NUR 123 Final

Estrogen and Progesterone

• Agents that can cause birth defects
• Usually chemicals and environmental factors mother is exposed to during pregnancy

Pattern of eating non-food items like dirt, TP, and chalk

Increased in plasma volume that most often occurs during the 6th and 7th month of pregnancy.

Bluish discoloration of the cervix, vagina, and labia caused by the hormone estrogen which results in venous congestion.

Way of calculating due date First day of last MP plus 7 days minus 3 months

• Gravida- Number of pregnancies
• Para-Number of live births

Carries oxygenated blood from the placenta to the growing fetus

• -Antibiotics- prevent/treat infection
• -Antenatal corticosteroids- speed up fetal lung development
• -Tocolytic meds- slow down contractions and delay labor:
• Mag sulfate

To induce labor by causing contractions and dilation of cervix

• Complication of pregnancy where placenta grows in the lowest part of womb.
• Characterized by scant to bright red bleeding in 3rd trimester.

• Also known as “lightening”
• The sensation that woman feels when the baby drops
• Usually 2-3 weeks prior to labor
• Breathing becomes easier

• Contractions regular & progressive
• More backache
• Pain/contractions not relieved by walking
• Cervix begins to progressively dilate

• Descent: continuous descent of fetus through pelvis
• Internal rotation: Head rotates to accommodate change of diameter of pelvis
• External rotation: Shoulders drop down and turn to ant.position.
• Head slowly turns to align with shouldersFlexion: head adapts to pelvis by flexing chin to chest
• Extension: back of fetal head pivots under pressure of the symphysis pubis; delivered

• Compared to est. gestational age (EGA) tells if fetus is growing at proper rate
• If mismatched with EGA, can be cause of concern: Too much/little amniotic fluid, Breech birth

• Caused by compression of vena cava
• *Tx. Turn to L side
• Change position frequently
• Dangle and get up slow

• Left Occiput Anterior
• Easiest fetus position to deliver

• Way of palpitating for the location/position of fetus in womb.
• Three letter classification for position: First and last letter refers to landmark on mother, middle refers to fetus R or L, Ant. Or Post.,

• O- Occiput (best)
• M- Mentum (chin)
• S- Sacrum
• Sc- shoulder

Q5min

Ends with complete effacement (thinning) and dilation (opening) of the cervix

Hemorrhage???

• Heart rate: (0-absent, 1-<100, 2->100)
• Respiratory: (0-absent, 1-slow, irregular, weak cry, 2-good,strong-cry)
• Muscle tone: (0- flaccid, 1- some flexion of extremities, 2-well flexed)
• Reflex irritability: (0- no response, 1- grimace, 2- cough,vigorous cry, strong facial grimace)
• Color: (0- blue, pale, 1- body normal, extremities blue, 2-normal skin coloring)

¼ total body length

Narcotic antagonist in case of overdose

• An abnormal connection between the esophagus and the trachea.
• Can be detected before delivery with ultrasound:Too much amniotic fluid (Polyhydramnios)

Prevent excessive O2 saturation (when giving supplemental O2), especially in preemies

• Hydrate
• Oxygen* (crisis intervention?)
• Pain medication
• Support

• Access airway
• IV Fluids?
• Obtain information on where/how burn was received

• Dysfunction of exocrine glands
• Pancreas- can’t digest fat
• Sweat glands- electrolyte composition in perspirationchanged

• 25% not carrier, not sick
• 50% carrier, but not sick
• 25% carrier and sick

• Foul smelling stool
• Malnutrition
• Distended abdomen
• Wasting of extremities and butt

Can be caused by German measles, brain bleed, and brain infection

*Idiopathic* damage to the glomerular of kidneys causing edema and loss of large amounts of protein in urine

Immature, abnormal white cells called “blasts” form large number in spleen, liver, and bone marrow

Wheezing, dyspnea, harsh dry cough, retractions, cyanosis

• 1-5 wks after infection
• Lethargy,
• Anorexia
• Polyarthritis
• Muscle tremors
• Carditis

Jone’s Criteria: