Ace Your Essentials of Maternity, Newborn, and Women's Health Nursing, 4th Ed., Ricci, 2016 Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Registered Nurse (RN) Students

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Essentials of Maternity, Newborn, and Women's Health Nursing, 4th Ed., Ricci, 2016 | Registered Nurse (RN) School Study Aid

Seizure Interventions

Maintain Airway

Side-lying Position

Support Head

Move to Floor

Benzodiazepines

Never Restrain

No Objects in Mouth

Document Details

2 mins

Seizure Precautions

Reduce Environmental Stimuli

Identify Triggers

Aura

Pad Side Rails

Bed Lowest Position

Oxygen and Suction Available

Monitor Therapeutic Drug Levels

2 mins

Liver Enzyme Tests: AST and ALT

AST/ALT Ratio

AST: 8-20 U/L

ALT: 8-20 U/L

1 min

RhoGam [Rho(D) Immune Globulin]

Antepartum Prevention at 28 weeks

Suppress Antibody Production

Lysis of Fetal RBC in Maternal Bloodstream

Myalgia and Lethargy

Negative Coombs Test

Standard Dose 300 mcg

Microdose 50 mcg

Blood Product

2 mins

Promethazine (Phenergan)

Histamine H1 Receptor Antagonist

Weak Dopamine Antagonist

Nausea and Vomiting

Motion Sickness

Respiratory Depression

Sedation

Anticholinergic Effects

Extrapyramidal Symptoms

Use Large Bore IV

Monitor for Tissue Necrosis

2 mins

Dinoprostone and Misoprostol

Prostaglandins

Promote Cervical Ripening

Prevent GI Ulcers

Medical Abortion

Fetal Distress

Hyperstimulation of Uterus

Vaginal Insertion

Give Before Induction of Labor

2 mins

Ectopic Pregnancy

Lower Abdominal Pain

Delayed Menses

Abnormal Vaginal Bleeding

Shock

Referred Shoulder Pain

Cullen Sign

Methotrexate

Surgery

RhoGAM

2 mins

Incompetent Cervix

Premature Cervical Dilation

Recurring Miscarriage

Short Cervix

Cervical Cerclage

Rest

Labor

1 min

Placental Implantation Abnormalities

Placenta Adheres Directly to Myometrium

Placenta Accreta

Placenta Increta

Placenta Percreta

Caused by Scar Tissue

Hemorrhage

Ultrasound is First-line, then MRI

C-section Delivery

Artery Ligation or Embolization

2 mins

Placenta Previa

Placenta Covers Cervical Os

Painless

Bright Red Vaginal Bleeding

Stable Fetus

Bed Rest

Observation

Unstable Fetus

C-section Delivery

Risk for Shock

Magnesium Sulfate

Tocolysis

3 mins

Abruptio Placentae

Premature Separation of Placenta

Tearing Pain

Bleeding (Often Concealed)

Rigid Uterus

Contractions

Corticosteroids as Needed

Emergent Delivery

Increased Risks for Neonate

Rh (Rhesus) Incompatibilities

Increased Risk for Shock

Monitor Fetal Heart Rate

3 mins

Disseminated Intravascular Coagulation (DIC) Assessment

Improper Initiation of Clotting Cascade

Systemic Bleeding

Petechiae, Purpura, Ecchymosis

Change in LOC

Increased PT and PTT

Cyanosis

Increased Fibrin Degradation Products (FDP)

Decreased Platelets and Fibrinogen

2 mins

Hyperemesis Gravidarum

Excessive Vomiting

Significant Weight Loss

Dehydration

Hypotension

Electrolyte Imbalance

Antiemetics

Frequent Small Meals

IV Therapy

2 mins

Eclampsia

Increased Central Nervous System Irritability

Hyperreflexia

Positive Ankle Clonus

Headaches

Visual Disturbances

Epigastric or RUQ Pain

Seizures

Coma

Don't Leave Bedside

Magnesium Sulfate

2 mins

Preeclampsia Interventions

Side Lying Position and Bedrest

Antihypertensives

Magnesium Sulfate

Labor Induction

1 min

Preeclampsia Assessment

After 20 Weeks of Pregnancy

Hypertension > 140/90

Proteinuria or End-Organ Dysfunction

Hypertension > 160/110

Progressive Renal Insufficiency

Vision Changes

HELLP Syndrome

Pulmonary Edema

2 mins

Severe Preeclampsia

Vasospasm and Decreased Organ Perfusion

Intravascular Coagulation

Increased Permeability and Capillary Leakage

Hypertension

Proteinuria or End-Organ Dysfunction

Hepatic Dysfunction and Hemolysis

Elevated Liver Enzymes

Low Platelet Counts

3 mins

Magnesium Sulfate

Muscle Relaxant

Preterm Labor Contractions

Preeclampsia

Warm Feeling

Hypotension

Decreased Deep Tendon Reflexes (DTRS)

Decreased Respiratory Rate

Decreased Urine Output

Paralytic Ileus

Calcium Gluconate

2 mins

Blood Types and Compatibilities

No Antigens (Type O Blood)

Universal Donor

A Antigen (Type A Blood)

B Antigen (Type B Blood)

AB Antigen (Type AB Blood)

Universal Recipient

Rh (Rhesus) Antigen

Never Rh+ to Rh-

Blood Transfusion

Obstetric Patient

2 mins

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