NUR 280 Maternity
- Gravida, Para
Pregnant, 36wks still birth, elective AB, twins@ 32wks both de- ceased
Answer
G4P02101 (high risk)
- Monoamniotic
Answer
same sack
- Having first baby
Answer
prime gravida
- Grand multip
Answer
at risk for post partum hemorrhage
- Measure fundal height
Answer
after 24wks measure from pubic symphysis to fundus, within 1 - 2 cm 1 / 3
- 12wks out of pelvis, no heart tones, WHY?
Answer
Miscarriage, missed AB (baby deceased), miscalculation of dates, 2 / 3 babies (smaller), retroverted uterus
- Do NON Stress test
Answer
reactive, baby is ok right now; nonreactive may need more info
- 20wks
Answer
fundus at umbilicus
- Visits
Answer
first trimester (12 -13wks), see a nurse before provider for education; 12wks every 4 weeks(20wks at umbilicus), then tape measure
10. 7-30
Answer
-3months +7days = (april has 30 days) add 1 months -30 = May 7
11. 2/4/14
Answer 2 / 3
-3 months +7 day= 11-11-14
- Monitoring
Answer
Veal chop Poof
Answer
Variable, Early deceleration (mirror the contrac- tions - important back to baseline at end of contraction), Accelerations, Late (possi- ble placental probs will need stress test) may result in c section
- Non stress test
Answer
accelerations, monitor strip with 2 accelerations of 15 beats by 15secs, 2 in 20 minutes baby is ok; if not need to wake baby up (give mom orange juice, cola, cookie) then continue non stress test up to an hour; looking for 2 accelerations in 20 minutes; 1st in 15, need to have 2nd at 35 minutes; given orange juice does not work - use fibroacoustic stimulation (laryngectomy buzzer - like trach voice) can stimulate dying baby
- If stress test non-reactive do ultrasound BPP Bio Physical Profile
Answer
first part is non stress then ultrasound looking at amniotic fluid, movement, muscle tone, breathing movements; score 0 or 2 for each, need 6 to continue but
will monitor within couple days to reassess; LESS than 6 will induce with Pitocin
- / 3