Maternal hypovolemia - Study guides, Class notes & Summaries

HESI MATERNITY VERSION 1-3 EXAM RATED A+ When is an amniotomy indicated? - ANSWER>>(artificial rupture of membranes [AROM]) is used to stimulate labor when the condition of the cervix is favorable How often should maternal blood pressure be done during an amniotomy? - ANSWER>>Maternal BP should be assessed every 15 to 20 minutes during labor Why is maternal temperature important to monitor after an amniotomy? - ANSWER>>Maternal temperature is monitored hourly a...

What is the leading cause of maternal death in both developed and developing countries., accounting for about 25% of all maternal deaths worldwide? Postpartum Hemorrhage PPH is defined as: Cumulative blood loss greater than 1,000 mL with signs and symptoms of hypovolemia within 24 hours of the birth process. Morbidity from PPH can be severe when paired with: -Organ Failure -Shock -Edema -Thrombosis -Acute respiratory distress -Sepsis -Anemia -Intensive care admissions -Prolonged Hospitalizatio...

What does fetal monitoring tell us? Fetal oxygenation, acid-base status of the fetus, ability of the CNS to regulate FHR What is the best predictor of fetal health? Variability What conditions can affect the fetal oxygen supply? 1. Maternal HTN/Hypotension 2. Hypovolemia 3. Anemia 4. Damaged vasculature **Alterations in fetal circulation - 2 vessel cord or other congenital abnormalities What are potential consequences of Uterine Hypoxia/asphyxia? Cerebral palsy Epilepsy RDS (Resp distress sy...

ABG results - ANSWER-Oxygenation PCO2 35-45 SVO2 60-75 % PO2 80-100 Vt : 8-10mL kg HCO3 22-26 How do you open an airway? - ANSWER-Manual airway techniques come first Jaw thrust if C - spine + OPA- use - ANSWER-for unresponsive patients without a gag reflex NPA- use - ANSWER-for patients with decreased LOC , but not unresponsive Contraindicated in facial Fx OBSTETRIC ASSESSMENT - ANSWER-CO increased by 50 % OB assessment - ANSWER-Increased risk for PE Increased risk for shock U...

Maternal hemorrhage is defined as - cumulative blood loss greater than or equal to 1000 mL OR blood loss accompanied by signs or symptoms of hypovolemia within 24 hoursafter the birth process (regardless of route) Leading cause of maternal mortality - PPH (requiring transfusion) Secondary sequelae from PPH - ARDS, shock, DIC, acute renal failure, loss of fertility, and Sheehan syn Despite new definition blood loss greater than ____ after a vaginal delivery is abnormal - 500 mL First step:...

Ventilation correct answer: moving air in and out of the lungs Oxygen correct answer: getting oxygen into the blood Circulation correct answer: moving the blood through the body Perfusion correct answer: getting oxygen into the tissue 4 Life functions correct answer: Ventilation, oxygenation, circulation, perfusion Ventilation ( vital signs) correct answer: chest movement, breath sounds, vt, resp. rate PaCo2, ETCO2 Oxygenation ( vital signs) correct answer: color, sensor...

Hypoxemia Decreased oxygen in blood Hypoxia Not enough oxygen to supply organs Normal fetal PO2 15-25 mmhm What factors can change the maternal HR? Intrinsic pacemakers (SA & AV node) Cardiac conduction system Autonomic regulation... Sympathetic, parasympathetic Humoral factors (catecholamines) Extrinsic factors (medications) Local factors (Ca, K) What are the 3 most common causes of decrease cardiac output in the OB patient? Reduced preload (HypoTN) from -hypovolemia -compre...

Pharmacological Methods of Pain Relief Sherpath Exam Questions and Answers A patient has received fentanyl, and her respiratory status is rapidly declining. Which medication would the nurse anticipate administering to counteract the effects of this drug? Naloxone Naloxone counteracts opioid-induced respiratory depression. A woman is administered fentanyl during labor and is still experiencing significant pain. Which prescription from the health care provider would the nurse anticipate fo...

Hypoxemia - Decreased oxygen in blood Hypoxia - Not enough oxygen to supply organs Normal fetal PO2 - 15-25 mmhm What factors can change the maternal HR? - Intrinsic pacemakers (SA & AV node) Cardiac conduction system Autonomic regulation... Sympathetic, parasympathetic Humoral factors (catecholamines) Extrinsic factors (medications) Local factors (Ca, K) What are the 3 most common causes of decrease cardiac output in the OB patient? - Reduced preload (HypoTN) from -hypovolemia -comp...

RRT Exam Patient Assessment questions with correct answers Respiratory care orders consist of what 4 things> Answer 1) Type ofTreatment 2) Frequency 3) Medication dosage and route 4) Physician signature Patient progress notes consist of what 5 things? Answer 1) Respiratory notes 2) Nursing notes (check pt status) 3) Admission notes (admitting dr. and Dx) 4) Physician notes 5) Maternal Hx and neonatal data 4 types of patient lab reports? Answer 1) ABG analysis 2) Pumonary Fun...