100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NR327 Exam 1 Study Guides / NR 327 Exam 1 Study Guides (Latest update, ): Maternal-Child Nursing: Chamberlain College of Nursing $14.99   Add to cart

Other

NR327 Exam 1 Study Guides / NR 327 Exam 1 Study Guides (Latest update, ): Maternal-Child Nursing: Chamberlain College of Nursing

 1 view  0 purchase
  • Course
  • Institution

NR327 Exam 1 Study Guides / NR 327 Exam 1 Study Guides (Latest update, ): Maternal-Child Nursing: Chamberlain College of Nursing

Preview 3 out of 16  pages

  • August 22, 2023
  • 16
  • 2023/2024
  • Other
  • Unknown
avatar-seller
NR 327 Exam 1 Study Guide

Pitocin: Induces labor, augments labor, and controls bleeding after the placenta is delivered by

clamping down the uterus. Causes uterus contract.

Magnesium Sulfate: Stop seizures, given with pre-eclampsia. Relaxes smooth muscles of the

uterus. 4-6 g over 30 minutes. Could have cardiovascular collapse, no drive to breathe, listen to

breath sounds for pulmonary edema, Q 5 minutes until bolus is done, check for the next few

hours, monitor urine output.

Antidote for Magnesium Sulfate: Calcium gluconate; reverses magnesium sulfate actions

Ferrous sulfate: To correct or preventIron deficiency anemia. Take in the morning without

food. Vitamin C increases absorption of iron. Do not take with dairy products. Iron causes

constipation and dark stools.

Cytotec: To induce labor, augment labor, and to control bleeding after the placenta is delivered

by clamping down the uterus. Causes low level uterinecramping and causes cervical ripening;

shortens and softens cervix to allow it to open up.

Betamethasone: Corticosteroid used to treatcontractionsthat are causing changes in the cervix, for

of infection, or for preterm premature rupture of membranes (pPROM; < 37 weeks); delays labor.

Also used to promote fetal lung development in moms that are at risk for pre-term labor or birth;

helps with surfactant production.

Ephedrine: To prevent low blood pressure with a spinal anesthesia; to increase blood pressure

with hypotension. It is a vasopressor; constricts blood vessels. Can also be given for shock.

,Folic Acid: To prevent neural tube defects. Taken prior to pregnancy as well as during because

much of the organogenesis occurs before the missed menstrual period.

Standards of Care for OB:

Cultural/communication considerations in OB:

 Health beliefs

 Health maintenance during pregnancy

 Belief in fate

 Preventing Illness

 Restoring health

 Modesty

 Female genital cutting

 Communication: May look down, be silent, avoid eye contact, male speaks on behalf, no

male care givers, Hispanic and Native American woman reserved and quiet educate about

pain control.

Teaching and learning for OB:

Preconception care:Taking folic acid to prevent neural tube defects; spina bifida.

Oligohydramnios:Too little amniotic fluid, may need to do an amnioinfusion.Kidney function,

cord compression < 400 mL

Polyhydramnios:Too much amniotic fluid, may need to do an amniocentesis. Gestational

diabetes, tracheal esophageal fistula, Risk factors: Cord accident, cord prolapse, >2,000 mL

Placental implantation:Occurs between 6-10 days after conception.

, Twins:

 Monozygotic Twins (Identical Twins): The union of a single ovum and spermatozoon

that later divide into two. Twin to twin transfusions and cord accidents.

 Monoamniotic-Monochorionic: One sac and one placenta

 Monochorionic-Diamniotic: Two separate sacs and one placenta.

 Dizygotic twins (Fraternal/Non-identical twins):Fertilization of two different eggs with

two different sperms. During ovulation two mature eggs (ova) are expelled and are

fertilized by two different sperm.

 Diamniotic-Dichorionic: Two separate sacs and two fused placentas.

 Diamniotic-Dichorionic: Two separate sacs and two separate placentas.

Hormones of pregnancy:

 Estrogen:Causes increased vascularity of the mucous membranes of the upper

respiratory tract. As the capillaries become engorged, edema and hyperemia develop

within the nose, pharynx, larynx, and trachea. This congestion may cause nasal and sinus

stuffiness, epistaxis (nosebleed), and deepening of the voice. It also causes edema of the

eardrum and Eustachian tubes may result in a sense of fullness in the ears. Also bleeding

gums, ptyalism (excess production of saliva), and decreased bladder tone.

 Progesterone: Keeps uterus and blood vessels relaxed and accommodates increased

blood volume that increases cardiac output but not the BP. Allows the bladder to hold

more urine because it relaxes it and causes urine stasis. Keeps them gregnant.

 Human chorionic gonadotropin hormone (hCG): Elevations expected during

pregnancy. Increases the availability of glucose to the fetus. Prepares breasts for

lactation.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller LATESTSOLUTION. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

83637 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$14.99
  • (0)
  Add to cart