you expect to give them?
Definition
Anticipate a blood transfusion.
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?
Definition
Admin MgSO4 bolus.
Term
Difference between placenta previa and placenta abruption?
Definition
Placenta previa has no abdominal pain.
Term
A mother is at risk for gestational diabetes when what happens?
Definition
Previous delivery of 10 pound baby.
Term
Toxicity of MgSO4
Definition
10g
Term
When a mother has rupture of membranes, what should you monitor?
Definition
Monitor vital signs q hour, monitor the fetus and limit vaginal exams.
Term
A patient has a platelet count of 90000, decreased HCT, elevated lipid levels, what would you expect this patient to have?
Definition
HELP syndrome
Term
A patient has preeclampsia and is having a seizure. What should you do?
Definition
Stay with them and call for help.
Term
A cardiac patient has to be on prophylactic antibiotics to prevent endocarditis. What did you expect them to have?
Definition
Valvular disease.
Term
A patient has cardiac decompensation. What would you expect to see?
Definition
Crackles, dyspnea, and hypotension.
Term
What test would you do on the mom to see if she has RH?
Definition
Indirect coombs test.
Term
A patient has cardiac class III. What would you tell them about their activity?
Definition
They need to be on bedrest most of the day.
Term
According to the article for people who get pregnant over 35, what is a woman pregnant with one baby most at risk for?
Definition
Hypertension.
Term
A patient with gestational diabetes is at risk for what?
Definition
Macrosomia baby.
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?
Definition
That more testing is needed before a diagnosis can be made.
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?
Definition
The baby will have problems out of utero.
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?
Definition
Recognize that the test was a false positive because KY was used.
Term
Which of the following should you give antidepressants to?
Definition
A mother who is threatening suicide.
Term
What should you anticipate to give a mother with an uncomplicated ectopic pregnancy?
Definition
Methotrazate
Term
What is a side effect of brethine?
Definition
Tachycardia
Term
What is a diagnosis of preeclampsia?
Definition
Hypertension at 20 weeks with proteinuria.
Term
How do you know you can give brethine?
Definition
The patients BP is 110/80
Term
Risk for preterm labor?
Definition
ROM at 30 weeks
Term
Nuchal translucency if greater than 3
Definition
Tell her it is not definitive.
Term
10 mg, with +1 reflex
Definition
Hold Mg
Term
Pulse rate 102
Definition
Give brethane
Term
What is GTPAL?
Definition
G-gravida (# of pregnancies)
T-Term births
P-Preterm births
A-Abortions
L-Living children
Term
2-1pg(+)
Definition
Respiratory complications
Term
Dyspnea and shortness of breath?
Definition
Category 3 and needs to be on bedrest (exertion with increased activity)
Term
Birth injuries with macrosomia infant
Definition
Dsytopia-Shoulder displacement
Term
Don't do vaginal exam with bleeding or
Definition
PROM b/c of infection & lactopic preg??
Term
MgSO4
Definition
drug of choice. reduces risk of seizures, has transient effect of lowering BP.
Term
If reflex is +3?
Definition
Give Mg bolus
Term
Rh incompatibility
Definition
Indirect coombs test (test mom's blood)
Term
Blood type mom and baby + and dad is +
Definition
homozygous for Rh. All offspring.
Term
Placement of placenta previa?
Definition
Dx with US for location
Term
Abrupt previous difference
Definition
Abruptio has intensifying abdominal pain.
Term
Sickle cell
Definition
Causes UTI so give fluids and frequent voiding.
Term
Article pregnancy woman
Definition
Most at risk for developing HTN
Term
5cm dilated?
Definition
Give brethane to prolong pregnancy
Term
What must you watch with brethane?
Definition
Watch fluids. Pulmonary edema 1500-2400ml.
Term
Cardiac decompensation?
Definition
Sudden inability to perform activities that normally do.
Term
If HIV
Definition
Want C-section to deliver prior to ROM.
Term
Pregnant woman with type 1
Definition
Most common problem-birth complication
Term
Woman with valvular disease (endocarditis)
Definition
Should receive prophylactic antibiotics.
Term
Platelets less than 100,000, elevated lipids, HTN, decreased hematocrit?
Definition
HELLP syndrome
Term
Methotrexate?
Definition
Used for ectopic pregnancy.
Term
Dangerous sign at 14 weeks?
Definition
Vaginal bleeding
Term
Inadequate weight gain during pregnancy?
Definition
IUGR
Term
Most common cause of decreased viability?
Definition
Infant sleeping
Term
What is the cure for preeclampsia?
Definition
Delivery
Term
If mom has gestational diabetes then the baby is
Definition
At risk for Hypoglycemia
Term
Compression of umbilical cord causes?
Definition
Variable accelerations
Term
Cystic fibrosis
Definition
Chronic hypoxia and frequent pulmonary infections
Term
What is the indication for giving brethane?
Definition
Surfactant production.
Term
Woman at 39 weeks has uterine contraction 1-2 minutes apart, bleeding from vagine, and pain in ab
Definition
Abrupto placenta which can occur from hyperstimulation
Term
Amniotic fluid has mecomium?
Definition
Anticipate suction
Term
Lady with PIH (pregnancy induced hypertension)?
Definition
BP is 130/70 (only has to increase 15 points)
Term
Woman with cerclage for incompetent cervix, what do you tell her?
Definition
Restrict activity/backache and uterine cramping, report to doc (2 answers)
Term
What is the problem with MgSO4?
Definition
Therapeutic level of 10 (4-8 is normal)
Term
When woman is 24-28 weeks pregnant what type if test do they do for diabetes
Definition
50g glucose test.
Term
Woman gains 5 lbs in one week during pregnancy, nurse should?
Definition
consider that patient has preeclampsia.
Term
Severe symptoms of eclampsia?
Definition
seizure and coma
Term
Prenious anemia?
Definition
Give B12 injections.
Term
MgSO4 toxicity?
Definition
Decreased reflexes and decreased RR
Term
Threatening miscarriage?
Definition
Spotting and closed cervix.
Term
Incomplete miscarriage
Definition
Heavy profuse bleeding with open cervix.
Term
DArk red blood?
Definition
Placenta abruption
Term
Bright red blood?
Definition
placenta previa
Term
IUGR?
Definition
Do doppler flow analysis.
Term
Preeclampsia?
Definition
Doesn't understand When husband and friends are coming to watch the football game.
Supporting users have an ad free experience!