LVN Maternity

Presumptive pregnancy signs

Amenorrhea

Nausea and Vomiting

Tenderness/tingling in breasts

Pigmentation changes

Urinary frequency

Fatigue/drowsiness

Quickening

Probable pregnancy signs

Goodell's sign (softening of cervix)

Chadwick's sign (purplish/bluish discoloration of cervix)

Hegar's sign (softening of lower urine segment)

McDonald's sign

Abdominal/uterine enlargement

Braxton Hick's contractions

Ballottement (displacement of fetal part by light tap)

Stretch marks

PG tests

Positive Signs of pregnancy

Fetal heart rate

Fetal movement

Fetal visualization

Fetal heart rate at term

Normal: 110-160

Glucose screening happens when?

24-28 weeks gestation

Diagnosis of gestational diabetes?

A result of 135mg/dl or higher (fasting)

How much weight should a normal woman gain during pregnancy?

4.4 lbs during the first trimester; 1 lb a week until delivery

How much of an increase of caloric intake should a pregnant woman have?

300 kcal/daily

What are the four essential nutrients during pregnancy?

Folic acid, protein, iron and calcium

Why is protein recommended? How much?

Required for metabolism, to support growth and repair of maternal tissues.

60g/day

Why is calcium required? How much?

Pregnancy and lactation increase the need of calcium by 50%.

1200mg/day

You should take calcium supplements with iron.

False.

What is the best way to increase absorption of iron? How much iron is recommended for the pregnant female?

Take iron with vitamin C.

30mg/day

What can an excess of more than 3000 mcg/day of Vitamin A cause in pregnancy?

Can cause fetal craniofacial abnormalities, and cardiac defects.

Where is the best place to give vaccines in children ages 0-5 years old?

Vastis Lateral

How do you apply ear drops in children 2 years old and younger?

Pull the ear down and back

When is the Group B Strep test taken?

35-37 weeks gestation

When is the best time for an amniocentesis?

16-20 weeks gestation

What does folic acid prevent?

Nural tube defects

What is cerclage?

Stitches used to close the cervix to prevent spontaneous abortions or premature birth

When does an Rh negative mother receive her first Rhogam injection?

28 weeks

A Rhogam injection protects mom for other pregnancies once it has been received.

True

If the baby is Rh negative does the Rh negative mom need another shot post delivery?

No, only if the baby is Rh positive.

Short, quick breaths can distract the mother from pushing.

True

Why is magnesium sulfate used during labor?

It is used in Eclamptic and preeclamptic mothers to prevent convulsions/seizures.

What is the risk for hydramnios?

Cord Prolapse

What positions can you place a mother in who is experiencing cord prolapse to stop compression of the fetus?

Knees to chest (Trendelenburg)

Side laying position with the hips elevated on pillows

Why is Terbutaline administered?

To help prevent contractions

What is effleurage?

When a laboring woman massages her stomach in a circular motion during contractions.

What should a woman do if she feels the urge to push before full dilation?

She should blow in short breaths to avoid bearing down.

How are contractions timed?

From the beginning of one contraction to the beginning of the next.

What is a cleansing breath and what does it accomplish?

A deep inspiration and expiration. It helps the woman relax and focus.