OB PEDS EXAM 1

Card Set Information

Author:
bminch0121
ID:
238461
Filename:
OB PEDS EXAM 1
Updated:
2013-10-02 21:59:02
Tags:
OB nursing
Folders:

Description:
OB PEDS
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user bminch0121 on FreezingBlue Flashcards. What would you like to do?


  1. Antepartum
    Time from conception to start of labor
  2. Intrapartum
    Start of true labor to delivery of baby and placenta
  3. Postpartum
    Post delivery
  4. Gestation
    • Time of normal pregnancy
    • 38-42 weeks
  5. Abortion
    Any pregnancy that ends before the 20th week
  6. Term
    37-42 weeks
  7. Preterm
    Prior to 37 weeks
  8. Post term
    Delivery after 42 weeks
  9. Gravida
    # of pregnancies
  10. Nulligravida
    Never been preg
  11. Primigravida
    1st preg
  12. Multigravida
    2+ preg
  13. Para
    # of babies born after 20 weeks
  14. Nullipara
    No babies born
  15. Primipara
    1st baby born
  16. Multipara
    2+ babies born
  17. Still birth
    Any delivery after 20 weeks that is not born alive
  18. Hegars Sign
    Softening and compression of lower uterus
  19. Chadwicks sign
    Violet blue cervix d/t extra blood supply
  20. Goodwells sign
    Softening of cervical tip
  21. Braxton-hicks
    • False labor
    • irregular
    • painless contractions
    • relieved by walking
    • NO cervical change
  22. Nageles Rule
    1st day LMP , subtract 3 months and add 7 days
  23. McDonalds Method
    • Measure from symphysis to fundus
    • cm = weeks in pregnancy
    • usually used later in pregnancy
  24. Quickening
    • movement of baby
    • usually starts at 18-20 weeks
  25. Rubella (preg)
    • Extremely dangerous during preg
    • can cause fetal deafness if not death
  26. Group B strep sepsis
    • #1 killer of babies
    • screen mom at 35-37 weeks
  27. UTI in preg
    Biggest cause of early labor
  28. TORCH Testing
    • T - toxoplasmosis
    • O - Other infections (hep)
    • R - Rubella
    • C - Cytomegalvirus - common, passed in urine
    • H - Herpes Simplex

    CAN ALL CAUSE SERIOUS FETAL PROBLEMS
  29. Cardiac changes in preg
    • Increased CO peaks at 25-30 weeks
    • Pulse increases 10-15 bpm
    • BP decreases slightly
    • Blood flow return impaired
    • Edema, varicosity of LE
  30. Vena-Cava Syndrome
    • In supine position
    • Pressure from enlarging uterus decreases venous return to RA
    • Have woman lie of left side or place pillow under right hip
  31. Anemia in pregnancy
    • IRON SUPPLEMENTS
    • Blood volume increases but hemoglobin doesnt
  32. Symptoms of Eclampsia
    • Increased weight
    • Facial edema
    • Vision Changes
  33. Infant developmental milestones
    2 months
    Turns head to sound
  34. Infant developmental milestone
    4 months
    • Rolls from front to back
    • grasp rattle near hand
  35. Infant developmental milestone
    6 months
    • Transfer object hand to hand
    • rolls from back to front
    • head control (no head lag)
  36. Infant developmental milestone
    8 months
    Sit without support
  37. Infant developmental milestone
    9 months
    Moves by crawling or creeping
  38. Infant developmental milestone
    12 months
    • Pulls to stand
    • Pincer grasp
    • vocalize 1+ words
  39. Infant Nutrition
    1 month
    Breast milk or formula
  40. Infant nutrition
    4-6 months
    Solid (pureed) foods
  41. Infant nutrition
    12 months
    • Ween bottle
    • start sippy cup with whole milk
  42. Stranger/seperation anxiety
    • Starts at 6-7 months
    • shows healthy relationship and good bonding
  43. SIDS
    • Sudden infant death syndrome
    • Unexplained death before age 1
    • most common 2-4 months
    • leave NOTHING in crib
    • lay on back
  44. Toddler development
    • remembers where objects are hidden
    • routines, same story, same toy, etc
    • seperation anxiety peaks
  45. Toddler Nutrition
    • 1 y.o - Whole milk
    • 2 y.o - Low fat milk
    • 3 y.o - completely feed selves
    • 16-24 oz milk at 2-3 y.o
  46. Food Jags
    • Toddlers 
    • same foods over and over
  47. Age to start potty training
    2-2.5 years
  48. Self-regulation
    • Toddlers
    • sooth themselves
  49. Parallel Play
    • Toddlers
    • play next to each other
  50. Associative Play
    • Preschooler
    • start to interact
  51. Booster seats in cars
    • Until 57 inches tall
    • 8-12 years old
  52. Cooperative Play
    • Ability to play together
    • increased desire to be with friends
  53. Growth Spurt
    • girls - 9-10 y.o
    • boys - 10-14 y.o
  54. Hep B Vaccine
    • NOT live
    • IM at birth
  55. Rotavirus
    • PO
    • 2-3 doses
    • 2,4,6 months
  56. DTAP (TDAP adults)
    • NOT live
    • IM
  57. HIB
    NOT live
  58. Pneumococcal
    • NOT live
    • IM
  59. Inactivated Poliovirus (IPV)
    • NOT live
    • IM or Sub Q
  60. Flu Vaccine
    • Nasal - LIVE > 2 y.o
    • Given annually
    • egg allergy
    • IM NOT live
  61. Varicella
    • Chicken Pox
    • LIVE
    • Sub Q
  62. HEP A Vaccine
    • NOT live
    • Recently added
  63. Meningococcal
    • NOT live
    • IM
  64. HPV Vaccine
    • Male and female
    • 3 doses
    • given before sexually active
    • NOT live
    • IM
  65. IUGR
    Intrauterine growth restriction
  66. Betamethasone
    given to jump start fetal lung maturity
  67. Amniocentesis
    • after 16th week
    • US guided
    • Rare complications
    • empty bladder
  68. Normal fetal HR
    • 120-160 bpm
    • Fetal heart starts to beat at 8 weeks
  69. Depressed and flat fetal nasal bone...
    Downs syndrome
  70. Nuchal Translucency Testing
    • Confirm or deny chromosome problem
    • increased fluid collection at back of neck = + result
  71. Umbilical Velocimetry
    • Measures blood flow from placenta to umbilical  cord
    • must be perfect for proper development
  72. Fetal Activity Monitoring
    • Decreased movement = IMMEDIATE attention
    • give sugar to stimulate
  73. Reactive Non-stress test results
    at least 2, 15 bpm accelerations over the baseline, lasting 15+ seconds in a 20 min window
  74. Vibroacoustic Stimulation
    • Used to stimulate baby movement
    • "zap" baby
  75. What causes contraction pain?
    During contraction the blood flow to the placenta is reduced, decreased O2 to the fetus and causes pain
  76. Eval of fetal maturity
    35 weeks --> L/S ratio is 2:1 - risk of respiratory distress syndrome is low
  77. CVS
    • Chorionic Villus Sampling
    • early dx (10-12 wks), short wait time
    • can cause limb issues
    • empty bladder
  78. Hyperemesis Gravidarum
    • excessive vomiting
    • < 1% of preg
    • cause is unclear
    • severe K+ loss
    • fetal/embryonic death
  79. Diabetes and Gestational diabetes
    • early pregnancy causes increased insulin production
    • risk for acidosis with morning sickness
  80. Human Placental Lactogen (HPL)
    • Secreted by placenta
    • interferes with insulin
    • will go away when placenta seperates
  81. Macrosomia
    Very big baby with big chest
  82. Resp distress syndrome
    • HPL also interferes with surfactant
    • can give steroids
  83. Hyperbilirubinemia
    Jaundice
  84. Threatened Abortion
    • Symptoms appear
    • cervix is closed
    • bleeding and cramping
  85. imminent/inevitable abortion
    • symptoms appear
    • cervical os is open
  86. Complete abortion
    All products of conception are expelled
  87. Incomplete abortion
    • Some products are retained 
    • os is open
  88. Recurrent abortion
    3+ pregnancies
  89. Septic Abortion
    infection is present
  90. Ectopic pregnancy
    • Implantation of a fertilized ovum in a site other than the endometrial lining of the uterus
    • at risk for profound blood loss and shock
    • may need ICU monitoring
    • Methotrexate if ovum < 4cm
  91. Preeclampsia and eclampsia
    • #1 disorder of pregnancy
    • sudden increase in BP after 20 weeks
    • gestation with proteinuria
    • facial edema
    • eclampsia = seizures
    • only tx for preeclampsia is to get rid of placenta
  92. HELLP Syndrome
    Hemolysis Elevated Liver enzymes Low Platelets

    NV, flu like symptoms and epigastric pain
  93. Trust VS mistrust
    Infants
  94. Autonomy VS shame and doubt
    toddlers
  95. Separation anxiety stages
    • Protest
    • Despair
    • Denial - abnormal
  96. Initiative VS guilt
    Preschoolers
  97. Industry VS inferiority
    School age
  98. Identity VS role confusion
    Adolescents
  99. Equianalgesia
    • Switching IV to PO
    • PO dose needs to be higher to have same effects
  100. Possible causes of labor
    • exact cause unknown
    • progesterone - relaxes muscle
    • estrogen - contracts muscle
    • CRH
  101. 5 important factors of labor and birth
    • Passage
    • Fetus
    • Relationship between passage and fetus
    • physiologic forces of labor
    • psychological aspects of labor
  102. Gynecoid pelvis
    Most common and favorable for vaginal birth
  103. Anthropoid
    favorable for vaginal birth
  104. Anterior fontanelle
    • Soft spot
    • closes up to 12-18 months
  105. Posterior Fontanelle
    • Soft spot
    • closes up to 8-12 weeks
  106. Cephalohematoma
    • Bump on head
    • does not cross suture lines
    • may develop jaundice
    • 2 weeks to 3 months to disappear
  107. Caput Succedaneum
    • Cone head
    • Crosses suture lines
    • may take days to months to disappear
  108. Fetal Attitude
    • Relationship of the fetal body parts to one another
    • Normal - Moderate flexion
  109. Fetal Lie
    • Relationship of the cephalocaudal axis of the fetus to the axis of mom
    • Longitudinal or transverse
  110. Station
    • refers to the relationship of the presenting part to an imaginary line between the ischial spine of the maternal pelvis
    • -5,-4,-3,-2,-1,0,+1,+2,+3,+4,+5
  111. Primary force of labor
    Uterine muscular contractions cause effacement and dilation of cervix
  112. Secondary force of labor
    Abd muscles while pushing
  113. 3 phases of contractions
    • 1. increment - building up
    • 2. acme - peak 
    • 3. Decrement - letting up
  114. Latent Phase of Labor
    • 0-3 cm
    • reg contractions
    • able to cope
  115. Active Phase of Labor
    • Increasing contractions
    • 4-7 cm
    • increased anxiety and fear of loss of control
  116. Transition Phase of Labor
    • Increased contractions
    • 8-10 cm
    • rectal pressure
    • very anxious
    • increased need of partner or nurse
  117. 2nd stage of labor
    Begins with complete cervical dilatation and ends with birth of infant
  118. 3rd stage of labor
    After birth of baby until delivery of placenta
  119. 4th stage of labor
    • 1-4 hours after delivery
    • 250-500 cc blood loss
    • decrease in BP and increase in HR
    • Uterus contracted midline between symphysis and umbilicus

What would you like to do?

Home > Flashcards > Print Preview