OB Maternity Exam 1)
Presumptive Signs of Pregnancy - correct answer Amenorrhea, Nausea and Vomiting, Fatigue, Urinary Frequency, Breast and Skin Changes, Vaginal and cervical color changes, and Fetal Movement.
Probable Signs of Pregnancy - correct answer Abdominal Enlargement, Cervical Softening, Uterine Changes, and Pregnancy Tests
Positive Signs of Pregnancy - correct answer Auscultation of Fetal Heart Sounds, Fetal Movements felt by examiner, Visualization of Fetus.
Leukocytes (WBC) during pregnancy... - correct answer 12,000 cells/mm3 to 15,000 cells/mm3
Leukocytes (WBC) during labor and early postpartum... - correct answer 25,000 cells/mm3 to 30,000 cells/mm3
Magnesium Sulfate - correct answer This depresses the CNS acting as an anticonvulsant by decreasing acetylcholine released by motor nerve impulses blocking neuromuscular transmission. This medication is
used to prevent and control seizures in severe preeclampsia and helps to prevent uterine contractions during preterm labor. Also can cause respiratory depression. (4 to 6 grams)
External Version - correct answer This is more common and promotes vaginal birth by changing the fetal presentation from a breech or transverse lie (shoulder) to a cephalic lie (head). This helps to avoid a cesarian birth.
Internal Version - correct answer This is used to change the presentation of the second twin after birth of
the first twin in hopes for a vaginal birth of second twin rather than a cesarian.
Pitocin - correct answer Used for the induction of labor and control of postpartum bleeding. Stimulates the uterine smooth muscle producing uterine contractions and has vasoactive and antidiuretic effects. Also known as Oxytocin. Precautions for Pitocin administration... - correct answer Give this as a piggyback infusion so it may be stopped if complications occur, insert into primary line as close to the venipuncture site as possible, monitor FHR and patterns before administration to determine baseline and after, start medication slowly
and increase gradually as regulated by an infusion pump.
Actual Nursing Diagnoses... - correct answer Imbalanced Nutrition: Less than Body Requirements or Ineffective Breastfeeding
Risk Nursing Diagnoses... - correct answer Risk for Imbalanced Nutrition: Less than Body Requirements or Risk for Ineffective Breastfeeding
Wellness Nursing Diagnoses... - correct answer Readiness for Enhanced Self-Health Management or Readiness for Enhanced Nutrition
Calcium Gluconate - correct answer This acts as an antidote for Magnesium Sulfate.
Folic Acid - correct answer This can help decrease the amount of neural tube deficits such as spina bifida and is especially important to take before conception and during the first trimester. Products containing enriched flour, breads or cereals can help adequate intake.
(G) GTPAL - correct answer Pregnancies or Gravida (How many times pregnant)
(T) GTPAL - correct answer Term Pregnancies delivered (How many delivered to full term 37+ weeks)
(P) GTPAL - correct answer Pre-Term delivered (How many delivered pre-term 20 to 36 6/7 weeks)
(A) GTPAL - correct answer Abortions (How many abortions, under 20 weeks, etopic?)
(L) GTPAL - correct answer Living Children (How many kids do you have?)
Nagele's Rule - correct answer Used to establish estimated delivery date (EDD) by subtracting 3 months since the last normal menstrual period (LNMP) then adding 7 days, then correcting year if needed.
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