NURS 2513 MATERNAL CHILD FINAL UPLOAD EXAM 2025

NURS 2513 MATERNAL CHILD FINAL UPLOAD EXAM 2025 Nagele's Rule - -1st day of last period + 7 days - 3 months Pregnancy weight gain - -25-35 lbs normal 28-45 lbs under 11-25 lbs over 11-15 lbs obese FHR - -110-160 bpm Amniotic fluid - -fluid within the amniotic sac that surrounds and protects the fetus Maintains temp Clear, no odor Contractions - -Increment Peak/acme Decrement Interval Supine hypotension - -low blood pressure that occurs in a pregnant woman when she is lying on her back Inferior vena cava Turn pt on side or towel roll under back Post partum discomforts and tx - -After pains- cramps Breastfeeding could make worse Anti-inflammatory or heating pad Constipation, hemorrhoids LE DVT, edema PP Depression Newborn respiratory distress syndrome - -Hr-110-160 Rr-30-60 Low-rescue breathing, cpr Ss- nasal flaring, chest retraction Placental abruption - -premature separation of the placenta Risks- HTN, smoking, cocaine, trauma Manif- bleeding, abd/low back pain, tender uterus Alcohol in pregnant women - -Can restrict growth and cause anomaly's NURS 2513 NURS 2513 Mastitis - -Red, tender, warm, edema, drainage if abscess ATB, moist heat, shower, massage, pumping Thermoregulation - -No bath for 12 hours Dry infant, hat, radiant warmer, swaddle Brown fat 97.7-98.6F Milia - -small raised white spots on nose, chin, and forehead Erythema toxicum - -pink rash that appears suddenly anywhere on the body of a term newborn during the first 3 weeks. Yellow white papules. 2 days old Mongolian spots - -areas of deep bluish-gray pigmentation most commonly on the sacral aspect of a newborn Moro reflex - -Reflex in which a newborn strectches out the arms and legs and cries in response to a loud noise or an abrupt change in the environment Tonic neck reflex - -turning the head to one side, extending the arm and leg on that side, and flexing the limbs on the opposite side Palmar - -Grasping object Babinski reflex - -in response to the sole of the foot being stroked, a baby's big toe moves upward or toward the top surface of the foot and the other toes fan out First trimester discomfort - -N/v- avoid empty stomach, toast/crackers, small frequent meals, b6 Breast- supportive bra, avoid soap to nipples Urinary frequency- increase fluid day and decrease at night Leukorrhea- cotton, clean and dry, shower, avoid tight clothes Second and Third Trimester Discomforts - -Heartburn- avoid greasy, spicey food and overeating, sit up 30 minutes after Constipation- no enema, exercise, fluids Back ache- correct posture, squat don't bend, tailor sitting Leg cramps- dorsiflex foot and straighten leg Varicose veins- avoid lengthy standing, restrictive clothing and bearing during bm, do use ted hose, walk and elevate legs Bladder distention - -May not notice from anesthetic, trauma or loss of fetal pressure Affects fundal height Cath if cannot empty bladder on own NURS 2513 NURS 2513 Travel - -Airplane up to 36 weeks Risk of embolism TORCH infections - -Toxoplasmosis, Rubella, CMV, Herpes Placental Functions - -fetal respiration, nutrition, and excretion Gynecoid - -physically resembling the female Favorable for birth Android pelvis - -the typical male pelvis; in the woman, the heart shape of the android pelvis is not favorable to a vaginal delivery Anthropoid pelvis - -oval shaped, with a wider anteroposterior diameter Usually vaginal delivery Platypelloid pelvis - -pelvis that is flat in its dimensions with a very narrow anterior posterior diameter and a wide transverse diameter; this shape makes it extremely difficult for the fetus to pass through the bony pelvis Quickening - -the first movement of the fetus in the uterus that can be felt by the mother 16-20 weeks Presumptive signs of pregnancy - -Definite diagnoses cannot be made Probable signs of pregnancy - -Strong evidence but could be other things Positive signs of pregnancy - -Definitely pregnant Placenta previa - -the abnormal implantation of the placenta in the lower portion of the uterus Pelvic/ perineal hematoma - -Collection of blood within tissues Bulging purple mass, may not be seen in vagina Severe unrelenting pain Pressure in vulva, pelvis and rectum May develop signs of concealed blood loss Hr rr rise and bp fall Preeclampsia - -abnormal condition associated with pregnancy, marked by high blood pressure, proteinuria, edema, and headache Eclampsia - -true toxemia of pregnancy characterized by high blood pressure, albuminuria, edema of the legs and feet, severe headaches, dizziness, convulsions, and coma NURS 2513 GER - -Coughing Wheezing Resolves in 6-12 months Croup - -acute viral infection of infants and children with obstruction of the larynx, accompanied by barking cou