OB-Maternity (Exam 1)

Presumptive Signs of Pregnancy - Answer- Amenorrhea, Nausea and Vomiting, Fatigue, Urinary Frequency, Breast and Skin Changes, Vaginal and cervical color changes, and Fetal Movement. Probable Signs of Pregnancy - Answer- Abdominal Enlargement, Cervical Softening, Uterine Changes, and Pregnancy Tests Positive Signs of Pregnancy - Answer- Auscultation of Fetal Heart Sounds, Fetal Movements felt by examiner, Visualization of Fetus. Leukocytes (WBC) during pregnancy... - Answer- 12,000 cells/mm3 to 15,000 cells/mm3 Leukocytes (WBC) during labor and early postpartum... - Answer- 25,000 cells/mm3 to 30,000 cells/mm3 Magnesium Sulfate - Answer- This depresses the CNS acting as an anticonvulsant by decreasing acetylcholine released by motor nerve impulses blocking neuromuscular transmission. This medication is used to prevent and control seizures in severe preeclampsia and helps to prevent uterine contractions during preterm labor. Also can cause respiratory depression. (4 to 6 grams) External Version - Answer- This is more common and promotes vaginal birth by changing the fetal presentation from a breech or transverse lie (shoulder) to a cephalic lie (head). This helps to avoid a cesarian birth. Internal Version - Answer- This is used to change the presentation of the second twin after birth of the first twin in hopes for a vaginal birth of second twin rather than a cesarian. Pitocin - Answer- Used for the induction of labor and control of postpartum bleeding. Stimulates the uterine smooth muscle producing uterine contractions and has vasoactive and antidiuretic effects. Also known as Oxytocin. Precautions for Pitocin administration... - Answer- Give this as a piggyback infusion so it may be stopped if complications occur, insert into primary line as close to the venipuncture site as possible, monitor FHR and patterns before administration to determine baseline and after, start medication slowly and increase gradually as regulated by an infusion pump. Actual Nursing Diagnoses... - Answer- Imbalanced Nutrition: Less than Body Requireme