MC midterm.txt

48 hours

General thinking

critical thinking

they have all the oocytes that will be available during her reproductive years

Immobile coccyx, history of pelvic fracture or rickets

an average of 50% of the offspring will have and display the dominant trait

identical twins; same sex, develop from a single fertilized ovum; two embryos with own amnion, but common chorion and placenta; if disc does not divide, conjoined twins may form

fraternal; develop from two separate ova fertilized by two separate sperm; two amnions, two chorions, two placentas; tend to repeat in families

1. Determine the first day of last normal period 2. Count backwards three months 3. Add 7 days

growing uterus displaces heart upwards and to the left; blood volume increases to about 45% more to add blood for placenta, needs of expanded maternal tissue, reserve for blood loss at birth; should place pillow under right hip to help relieve compression

Not green leafy vegetables, not olive oil, not fried food; two to three servings per week of fish, egg yolk, red meat, poultry

pelvic joints relax, waddling, instability, balance; DO NOT PICK BACK PAIN FOR ARCH

separate planning classes; denial until late in pregnancy; financial problems, relationship problems, low self esteem;

marginal-within 2-3 cm of cervical opening; partial-partially covers cervical opening; total-completely covers cervical opening; painless vaginal bleeding; risks are infection or hemorrhage; have woman lie on side or pillow under one hip; vitals every 15 minutes, blood loss, give O2; no vaginal exam unless baby is ready to come-will prepare for vaginal and c-section birth

ONLY ONE ANSWER-hypoglycemia, respiratory distress, injury caused by macrosomia (big baby); growth restriction because placenta functions poorly

microcephaly, mental retardation, congenital cataracts, deafness, cardiac defects, intrauterine growth restriction (IUGR); woman should not get pregnant for one month after immunization; not given during pregnancy since it�s a live virus

that occur more frequently than 2 minutes, last longer than 90 seconds, or have intervals shorter than 90 seconds---these may reduce fetal oxygen supply

thin

open

increment, peak, decrement

diamond shape

triangular shape

minus above ischial spine, 0 at ischial spine, plus below spine

have a pattern of increasingly frequency, duration and intensity; first child-woman goes when contractions have been regular every five minutes for 1 hour; more kids, 10 minutes apart for one hour

Contractions, if she thinks her membranes have ruptured, bleeding other than bloody show (blood+mucus); decreased fetal movement, any other concers

constant pattern and stairstep pattern

childbirth pain is part of normal birthing process, woman has several months to prepare, self-limiting and declines after birth

cause woman to feel vulnerable and seek shelter and help from others; motivates her to assume different body positions which can help descent of fetus

Check every 5 minutes after block is begun and after each reinjection until stable; record fetal heart rate-this and O2 can decrease in baby; full bladder may necessitate catheterization

maternal hypotension (counteracted by 500-1000 ml of Ringer�s solution is infused rapidly before block is begun) and urinary retention (palpate suprapubic area area for a full bladder at least every two hours)

Help with breathing and cold applications

1. Gloved hand pushes fetus upward and off the cord 2. Knee chest uses gravity to shift fetus off pelvis-thighs at right angles to bed with flat chest 3. Hips elevated with two pillows combined with trendelenburg�s position

Walk fingers from side to midline; if fundus is firm and at expected level, no massage is necessary

Massage until firm but do not overmassage and then empty bladder

DVT-dorsiflex the calf

1 week after beginning of menstrual period

these decrease effectiveness: some antibiotics (ampicillin, tetracycline), anticonvulsants, rifampin, barbiturates

induces ovulation; may be used with human chorionic gonadotropin (hCG); increases risk of multifetal gestations

Dairy, dark green leafy vegetables, soybean, wheat bread and calcium supplements

avoid caffeine (contribute to insomnia and perspiration), stress worsens hot flashes, stress exacerbates symptoms, hormone replacement, vit E, ginseng other herbs

loud noise will cause infant to symmetrically extend and abduct the arms and then adduct in a hug motion; thumb and index in �c�; one sided may mean fractured clavicle; absence pathological condition of CNS

head falls back when infant is lifted from bed

head turned to one side, arm and leg extended on same side, opposite arm and leg flexed

infant�s head turns in the direction of anything that touches the check

stroke the side of the foot; big toe dorsiflexes and toes will flare out

rate and character of respirations, cyanosis, and general behavior. Sternal retractions are reported immediately

infant loses about 5-10% of weight; 15% for preterm infants; regain birth weight by 10 days of age

swaddling with hand near the mouth, cuddling, rocking, nonnutritive suckling, quiet environment

morphine, fentanyl, topical anesthesia, oral sucrose

straining in the newborn period results from undeveloped abdominal musculature