Nurs 111

Card Set Information

Author:
30acre
ID:
59968
Filename:
Nurs 111
Updated:
2011-01-23 16:20:36
Tags:
Ob gyn
Folders:

Description:
OB/GYN
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user 30acre on FreezingBlue Flashcards. What would you like to do?


  1. Postpartum these reduce in size...
    uterus, fundus (1 cm per day), cervix, vagina
  2. When doing Head to Toe Health Hx add in...
    OB info!
  3. Fundus
    • Measure from top to bottom
    • 12 wks symphysis pubis
    • 16 wks halfway umbillicus/ symphysis pubis
    • 20 wks umbillicus
    • 36 wks xiphoid process
    • After 36 wks may be lower... if bigger find out why
  4. Uterus increases to hold...
    15-20 liters of fluid
  5. Uterine Blood flow
    • Increases during preg.
    • Trauma to pelvis is SERIOUS
  6. Goodell's sign..
    cervical softening
  7. Chadwick's sign
    vag turns blue
  8. Mucous Plug
    • protects baby from vag. bacteria
    • decreases vag. pathogenic bacteria
  9. Ovaries
    • hCG production maintains corpus luteum until 6-7 wks
    • secretes progesterone until placenta takes over
  10. Contractility
    suppressed by progesterone (spr) which decreases closer to term
  11. Breasts
    • ^ in size and modularity
    • colostrum (12 wks)
  12. Respiratory
    • More thoracic breathing
    • decreased CO2 threshold (b.c. of progesterone)
    • ^ tendency to hyperventilate
    • Stuffiness & epitaxis (nose bleed common)
  13. Heart
    • Apex- 4th ICS, lateral to MCL (apical pulse)
    • Increased size
    • Systolic murmur
    • S3 common
    • Decreased T waves (norm)
  14. Cardiac Output
    • ^ @ 10 wks
    • Peaks @ 20-24 wks
    • HR ^ 20beats/min
    • C.O. @ term 6l/min 20% to uterus
    • slows after delivery x7 days
  15. Blood pressure
    Decreases during 1st trimester/ is lowest during 2nd trimester
  16. Venal Caval Syndrome (supine hypotension)
    • Vena cava compressed by fundus
    • = decreased C.O., thrombosis
    • Nursing Intervention= Suggest lying on either side instead of back
  17. Hematologic Sys.
    • Blood vol. ^ 1200-1500 mL
    • WBC ^ ( could increase to 25-30,000)
    • Platelets, fibrin, fibrinogen & coagulation factors ^
  18. Can lose 30% of fluid vol. w/o vitals changing....
    b/c body will pull blood from uterus/baby causing baby to experience blood loss
  19. GI tract
    • Decreased motility, emptying, & esophageal regurgitation
    • ^ gallbladder emptying time = gallstones
    • Hemorrhoids
    • Nausea/Vomiting
    • weight gain 25-35 lbs
  20. Mouth/Teeth
    gingivits
  21. Renal Sys
    • ^ in weight & size
    • physiologic hydronephrosis (H2O backed up into kidney)
    • ^ in infection
    • ^ in kidney stones
  22. Bladder
    • tone decreases
    • capacity x2 (> 1 liter)
    • Infection can cause contractions
  23. Chloasma
    • Mask of pregnancy (light brown spots on skin/face)
    • butterfly shaped area of pigmentation
  24. linea nigra
    line from umbillicus to pubis area
  25. sudden gush of fluid from vagina could mean...
    premature rupture of membranes
  26. Vaginal Bleeding could mean....
    lesions of cervix or vagina "bloody show"
  27. Abdominal pain could mean...
    premature labor, abruption of placentae
  28. Temp above 101 deg. f & chills could mean...
    Infection
  29. Dizziness, blurring of vision, 2x vision, spots before eyes could mean...
    hypertension, preeclampsia
  30. Persistent vomiting could mean...
    Hyperemesis gravidarum
  31. Severe headache could mean...
    hypertension, preeclampsia
  32. Edema of hands, face, legs & feet could mean...
    preeclampsia
  33. Muscular irritability, convulsions could mean...
    preeclampsia, eclampsia
  34. Epigastric pain could mean...
    preeclampsia-ischemia in mj. abd vessels
  35. Oliguria could mean...
    Renal impairment, decreased fluid intake
  36. Dysuria could mean...
    UTI
  37. Abscence of fetal movement could mean...
    maternal medication, obesity, fetal death

What would you like to do?

Home > Flashcards > Print Preview