amniocentesis
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, usually done at 15-18 weeks for genetic analysis
- can detect NTD and chromosomal anomalies
- 2nd and 3rd trimester to assess fetal lung maturity (L/S ratio)
- less risk than CVS
- results take longer
- lower rate of spontaneous abortion
what is lightening / engagement
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happens two weeks before labor
- its the uterus dropping and engaging in pelvis
what is nitrous oxide in labor?
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- a pain reliver that the mom can inhale and have a bed side to dose herself
- used more on west coast and globally
- becoming more common today
how does one assess nutrition?
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- interview: ask about appetite, eating habits, cultural preferences etc
- physical assessment : weight and weight gain, signs of nutritional
, deficency
- lab tests: hemoglobin, hematocrit
how does the basal temp change for a women during their cycle?
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taken before arising from bed
- temp will dip 0.4 degrees and spike 0.5-1.0 F until menses
- dip in temp signifies ovulation will occur within next 24 hours
what kind of breathing should be present in stage one of labor?
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latent phase:
- slow paced breathing
- modified pace breathing: a shallower faster breathing used for the peak
of contraction
active phase:
- patterned pace breathing (hee hee hoo)
transition:
- pant blow
to control the urge to push, short puffs used repeatedly when urge is
strong
nursing care for stage 4 of labor
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, - gently cleanse perineal area
- placed crushed ice or cold peripack on perineum after repair if laceration
has occured
- perform fundal massage
- provide uterine stimulants (drugs that cause uterus to contract)
- encourage attachment
- prevent hemorrhage
- assess bladder for distention (one of the most common reason for uterine
atony or hemorrhage )
- assessments should include maternal VS, fundal assessment, lochia
assessment (bleeding that occurs) for q 15x1hr, q hour x 4 hours, q shift
- maintain bed rest for 1-2 hours if epidoral
what is the importance of a well flexed head?
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to decrease biparietal diameter
what are examples of regional anesthesia?
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- epidural block
- intracathecal analgesia
- subarachnoid (spinal)
how does the respiratpry system change with pregnancy?
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Give this one a try later!
, usually done at 15-18 weeks for genetic analysis
- can detect NTD and chromosomal anomalies
- 2nd and 3rd trimester to assess fetal lung maturity (L/S ratio)
- less risk than CVS
- results take longer
- lower rate of spontaneous abortion
what is lightening / engagement
Give this one a try later!
happens two weeks before labor
- its the uterus dropping and engaging in pelvis
what is nitrous oxide in labor?
Give this one a try later!
- a pain reliver that the mom can inhale and have a bed side to dose herself
- used more on west coast and globally
- becoming more common today
how does one assess nutrition?
Give this one a try later!
- interview: ask about appetite, eating habits, cultural preferences etc
- physical assessment : weight and weight gain, signs of nutritional
, deficency
- lab tests: hemoglobin, hematocrit
how does the basal temp change for a women during their cycle?
Give this one a try later!
taken before arising from bed
- temp will dip 0.4 degrees and spike 0.5-1.0 F until menses
- dip in temp signifies ovulation will occur within next 24 hours
what kind of breathing should be present in stage one of labor?
Give this one a try later!
latent phase:
- slow paced breathing
- modified pace breathing: a shallower faster breathing used for the peak
of contraction
active phase:
- patterned pace breathing (hee hee hoo)
transition:
- pant blow
to control the urge to push, short puffs used repeatedly when urge is
strong
nursing care for stage 4 of labor
Give this one a try later!
, - gently cleanse perineal area
- placed crushed ice or cold peripack on perineum after repair if laceration
has occured
- perform fundal massage
- provide uterine stimulants (drugs that cause uterus to contract)
- encourage attachment
- prevent hemorrhage
- assess bladder for distention (one of the most common reason for uterine
atony or hemorrhage )
- assessments should include maternal VS, fundal assessment, lochia
assessment (bleeding that occurs) for q 15x1hr, q hour x 4 hours, q shift
- maintain bed rest for 1-2 hours if epidoral
what is the importance of a well flexed head?
Give this one a try later!
to decrease biparietal diameter
what are examples of regional anesthesia?
Give this one a try later!
- epidural block
- intracathecal analgesia
- subarachnoid (spinal)
how does the respiratpry system change with pregnancy?
Give this one a try later!
