Test 2 OB/GYN PDF

Test 2 OB/GYN Study online at https://quizlet.com/_ekltnu 1. what is dysmenorrhea? significantly painful menstruation 2. what is the treatment for dys- NSAIDs, oral contraceptive pills (reduce bleeding), heat menorrhea?...

Test 2 OB/GYN Study online at https://quizlet.com/_ekltnu 1. what is dysmenorrhea? significantly painful menstruation 2. what is the treatment for dys- NSAIDs, oral contraceptive pills (reduce bleeding), heat menorrhea? packs, rest, hydration 3. what is the third stage of labor? placental delivery 4. how long is the 3rd stage of la- 5-30 minutes bor? 5. how is placental separation indi- firmly contracting fundus, changing uterus from discoid to cated? globular shape, a gush of dark blood, lengthening of the cord 6. what nursing interventions are - instructing to push when separation is apparent given for placental delivery? - giving oxytocin as ordered - assisting the woman into a comfortable position - providing warmth - applying ice to the perineum if there is an episotomy - explain assessments to come - monitor mother's physical status - record birth statistics and document birth in birth book 7. when do you apply ice vs heat ice - immediately after birth for a laceration or episiotomy postpartum? heat - after 24 hours to help with pain 8. what comfort measures should - ice packs for 24 hours be taken after an episioto- - heat packs and sitz baths after 24 hours my/laceration? - betadine/warm water rinse peri care with each void/pad change - pain management - Tucks pads (Witch hazel), steroid hemorrhoid cream, benzocaine spray - pain meds - NSAIDs scheduled, positioning, opioids PRN 1 / 17  Test 2 OB/GYN Study online at https://quizlet.com/_ekltnu 9. what is the alpha-fetoprotein measures mother's blood to screen for a neural tube defect analysis? or chromosomal abnormality - high - suspect open neural tube defect - low - suspect trisomy 21 or 18 test at 16-18 weeks many false positives due to incorrect dating, multiple fetus- es, and incorrect drawing time 10. what is an amniocentesis? collection of amniotic fluid from client's uterus with help of ultrasound guidance (to not pierce the placenta or baby), diagnostic test that confirms chromosomal abnormalities and neural tube defects and metabolic defects - performed at 15-20 weeks for abnormalities - performed at 35 weeks to determine fetal lung maturity (if necessary) 11. pre-amniocentesis, what are explain the procedure and obtain informed consent, tell the the nursing actions? client to empty the bladder prior to the procedure to reduce its size and reduce the risk of inadvertent puncture, obtain vitals and FHR 12. during the amniocentesis, what put client into a supine position with a wedge under their are the nursing actions? right hip to displace the uterus off the vena cava and drape the client; if oligohydraminos is seen, the procedure will be canceled; cleans client's abdomen with antiseptic solution prior to administration of local anesthetic by the provider, sample collected by MD 13. after the amniocentesis, what monitor vitals, FHR, and uterine contractions for 30 mins, are the nursing actions? have client rest for 30 mins, evaluate if patient is Rh negative and if they need a Rhogam injection 14. 2 / 17  Test 2 OB/GYN Study online at https://quizlet.com/_ekltnu what are signs and symptoms of use and abuse of substances; negative affect - withdrawn, intimate partner violence? poor self esteem, feelings of failure, poor health, past history of PTSD, suicide attempts, depression; history of childhood abuse; low education achievement; miscarriage, placental abruption, still birth, injuries that don't match the clients story; young age; delayed prenatal treatment 15. what is the SAVE model? model of screening for domestic violence S - screen all your clients for violence A - ask direct questions in a nonjudgemental way V - validate the client by telling them you don't blame them for what happened and that you believe them E - evaluate, educate, and refer this client 16. what is the abuse assessment a 4 question test to assess for IPV; any yes is positive for screening? abuse 17. the primary goal of inter- d. empower them and improve their self-esteem to regain ventions when working with control of their lives abused women is to? a. set up an appointment with a mental health counselor for the victim b. convince them to set up a safety plan to use when they leave c. help them develop courage and financial support to leave their abusers d. empower them and improve their self esteem to regain con- trol of their lives 3 / 17  Test 2 OB/GYN Study online at https://quizlet.com/_ekltnu 18. what is gestational diabetes? glucose intolerance and insulin resistance with onset dur- ing pregnancy around 24 weeks 19. when is diabetes screened for in at the first prenatal visit for those who currently have dia- high risk pregnant patients? betes, those with a 1st degree relative that has diabetes, those that are obese, those that have PCOS, HTN, high risk race, or those that had a previous infant >9 lbs or congenital anomalies 20. when is diabetes screened for in 24-28 weeks pregnant patients with no risk factors? 21. what 2 hour blood glucose toler- greater than 120 ance test is abnormal for a preg- nant patient? 22. what do you need for diagnosis both an abnormal 2 hour AND 3 hour glucose tolerance test of gestational diabetes? 23. what fetal complications may be congenital anomalies, cardiac malformations, intrauterine seen in those with gestational growth restriction (IUGR), stillbirth, macrosomia, birth trau- or pregestational diabetes? ma, polyhydramnios, respiratory distress syndrome, hyper- bilirubinemia, neonatal hypoglycemia 24. what maternal complications hypotonic labor, shoulder dystocia, gestational hyperten- can be seen in those with ges- sion, ketoacidosis, preterm labor, urinary tract infections, tational or pregestational dia- difficult labor and c section, postpartum hemorrhage betes? 25. how should pregnant patients 3 small meals with 3 small snacks including a bedtime with diabetes or gestational di- snack; 40% of calories from complex carbs, 35% from pro- abetes eat? tein, and 25% from unsaturated fats 4 / 17  Test 2 OB/GYN Study online at https://quizlet.com/_ekltnu encourage exercise pt may need insulin or metformin 26. how can HIV be transmitted to a pregnancy, labor and delivery, and through breastfeeding fetus? 27. how can you deliver a baby if depends on your viral load you are HIV positive? 28. what should be avoided in labor - avoid instrumentation (episiotomy) for a patient that is HIV positive? - avoid internal monitoring (FSE and IUPC) - reduce fetal exposure to bodily fluids in labor - reduce time of rupture of membranes - do not use vacuum assisted delivery or forceps 29. what is the most common type iron deficiency anemia of anemia in pregnancy? 30. what are some risks of iron defi- preterm labor, low birth weight, perinatal mortality, post- ciency anemia during pregnan- partum depression, hemorrhage cy? 31. what are signs and symptoms of fatigue, malaise, anorexia, headaches, susceptibility to in- iron deficiency anemia? fection, pica, pale mucous membranes, tachycardia, restless leg syndrome, low hemoglobin