Maternal Child Nursing Final Exam Study Guide

Nagele's Rule - 1st day of last period + 7 days - 3 months Pregnancy weight gain - 25-35 lbs normal 28-45 lbs under 11-25 lbs over 11-15 lbs obese FHR - 110-160 bpm amniotic fluid - fluid within the amniotic sac that surrounds and protects the fetus Maintains temp Clear, no odor Contractions - Increment Peak/acme Decrement Interval supine hypotension - low blood pressure that occurs in a pregnant woman when she is lying on her back Inferior vena cava Turn pt on side or towel roll under back post partum discomforts and tx - After pains- cramps Breastfeeding could make worse Anti-inflammatory or heating pad Constipation, hemorrhoids LE DVT, edema PP Depression newborn respiratory distress syndrome - Hr-110-160 Rr-30-60 Low-rescue breathing, cpr Ss- nasal flaring, chest retraction placental abruption - premature separation of the placenta Risks- HTN, smoking, cocaine, trauma Manif- bleeding, abd/low back pain, tender uterus alcohol in pregnant women - Can restrict growth and cause anomaly's mastitis - Red, tender, warm, edema, drainage if abscess ATB, moist heat, shower, massage, pumping Thermoregulation - No bath for 12 hours Dry infant, hat, radiant warmer, swaddle Brown fat 97.7-98.6F Milia - small raised white spots on nose, chin, and forehead erythema toxicum - pink rash that appears suddenly anywhere on the body of a term newborn during the first 3 weeks. Yellow white papules. 2 days old Mongolian spots - areas of deep bluish-gray pigmentation most commonly on the sacral aspect of a newborn Moro reflex - Reflex in which a newborn strectches out the arms and legs and cries in response to a loud noise or an abrupt change in the environment tonic neck reflex - turning the head to one side, extending the arm and leg on that side, and flexing the limbs on the opposite side Palmar - Grasping object Babinski reflex - in response to the sole of the foot being stroked, a baby's big toe moves upward or toward the top surface of the foot and the other toes fan out First trimester discomfort - N/v- avoid empty stomach, toast/crackers, small frequent meals, b6 Breast- supportive bra, avoid soap to nipples Urinary frequency- increase fluid day and decrease at night Leukorrhea- cotton, clean and dry, shower, avoid tight clothes