Fetal hgb - Study guides, Class notes & Summaries

ATI RN Maternal Newborn Online Practice B with NGN A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider? A. Hct 39% B. Serum albumin 4.5 g/dL C. WBC 9,000/mm3 D. Platelets 50,000/mm3 - Answer D. Platelets 50,000/mm3 A platelet count of 50,000/mm3 is below the expected reference range, which can indicate disseminated intravascular coagulation. The nurse sho...

Contraceptive use a water soluble lubricant should be used with condoms Oral contraceptive danger indications Shortness of breath can indicate pulmonary embolism or myocardial infarction IUD (intrauterine device) Check for presence of IUD strings following each menstruation to ensure the device is still present. A change in the length of the strings should be reported to the provider Implantable progestins adverse effects Irregular vaginal bleeding weight gain breast changes medroxypro...

Adult Hematopoiesis - Answer-Skull, sternum, pelvis, ribs and vertebrae. Flat bones: active adult hemopoietic tissue (colony forming units in red marrow) Prenatal hematopoiesis - Answer-Begins in the yolk sac, then fetal liver, and then bone marrow at birth Hemoglobin - Answer-An iron-containing protein in red blood cells that reversibly binds oxygen. - Must have iron and protoporphyrin Transferrin - Answer-iron transport protein Ferritin - Answer-Major Fe Storage form Hemosiderin - Answ...

All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - ANSWER-III first time audible, IV first time thrill Fundal height 12 weeks - ANSWER-Fundal Height 12 weeks above symphysis pubis. EXAM Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20 weeks is at umbilicus. 2 cm more of less from # of wk gestation is normal if more or less order US 3 month old infant with down...

Shift to Left Hgb-O2 Dissociation - O2 not released to tissue adequately - Decreased CO2 - Increased pH - HbF (High affinity Hb) - Multiple transfusions (Decreased 2,3-DPG) Prenatal hematopoiesis - Begins in the yolk sac, then fetal liver, and then bone marrow at birth Hemoglobin - An iron-containing protein in red blood cells that reversibly binds oxygen. - Must have iron and protoporphyrin Transferrin - iron transport protein Ferritin - Major Fe Storage form Hemosiderin - H2O insolub...

Anemia can contribute to: coronary ischemia Composition of blood 5.5L total. 50-55% = plasma; 90% water Erythropoesis is stimulated by... erythropoetin Hemoglobin A the majority of adult hemoglobin. 97% of circulating hemoglobin. 2 alpha and 2 beta chains. HbA2 minor adult hemoglobin. 2-3% of circulating hemoglobin. 2 alpha and 2 delta chains. Hemoglobin F Fetal hemoglobin. 2 alpha and 2 gamma chains. Has a greater affinity for and more regularly binds O2...

Hematopoiesis -Answer- Process of blood cell production in adult bone marrow or the liver and/or spleen of the fetus Two stages ▪ Mitosis (proliferation) ▪ Maturation (differentiation) Primary site of hematopoietic stem cells -Answer- Bone marrow ("myeloid tissue") Difference between red and yellow bone marrow -Answer- Red marrow produces RBCs, yellow marrow does not produce RBCs Active bone marrow sites -Answer- pelvic bones vertebrae cranium mandible sternum ribs h...

ATI PN PHARMACOLOGY PROCTORED EXAM A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take? 1. Administer the medication into the client's abdomen. 2. Inject the medication into a muscle. 3. Massage the site after administering the medication. 4. Use a 22-gauge needle to administer the medication. A nurse is providing teaching to a client who has a urinary tract infection and new ...

AWHONN Fetal Heart monitoring basics a) Frequency b) Duration Which contraction characteristics can be assessed with a tocodynamometer? a) Frequency b) Duration c) Intensity Uterus All Fetuses of mothers in labor experience an interruption of the oxygenation pathway at which point? a) Throughout labor and delivery unless the use of a more accurate method is clearly indicated The FHR can be monitored using doppler ultrasound? a) Throughout labor and delivery unless the use of a mor...

Latent Phase of Labor - Answer Onset of labor until cervical dilation reaches 4-6 m Long arc rotation - Answer Most commonly performed by babies beginning labor in LOP presentation FHR Variability: controlling system - Answer Parasympathetic/sympathetic nervous system Pudendal Anesthesia Administration - Answer Ideal timing to administer in multip women is at 8-9cm, just before complete dilation, to cover birth and repair Sudden fetal bradycardia in 2nd stage - Answer commonly caused...