patient bleeding with placenta previa - avoid vaginal exam
during nonstress test, FHR is 130 w/o accelerations - when to use an acoustic stim on abdomen
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mom is rubella non-immune positive for beta hemolytic strep blood is type O negative - give client rubella immunization after delivery
client with polyhydramnios - baby might have GI anomalies
adverse effect of mag sulfate - feeling of warmth throughout the body
low back pain during latent phase of labor - apply counter pressure to lower back during contractions
first trimester sign/symptom to report to provider - swelling of the face
first trimester sono teaching - will need a full bladder for exam
mag sulfate clients to report to provider - client that has absent deep tendon reflexes
medication for herpes simplex virus type two - Acyclovir
possible complications following amniocentesis - hemorrhage
how often to increase oxytocin IV during a normal labor - Increase rate every 30-60 minutes
client on oxytocin and late decelerations start - move client to lateral position
care for HIV client for baby - bathe baby before skin to skin contact
client had boggy uterus and BP of 142/92, what nursing actions? - withhold methylergnovine 0.2 mg orally (can raise BP)
what labs increase during pregnancy - RBC counts
a client that should be able to auscultate FHR - client that has felt quickening for first time
placenta previa s/s - painless vaginal bleeding
jaundice phototherapy actions before you begin - close newborns eyes under eye shields
adverse effect of combined oral contraceptives - depression
cytotec/misoprostol uses - ripening/softening/opening cervix
how to minimize pain during heel stick on newborns - place baby skin to skin on mother
Kleihauer-Betke test - used to detect fetal blood in maternal circulation (may indicate placenta abruption)
a cause of abruptio placenta - recent cocaine use
s/s of severe pre-eclampsia - blurred vision
causes for increase urinary output - gestational diabetes with hyperglycemia
amniocentesis complications - leakage of amniotic fluid / preterm labor
newborn signs of hypoglycemia - weak high-pitched cry lethargic tremors/jitteriness BG of 40 or less irregular respiratory effort seizures
hispanic cultural practices for clients postpartum - protect feet and head from cold air
pregnant client with seizure - turn head to side and admin o2
postpartum client with hypovolemic shock - massage fundus to expel clots and promote contractions
s/p c-section priorities - watch the amount of lochia, greatest risk is postpartum hemorrhage
nonstress test teachings - press the button each time fetal movement is detected
postpartum rubella immunization teachings - avoid getting pregnant for at least one month after immunization [Show Less]