L/S |ratio. |What |is |normal? |- |correct |answer |-Lecithin-Sphingomyelin |are |protein
|components |of |lung |enzyme |surfactant |that |alveoli |begin |to |form |week |22-24. |Following
|amniocentesis, |L/S |ratio |can |be |performed |by |shake |test |(if |bubbles |form |in |amniotic |fluid,
|ratio |is |mature), |but |must |be |sent |to |lab |for |definite |analysis. |2:1 |is |considered |mature
Maternal |DM |can |cause |false |high |L |readings: |need |to |consider |this. |2.5/3:1 |ratio |may |be
|needed
Why |is |terbutaline |given? |Considerations |- |correct |answer |-Tocolytic: |Given |to |stop |labor.
|Used |for |preterm
Should |not |be |used |over |48-72 |hrs |due |to |risk |of |maternal |heart |problems |and |death.
|Requires |constant |assessment
what |is |the |best |feeding |option |for |HIV? |- |correct |answer |-Bottlefeeding. |Breastfeeding |may
|cause |transmission
Symptoms |of |magnesium |toxicity, |Magnesium |Sulfate |considerations |- |correct |answer |-Inc
|mag |levels
Dec |DTR
Dec |RR
Dec |LOC
Dec |UOP
Pulmonary |edema |and |chest |pain
Drug |of |choice |for |gestational |HTN |to |prevent |seizures. |Also |for |preterm |- |need |constant
|monitoring
Infuse |loading |dose |(4-6g) |slowly, |always |piggyback
RR, |UOP, |DTR, |clonus |every |hour
Levels |should |remain |below |7.5
, Monitor |for |calcium |deficit |in |mom, |CNS |dep/hypotonia |in |infant
Calcium |gluconate |given |for |overdose
Contraction |stress |test- |why |is |it |done |and |what |are |the |nurse's |responsibilities? |- |correct
|answer |-Nipple |stimulated: |brush |palm |on |nipple |for |2 |min, |stopping |when |contraction
|begins |(from |oxytocin) |Repeat |after |5 |min
Must |be |3 |w/in |10 |min |and |40-60 |seconds |to |be |accurate
>90 |seconds |and |>1/2 |min |= |hyperstimulation. |prevent |this
Oxytocin |stimulated: |can |be |difficult |to |stop |-> |preterm
Contra: |placenta |previa, |preterm, |multiple |gestations, |previous |classic |incision, |reduced
|cervical |competence
Obtain |baseline |data |for |10-20 |min, |observe |30 |min |after
Positive |CST |is |an |abnormal |finding |- |any |kind |of |decel
VBAC- |who |is |a |good |candidate |and |who |is |not? |- |correct |answer |-No |other |uterine |scars |or
|history |of |previous |rupture
One-two |previous |c |sections
Clinically |adequate |pelvis
No |containdications: |Large |newborn, |malpresentation, |cephalopelvic |disproportion,
|previous |vertical |uterine |incision
S/S |of |hypovolemia |due |to |blood |loss |i.e. |early |versus |late |signs |- |correct |answer |-First, |dec
|BP |and |inc |HR |- |maintain |volume
Then, |inc |RR |and |apprehension |as |changes |occur
Then, |cold/clammy |skin, |BP |continue |to |fall
Dec |renal, |uterine, |brain |perfusion |- |dec |UOP, |LOC, |CVP
Lethargy, |coma, |dec |UOP
Renal |Failure
Maternal |and |fetal |death
|components |of |lung |enzyme |surfactant |that |alveoli |begin |to |form |week |22-24. |Following
|amniocentesis, |L/S |ratio |can |be |performed |by |shake |test |(if |bubbles |form |in |amniotic |fluid,
|ratio |is |mature), |but |must |be |sent |to |lab |for |definite |analysis. |2:1 |is |considered |mature
Maternal |DM |can |cause |false |high |L |readings: |need |to |consider |this. |2.5/3:1 |ratio |may |be
|needed
Why |is |terbutaline |given? |Considerations |- |correct |answer |-Tocolytic: |Given |to |stop |labor.
|Used |for |preterm
Should |not |be |used |over |48-72 |hrs |due |to |risk |of |maternal |heart |problems |and |death.
|Requires |constant |assessment
what |is |the |best |feeding |option |for |HIV? |- |correct |answer |-Bottlefeeding. |Breastfeeding |may
|cause |transmission
Symptoms |of |magnesium |toxicity, |Magnesium |Sulfate |considerations |- |correct |answer |-Inc
|mag |levels
Dec |DTR
Dec |RR
Dec |LOC
Dec |UOP
Pulmonary |edema |and |chest |pain
Drug |of |choice |for |gestational |HTN |to |prevent |seizures. |Also |for |preterm |- |need |constant
|monitoring
Infuse |loading |dose |(4-6g) |slowly, |always |piggyback
RR, |UOP, |DTR, |clonus |every |hour
Levels |should |remain |below |7.5
, Monitor |for |calcium |deficit |in |mom, |CNS |dep/hypotonia |in |infant
Calcium |gluconate |given |for |overdose
Contraction |stress |test- |why |is |it |done |and |what |are |the |nurse's |responsibilities? |- |correct
|answer |-Nipple |stimulated: |brush |palm |on |nipple |for |2 |min, |stopping |when |contraction
|begins |(from |oxytocin) |Repeat |after |5 |min
Must |be |3 |w/in |10 |min |and |40-60 |seconds |to |be |accurate
>90 |seconds |and |>1/2 |min |= |hyperstimulation. |prevent |this
Oxytocin |stimulated: |can |be |difficult |to |stop |-> |preterm
Contra: |placenta |previa, |preterm, |multiple |gestations, |previous |classic |incision, |reduced
|cervical |competence
Obtain |baseline |data |for |10-20 |min, |observe |30 |min |after
Positive |CST |is |an |abnormal |finding |- |any |kind |of |decel
VBAC- |who |is |a |good |candidate |and |who |is |not? |- |correct |answer |-No |other |uterine |scars |or
|history |of |previous |rupture
One-two |previous |c |sections
Clinically |adequate |pelvis
No |containdications: |Large |newborn, |malpresentation, |cephalopelvic |disproportion,
|previous |vertical |uterine |incision
S/S |of |hypovolemia |due |to |blood |loss |i.e. |early |versus |late |signs |- |correct |answer |-First, |dec
|BP |and |inc |HR |- |maintain |volume
Then, |inc |RR |and |apprehension |as |changes |occur
Then, |cold/clammy |skin, |BP |continue |to |fall
Dec |renal, |uterine, |brain |perfusion |- |dec |UOP, |LOC, |CVP
Lethargy, |coma, |dec |UOP
Renal |Failure
Maternal |and |fetal |death
