In which situations would you not give oxytocin? - ️️-Breech position
-Placenta previa
-Maternal cardiac disease
What is asked/done in first GYN appt? - ️️-Pap smear
-STD's
-Were they on birth control or antibiotics?
-Currently taking any medications?
-Currently using tobacco, alcoho...
NUR 230 Exam 1 Latest Update 100%
Correct
In which situations would you not give oxytocin? - ✔️✔️-Breech position
-Placenta previa
-Maternal cardiac disease
What is asked/done in first GYN appt? - ✔️✔️-Pap smear
-STD's
-Were they on birth control or antibiotics?
-Currently taking any medications?
-Currently using tobacco, alcohol, or illegal drugs?
- Ask about resources (social, financial)
-Any previous pregnancies
What is a positive sign of pregnancy? - ✔️✔️Hearing fetal heart tones (12 wks),
Visualization of the fetus (4 wks), palpating fetal movement, and visualizing fetal
movements: Ultrasound (18 wks)
What is para? - ✔️✔️Total number of viable pregnancies (at lease 20 weeks gestation)
Describe Naegele's Rule? - ✔️✔️Used to determine the expected date of delivery
(EDD)
How is the EDD determined? - ✔️✔️Naegele's Rule:
(First day of last period+ 7 days) - 3 months
What are the signs of pregnancy? - ✔️✔️Presumptive, Probable, Positive
What is gravida? - ✔️✔️Total number of pregnancies
What is a presumptive sign of pregnancy? - ✔️✔️N&V, breast changes, fatigue, urinary
frequency
What is a probable sign of pregnancy? - ✔️✔️Goodell's sign, Chadwick's sign, Hegar's
sign, positive pregnancy test
What are the effects of pregnancy on the cardiovascular system? - ✔️✔️There is extra
fluid on board so the CO increases 10%-50%. The heart rate increases 10-15 bpm
, How much should caffeine be decreased to? - ✔️✔️1-2 servings a day
What foods are rich in iron? - ✔️✔️-Red meat
-Dark leafy greens
-Beans
-Poultry
What are ways in which the mother can avoid heartburn? - ✔️✔️-Good posture
-Avoid spicy foods
-Eat small meals
At how many weeks can you see the fetus on an ultrasound? - ✔️✔️6 weeks
What is the "mask of pregnancy" called? - ✔️✔️Cholasma
What is linea nigra? - ✔️✔️a hyperpigmented line on the abdomen from the symphysis
pubis to the top of the fundus
What are stretch marks called? - ✔️✔️Striae gravidarum
What are respiratory changes in the mother? - ✔️✔️-Nasal congestion/ nose bleeding
due to elevated estrogen levels
-RR increases
By what week should nausea and vomiting be gone? - ✔️✔️Week 14
What is the effect of prolactin on the body? - ✔️✔️Milk production
What is the effect of Estrogen on the body? - ✔️✔️Purpose is for growth of the fetus
-Increase blood flow to the uterus
-Softens the cervix
-Develops the breast in prep for lactation
What is the effect of Progesterone on the body? - ✔️✔️Smooth muscle relaxer
What are things to teach the mother during pregnancy? - ✔️✔️-No changing of cat litter
-May take a tub bath unless they have a ROM
-Should not eat raw meats
What is lightning? - ✔️✔️The dropping of the baby into the pelvis, occurs at 36 weeks
What is quickening? - ✔️✔️the initial awareness of mother usually occurs at 16-22
weeks
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