Maternal Newborn Exam 1 2023

Maternal Newborn Exam 1 2023 What immunization can you NOT have during pregnancy? - Answer-Rubella (live virus) How many extra calories does a mom need if she has a normal-weight BMI? - Answerabout 300 calories (a bagel) What is a psychosocial assessment? - Answer-history of emotional or physical abuse history of emotional problems Support systems acceptance of pregnancy, plans for care feeding preference for baby How long are trimesters? - Answer-13 weeks what is nagele's Rule? - Answer-First day of last menstrual period- 3 months + 7 days= EDD antepartum is considered when? - Answer-conception to labor Intraparum is considered when? - Answer-active labor until 2 hrs after baby is born Postpartum is considered when? - Answer-2 hrs after baby is born to 6 weeks How often should prenatal visits be scheduled for a mom from conception to 28weeks? - Answer-Every 4 weeks How often should a prenatal visit be scheduled for a mom thats 29-36 weeks? - Answerevery 2-3 weeks How often should a mom have a prenatal visit between 37 weeks to birth? - AnswerEvery week Nulligravida - Answer-never been pregnant primigravida - Answer-woman who is pregnant for the first time multigravida - Answer-woman who is pregnant for at least the 2nd time para - Answer-given birth to one or more children who are passed age of "viability" which is 20 weeks (twins count as 1) abortion - Answer-termination of pregnancy before viability of 20 weeks; induced or spontaneous term - Answer-37 weeks or greater (para) Preterm - Answer-20-36.6 weeks (para) GTPAL(M) - Answer-Gravida Term Preterm Abortions Living Multiple what are some danger signs of pregnancy? - Answer-gush of fluid from vagina vaginal bleeding abdominal pain fever over 100.4 blurred vision, dizziness, spots before eyes persistent vomiting pre-tibial edema muscular convulsions RUQ pain (liver) un-relievable headaches oliguria/dysuria decrease/absence of fetal movement umbilical cord contains which vessels and how many? - Answer-one vein and two arteries (always 3 vessels) the umbilical arteries carry which kind of blood? - Answer-deoxygenated blood What type of blood does the umbilical vein carry? - Answer-oxygenated blood what is the normal length of the umbilical cord? - Answer-55cm What is the substance that protects the umbilical cord? - Answer-wharton's jelly, protects from compression or breakage How does the fetus breath in uteuro? - Answer-placenta supplies oxygen and allows fetus to excrete CO2 into the maternal blood stream. What are the three fetal shunts? - Answer-foramen ovale ductus venosus ductus arteriosus how do these shunts work? - Answer-Fetal circulation. Blood leaves the placenta and enters the fetus through the umbilical vein. After circulating through the fetus, the blood returns to the placenta through the umbilical arteries. The ductus venosus, the foramen ovale, and the ductus arteriosus allow the blood to bypass the fetal liver and lungs Fetal hemoglobin and oxygen compared to mother? - Answer-fetal hemoglobin carries 20-30% more oxygen, 50% more hemoglobin, and higher CO per weight how old does a fetus have to be to be called a "fetus"? - Answer-9 weeks what is amennorhea? - Answer-absence of blood quickening - Answer-first awareness of fetal movement= 18weeks what are presumptive signs of pregnancy? - Answer-subjective data, what the mom tells us What are probable signs of pregnancy - Answer-physiological and anatomical changes that can be perceived by the health care provider... (objective data) linea nigra - Answer-line up mideline of stomach due to collagen overgrowth what are positive signs of pregnancy? - Answer-auscultation of fetal heartbeat fetal movement observed/palpated by examiner visualization of the fetus on ultrasound (objective data that only relates to fetus) Physiologic changes in the reproductive system of the mom - Answer-increased estrogen and progesterone 20x enlargement of uterus Expanded circulatory volume Acid pH of vagina what can a UTI cause in a pregnant mom? - Answer-preterm labor What does progesterone due for circulation? - Answer-vasodilation to fetal circulation, relaxes everything what is a nullipara cervix? - Answer-not had baby yet, round. multipara cevix - Answer-had baby 20 weeks or older, elongated what is mcdonalds rule? - Answer-the fundus to symphysis distance in cm is equal to the week of gestation between the 20-31st week of pregnancy (probable sign=fundal height measurement) what is the top of the uterus called? - Answer-fundus when is the placenta fully developed to take over baby's hormones and such? - Answer21 weeks What does hCG do? - Answer-caused by increase of estrogen and progesterone. stops sperm from fertilizing another egg hormone tested in pregnancy tests goes away after placenta development where would you expect the top of the fundus to be located at 20 weeks? - Answerumbilicus supine hyptension - Answer-aka vena cava syndrome weight of uterus compresses vena cava, decreasing blood return to mom. Happens when they lay flat on back pseudoanemia - Answer-fluid part of blood increases more than RBC component and gives hemodilution. palpatations - Answer-increases in thoracic pressure w/ sudden movement why do pregnant women waddle? - ... Continues...