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31 Cards in this Set
- Front
- Back
How early can pregnancy be detected?
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8 wks, b/c hCG is produced by the syncytiotrophoblast produces it. these levels rise rapidly until 20 wks then they fall and stay low for remainder of gestation -
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Important facts about hCG
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confirm pregnancy, elevate at 8-10 days then decline after 20 wks
chorionic villi produce hCG and maintains the corpus luteum's production of progesterone and estrogen placenta takes over the production at 8-10 wks gestation |
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When is an amnioinfusion called for?
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when there is meconium stained ambiotic fluid as the only symptom
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Tocolytic drugs are used for?
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arresting preterm labor
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Placental transport of substances to and from the fetus begins?
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5th week
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Describe the secretion levels of progesteron and estrogen?
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Until the 7th mth of pregnancy both e & p are secreted in progressively greater amts. Btw the 7th & 9th mths, e secretion continues while p secretion drops slightly. This increasing e-p ration promotes the onset of uterine contractions
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What is scientific name of stretch marks
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striae gravidarium
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what is Linea nigra?
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is a dark line that extends from the umbilicus or above to the mons pubis. In a primigravid (1st preg) client it develops in the 3rd mth. In multigravid client, before the 3rd mth
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Proliferating trophoblast cells produce?
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abnormally high hCG levels and cause a hydatidiform mole
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During ea prenatal checkup what should the nurse assess?
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wgt,BP, fundal hgt and edema
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Why should the nurse check for edema?
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could be sign of PIH. If edema is present then the nurse should also check BP and proteinuria-other signs of PIH
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When is Hb checked?
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1st prenatal visit
then again 24-28 wks gestation then again at 36 wks |
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When is the pelvis measured and Rh factor checked?
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1st prenatal visit
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What causes pain and pulling in a pregnant women.
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the uterus deviates to the right, this shift or dextrorotation is due to the presence of the rectosigmoid colon in the left lower quandrant.
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What drug is given for morning sickness?
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Emetrol- Phosphorated carbohydrate solution-
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If a pregnant client becomes dizzy, pale, and light-headed while lying supine what could this be and what to do about it?
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Inferior vena cava syndrome and place client on left side
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With a client with DM what are the s/s of a UTI or vaginal infection?
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Glycouria - the hormonal changes of preg. change the vaginal and bladder PH
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in a client with DM, insulin requirements?
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usually decrease during the 1st trimester, then rise again during the 2nd and 3rd. During labor insulin requ. diminish from extreme energy expenditure
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Where are fetal sounds heard best during the 1st trimester?
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above the symphysis pubis
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What is the only sign assessed in the 1st four wks of preg.?
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Breast sensitivity
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What are the POSITIVE signs of pregnancy?
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fetal heartbeat and fetal movement on palpatation
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What is the primary nursing diagnosis for a ruptured ectopic pregnancy?
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deficiet fluid balance
-causes hemorrage and requires immediate surgical intervention |
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S/S of abrupto placentae? What does the nurse do?
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has PIH, then has abd. pain and vaginal bleeding
evalute the mother's well being by evaluating VS; ausculate the fetal heart sounds; monitor the amt of blood loss, and evaluate volume status by monitoring intake and output, if fetus is in distress then prompt C=section (not vaginal del) is performed |
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What is gestational trophoblastic dx?
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when the fetus fails to develop beyond the primitive stage. causes excessive nausea, vomiting, uterine enlargment beyond age of gest.(ex 20 cm fundal), absence of fetal tones, and vaginal spotting
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What is the 1st thing a client should do before an amniocentesis? What position should she be in?
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void- could cause bladder perferation if full
Supine during procedure, on left side afterward |
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What are the POSITIVE signs of pregnancy?
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fetal heartbeat and fetal movement on palpatation
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What is the primary nursing diagnosis for a ruptured ectopic pregnancy?
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deficiet fluid balance
-causes hemorrage and requires immediate surgical intervention |
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S/S of abrupto placentae? What does the nurse do?
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has PIH, then has abd. pain and vaginal bleeding
evalute the mother's well being by evaluating VS; ausculate the fetal heart sounds; monitor the amt of blood loss, and evaluate volume status by monitoring intake and output, if fetus is in distress then prompt C=section (not vaginal del) is performed |
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What is gestational trophoblastic dx?
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when the fetus fails to develop beyond the primitive stage. causes excessive nausea, vomiting, uterine enlargment beyond age of gest.(ex 20 cm fundal), absence of fetal tones, and vaginal spotting
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What is the 1st thing a client should do before an amniocentesis? What position should she be in?
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void- could cause bladder perferation if full
Supine during procedure, on left side afterward |
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What causes increased cardiac output during pregnancy?
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Increased plasma volume which expands the uterine vascular bed.
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