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Chronic hypertension
2. We are looking at shock (blood pressure is low)
EX: 81/90
Blood volume is decreasing, we want to increase the blood volume
Heart rate is decreasing
We want to give normal saline or LR to bring back the blood pressure of the patient
3. If you have an incomplete abortion, what is that definition telling you
Part of the fetus is still inside
4. Hyperemesis Gravidarum
Nausea and vomiting during pregnancy
Make sure you replace the electrolytes and monitor it
Nursing intervention for patients with hyperemesis
You need to FEED the patient
No strong odor food, dry (dietician needs to be involved)
Take fluids between meals
Frequently small amounts of food
5. If you have a mother with placenta previa
Abnormal implantation of the placenta
Hemorrhage can be a problem
Patient should be at bedrest
Vaginal examinations are not performed
6. Labor induction
An amniohook is used to rupture the membrane (break the water)
7. 100% effaced, dilated with 5 centimeters, head is engaged, what stage are they
Active stage of the 1st stage
8. Assess the position of the baby, what do you use to look at that?
Ultrasound
9. If the patient is having contractions, (contractions are 3-5 minutes apart) this is the time that you will include the birthing
plane, and completing the latent stage of labor
Nurse will teach the woman if you have those contractions true labor: increasingly steadily 3-5 and will keep
growing
Contractions are regular intervals
Pain usually begins in the lower back, radiating to the abdomen
10. Spontaneous bleeding, as a nurse what is your priority?
Checking the mother and the baby
Assess the fetal heart rate
11. Active phase of labor
Monitor the mother and the baby
You have to remember if your patient is 28 weeks, you expect to administer
RhoGAM is for the mother who is negative and the baby is positive
Lungs will not be developed at 28 wees, give steroids
Beamethasone, Dexamethasone for immature lungs
12. Epidermal anesthesia
Assess blood pressure
13. Emergency C-section
Heart can drop, bradycardia
14. Transducer for the belly, what do you look for?
Handheld device that sends and receives ultrasound signals
FHR and contractions
15. General anesthesia can drop the blood pressure of the mother
Hydrate
Folactives
Pre-oxygenate
Antacids
16. Ephedrine
It can treat low blood pressure caused by other medications. It can also improve breathing
Anitroph pressers: helps increase blood pressure
17. Lungs of the baby is not mature, what medication will you give and why?
Want to give one betamethasone
18. Assessing post-partum depression?
Are you suicidal?
19. Expected any injury, you need to ask/interview the patient if there is any injuries
Assess the skin of bruising
20. Any procedure done for the patient, you need to get some consent from the mother
21. Magnesium sulfate
Which medication will you administer
Anticonvulsant in severe preeclampsia or eclampsia
A drug of choice for diabetic women who experience preterm labor
22. Know the third stage of labor, what are you going to assess?
Is the period time from the birth of the infant and ends w/delivery of the placenta. Takes 5-10 min, and may take
up to 30 mins.
The uterus should be firmly contract
Uterus become globelike and rises upward
Umbilical cord descends further
Gush of blood as placenta detaches
Focus on infant well being
Crying common. Expression of relief.
Culturally influenced
23. 3 extra credit – dosage calculation