Cephalopelvic Study guides, Class notes & Summaries

A 26 year-old gravida 2 para 1 female at 9 weeks' estimated gestational age (by last normal menstrual period) presents to the Emergency Department complaining of heavy vaginal bleeding which began two hours earlier. She denies having any sexual intercourse in the past seven days. Her vital signs are stable. A quantitative serum hCG returns at a value of 3200 mIU/mL and a transvaginal ultrasound reveals a mean gestational sac diameter of 30mm and no embryo. She reports passing no tissue and a...

Subjective Changes - ANSWER-Amenorrhea, nausea and vomiting, fatigue, urinary frequency, breast changes, quickening, abdominal enlargement. Objective Changes - ANSWER-Pregnancy test, fetal heart sounds, fundal height. Developmental task of becoming a parent - ANSWER-Love and protect the child, parents identify changing roles and are willing to make the lifestyle changes, parents identify with parents roles, parents discuss what roles mean, couple incorporates child into relationship, coupl...

(NST) non-stress test - identifies if there is a fetal compromise in moms who have complications like diabetes or hypertension Antidote for magnesium sulfate - calcium gluconate at what time during pregnancy would patient education focus on physiological changes, fetal development, sex during pregnancy, and nutrition - first trimester average weight gain during pregnancy - 25-35 lbs BOW (bag of waters) - the membrane enclosing a fetus cephalopelvic disproportion (CPD) - condition preventi...

A 23 year old female is admitted for vaginal bleeding following a miscarriage two weeks prior to this admission. She afebrile at this time and is treated with an aspiration dilation and curettage. Products of conception are found. Which of the following should be the principle diagnosis? a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion b. O08.1, Delayed or excessive hemorrhage following ectopic and molar pregnancy c. R57.9, Shock, unspecified d. T81.10XA, P...

An adolescent is at risk for cephalopelvic disproportion (CPD) secondary to A. Inadequate musculoskeletal development. B. Late onset of prenatal care C. Poor nutrition correct answer: A. Inadequate musculoskeletal development. A presumptive sign of pregnancy is: A. Amenorrhea B. Fetal movement C. Uterine enlargement correct answer: A. Amenorrhea Using basal body temperature method to determine ovulation includes: A. Measuring temperature after going to the bathroo...

Dystocia can be defined as: -ab. or dif. bir. - Answer Abnormal or difficult birth Dystocia is related to 3 of the 5 Ps which are: - Answer -Power (power of labor) -Passenger -Passage What are some risk factors for dystocia? (5) -Con. ute. abno. -malpre. of the fet. -cephalop. disp. -tach. of the ute. wit. oxy. -admin. of analg. or anest. ear. in lab. - Answer -congenital uterine abnormalities -malpresentation of the fetus (occiput post. or face presentation) ...

NARM (Varney's, Heart + Hands 2015) Already Graded A Universal Precautions Use barrier protection. Use gloves: blood/culture collection, delivery, handling newborn, soiled items. Wash hands and contact Dr if contaminated. Use sharps container. Never recap sharps. Polyhydramnios Excess amniotic fluid. Large fundal height at 28wks increasing through preg. Associated with: multiple gestation, Rh incompatible, diabetes. Fetal anomalies - atresia of the esophagus, hydrocephaly, anencephaly or spina...

A 23-year-old female is admitted for vaginal bleeding following a miscarriage two weeks prior to this admission. She is afebrile at this time and is treated with an aspiration dilation and curettage. Products of conception are found. Which one of the following should be the principal diagnosis? - Answer-O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion A psychiatrist documents that a patient has wide mood swings from excessive happiness to loss energy and crying...

Alleles that are the same are called ________. a. homozygous b. phenotypes c. genotypes d. heterozygous correct answer: Homozygous Aubrey and Ava are identical twins who were raised in separate homes by their divorced parents. Now, as they enter elementary school, Aubrey shows mild symptoms of phenylketonuria (PKU), but Ava's symptoms are more severe. The girls have different ________ for this disease. a. autosomes b. genotypes c. alleles d. phenotypes correct answer: ...

At 16 weeks’ gestation, a pregnant client is admitted to the maternity unit to have a McDonald procedure (cerclage) done. She tells the RN who is admitting her to the unit that her physician had explained what this procedure was, but that she did not understand. The RN explains to the client that the purpose for this procedure is to: A. Reinforce an incompetent cervix B. Repair the amniotic sac C. Evaluate cephalopelvic disproportion D. Dilate the cervix Correct Answer: A (A) The trea...