When a patient with GDM is feeling nauseated or ill, it is most important to assess
Adherence to insulin regimen
Patients with diabetes must still take insulin when sick because insulin needs increase during times of stress and illness<\/p>\n\n\n\n
Kaplan OB Final Exam<\/p>\n\n\n\n
What is the primary purpose of using a foley catheter after a hysterectomy?
Keeping the bladder decompressed
An expanded bladder may interfere with wound healing by pressing on the wound area<\/p>\n\n\n\n
Total vaginal hysterectomy
Removal of uterus and cervix through vagina<\/p>\n\n\n\n
Total abdomen hysterectomy and bilateral salpingo-oopherectomy definition
Removal of uterus, ovaries, and fallopian tubes through incision of the abdomen<\/p>\n\n\n\n
Total abdomen hysterectomy and bilateral salpingo-oopherectomy nursing care<\/p>\n\n\n\n
Hysterectomy complications<\/p>\n\n\n\n
Infertility: Medical Definition
Unable to conceive after 1 year of unprotected intercourse<\/p>\n\n\n\n
After a biopsy, the most important nursing action is to
Observe for bleeding!
Greatest risk= ligation of artery or vein
Also observe for:<\/p>\n\n\n\n
Nursing action when patient feels like bearing down, but not yet fully dilated
Encourage panting through pursed lips (prevents pushing)<\/p>\n\n\n\n
Norestrogel (progestin) contraceptive: report S\/S of<\/p>\n\n\n\n
Most fertile time of woman’s cycle
10-14 days after onset of the menstrual period<\/p>\n\n\n\n
Most important nursing action for newborn safety during phototherapy
Cover neonate’s eyes with protective patches<\/p>\n\n\n\n
Diet during lactation (vs. pregnancy)
More kcal, but same amount of protein, calcium, and fluids<\/p>\n\n\n\n
Placenta Previa
Placenta is abnormally placed near or over opening of cervix (aka lower uterine segment)<\/p>\n\n\n\n
Major indicator of placenta previa
Painless, frank bright red vaginal bleeding<\/p>\n\n\n\n
Placenta Previa Nursing Care
\u2663 Bed rest
\u2663 Ultrasound to locate placenta
\u2663 No vaginal\/rectal exams
\u2663 Amniocentesis for lung maturity
\u2663 Daily D&H
\u2663 2 units cross-matched blood available<\/p>\n\n\n\n
Palpate contractions using your\u2026
Fingertips; press gently<\/p>\n\n\n\n
Brachytherapy definition
Use of internal radiation at treatment site, usually a malignancy<\/p>\n\n\n\n
Purpose of inserting foley and administrating an enema prior to brachytherapy
Prevents displacement of the internal implant<\/p>\n\n\n\n
Moment of peace and increase in bloody show occurs at what stage of labor?
Beginning of second, right before birth of baby<\/p>\n\n\n\n
Most common characteristics of preterm infant<\/p>\n\n\n\n
Pre-eclampsia Dx Criteria: In patients with preeclampsia, ensure adequate intake of Pre-X patients: After C-section, priority to monitor for: _ &<\/em><\/strong> To help decrease pain during first stage of labor, first __<\/strong> In 2nd and 3rd trimesters, increase kcal by +__<\/em> Good sources of iron:<\/p>\n\n\n\n 3 positive signs of pregnancy GDM Diet: Purpose of fetal monitor Warning signs that pregnancy is in danger: Fibrocystic disease of breast (involves benign cysts): cyst characteristics<\/p>\n\n\n\n Avoid aspirin during Breast soreness during pregnancy<\/p>\n\n\n\n Discomforts of Pregnancy Cold stress S\/S: Gonorrhea Treatment Newborn narcotic withdrawal generally occurs Untreated gonorrhea can lead to maternal Gonorrhea complications in L&D process: Weight gain during pregnancy FIRST nursing action after normal vaginal delivery premenstrual syndrome recommendations to alleviate S\/S<\/p>\n\n\n\n Pre-op breast biopsy teaching: Spermicides: Male condoms: when applying, leave ___<\/em><\/strong><\/em><\/strong>; when removing, hold onto __<\/strong> Natural family planning failure rate Cervical mucus ovulation detection method (billings method): pre-ovulation & ovulation characteristics Formation of spinnkarkeit Contraception: estrogen-progestin combos MoA: inhibit __<\/em><\/strong> Hormonal contraception (combo type) common adverse effects Hormonal contraception contraindications When using hormonal contraception, report if any of the following occur:<\/p>\n\n\n\n Progestin (Norestrogel) MoA: Progestin Adverse Effects<\/p>\n\n\n\n Pregnancy Physical Changes: Respiratory Pregnancy Physical Changes: Cardivasular Pregnancy Physical Changes: GI Cystoscopy – correct answer\u2714\u2714 Used to examine bladder How will a newborn present with an infection? – correct answer\u2714\u2714 Respiratory distress, lethargy, Download the full exam pdf here https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n\n\n\n
+
<\/em> and\/or __<\/strong>
HTN (>140\/90)
+
proteinuria and\/or edema<\/p>\n\n\n\n
Protein (to restore osmotic pressure)<\/p>\n\n\n\n
1) Position?
2) Daily _ & Monitor _<\/em><\/strong>
3) Precautions?
1) Left lateral
2) Weight; I\/Os
3) Seizure precautions<\/p>\n\n\n\n
Hemorrhage & shock<\/p>\n\n\n\n
Coach in relaxation and breathing techniques<\/p>\n\n\n\n
+300<\/p>\n\n\n\n\n
1) Presence of fetal heartbeat
2) Palpation of fetal movement
3) Fetal skeleton on x-ray or sonogram<\/p>\n\n\n\n
1) Moderate intake of carbs & 2) Low intake of<\/strong> carbs &
3) High intake of<\/em><\/strong>
1) Moderate complex carbs & protein
2) Low simple carbs and fat
3) High fiber<\/p>\n\n\n\n
Determine if fetus is getting adequate O2<\/p>\n\n\n\n
o Leaking amniotic fluid, vaginal bleeding
o Severe headaches
o abdominal pain
o Persistent vomiting
o Fever\/chills
o Swelling of face\/fingers<\/p>\n\n\n\n\n
3rd trimester of pregnancy<\/p>\n\n\n\n\n
o Urinary freq
o Nausea and vomiting, Indigestion
o Constipation, increase bulk foods, fiber, and fluid intake; encourage regular exercise
o Hemorrhoids
o Edema of feet\/legs
o Breast tenderness
o Leg cramps, increase calcium intake, flex feet, and local heat<\/p>\n\n\n\n
1) Skin?
2)_ RR? 3) Respiratory and metabolic<\/strong><\/em><\/strong>
1) Mottling of skin
2) Increased respiration rate
3) Acidosis<\/p>\n\n\n\n
Ceftatrioxone IM + doxycycline PO 7 days\/month<\/p>\n\n\n\n
24-72 hours post-birth<\/p>\n\n\n\n
Infertility<\/p>\n\n\n\n
1) Preterm \/<\/em><\/strong> & Premature _ 2) Postpartum<\/em>
3) Neonatal & __<\/em><\/strong>
1) Premature labor\/birth & premature ROM
2) Endometriosis
3) Sepsis & conjunctivitis<\/p>\n\n\n\n
1) 1st trimester
2) 2nd trimester
3) 3rd trimester
1) 2-4 lbs.
2) 12-14 lbs.
3) 8-12 lbs.
Total: 22-30 lbs.<\/p>\n\n\n\n
Observe the flow of lochia!<\/p>\n\n\n\n\n
1) NPO by _ 2) Removal of
3) Tests that should have been completed
4) &<\/em><\/strong> prep
1) Midnight night before
2) Dentures, jewelry, and nail polish
3) All lab tests, CXR, and EKG
4) Skin & bowel prep<\/p>\n\n\n\n
1) Insertion time?
2) To increase effectiveness, use with __<\/strong>
1) must be inserted 30 min prior to sex
2) may be used with barrier methods to increase effectiveness<\/p>\n\n\n\n
leave space at end for ejaculate to collect; when removing, hold onto rim<\/p>\n\n\n\n
20-25%<\/p>\n\n\n\n
Amount of d\/c increases just before ovulation
\u2663 Pre-ovulation: cloudy, yellow or white, sticky
\u2663 Ovulation: clear, wet, slippery<\/p>\n\n\n\n
A stretchable thread of cervical mucus influenced by estrogen, indicates ovulation and the fertile time of a woman’s cycle<\/p>\n\n\n\n
Combos inhibit dominant follicle formation. does not have LH surge resulting in anovulatory menstrual cycles<\/p>\n\n\n\n
\u2663 N&V
\u2663 Increased susceptibility to vaginal infections
\u2663 VTE(venous thromboembolism)<\/p>\n\n\n\n
\u2663 HTN
\u2663 Thromboembolic disease
\u2663 History of circulatory disease
\u2663 Varicosities<\/p>\n\n\n\n\n
1) Causes cervical mucus to _ 2) Causes endometrial lining to be <\/strong><\/em><\/strong>
3) Slows<\/em>
4) Interferes with _<\/em><\/strong>
1) mucus thickens
2) endometrial lining unreceptive
3) Slows peristalsis in fallopian tubes
4) Interferes with LH surge<\/p>\n\n\n\n\n
o Breathing changes from abdominal to thoracic
o May have hyperventilation or SOB<\/p>\n\n\n\n
o Blood volume increases 45%
o Increased CO, pulse, and leukocyte production
o Vena cava syndrome may occur<\/p>\n\n\n\n
o N\/V during first trimester
o Delayed gastric emptying and peristalsis
o Heartburn and constipation<\/p>\n\n\n\n
Culdoscopy
Sedation?
Position for procedure and after?
Any side effects? – correct answer\u2714\u2714 Directly examines ovaries, fallopian tubes, uterus, and small
intestines
Local anesthetic and\/or light sedation
Knee-chest position
Severe shoulder pain
Positioned on her abdomen with a pillow underneath to expel air
Colposcopy – correct answer\u2714\u2714 Magnifies tissue
Observe tissue for color, shape, vasculature, and lesions
Laproscopy
Sedation? – correct answer\u2714\u2714 View pelvic cavity
General anesthesia
Maintain bladder depression with foley
Distend abdomen with CO2
How often are vital signs in the newborn? – correct answer\u2714\u2714 Initially q30min for 2 hours
Then q4hrs if stable
Then q8hrs if stable<\/p>\n\n\n\n
instability of temperature, and poor feeding. Not a temperature
How to infants loose heat? What are nursing interventions for each? – correct answer\u2714\u2714 Convection:
when cooler air flows over the infant and heat leaves the baby to the surrounding air. Eliminate drafts
Conduction: when a transfer of heat from one item to another through direct contact. Cover the surface
with a warm blanket or towel. Stethoscope warmed
Evaporation: when liquid is converted to vapor. Drying the baby after delivery or bath. Hat on head.
Radiation: heat is lost to an object that is cool without direct contact. Move away from cold windows or
outside walls.
When should a newborn void by? – correct answer\u2714\u2714 Within 48 hours after delivery, if not notify
practitioner if not by 24 hours
How often are formula fed babies fed? – correct answer\u2714\u2714 q 3-4 hours
When are heel stick screenings done in the newborn to screen for common diseases? Why is it done at
this time? – correct answer\u2714\u2714 24 hours of age
This allows the baby to feed and digest their feeding
What type of liquid is given to a formula fed newborn for the first feeding? Why? – correct answer\u2714\u2714
Sterile water, so if the infant aspirates, the liquid is sterile. Breast fed babies go straight to the breast
because colostrum is sterile since it is coming straight from the mother
How much should the mom drink while the baby is breastfeeding? – correct answer\u2714\u2714 8 oz of water
every time the baby drinks
What are the normal vital signs of the newborn? – correct answer\u2714\u2714 Temperature: typically axillary,
97.7-99.1 (if higher check environment)<\/p>\n\n\n\n