APGAR // Nomral Prgenancy & Antenatal care // Labour Flashcards

1
Q

When do you perform APGAR?

A

1, 5, 10 mins post birth

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2
Q

What score is ‘normal’ ?

A

7-9

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3
Q

Why might the baby have a low APGAR score?

A

Difficult birth
C-section
Fluid in baby’s airway

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4
Q

What is uncontrolled pre-eclampsia

A

Multisystem disorder characterised by:

  • Increased BP
  • Proteinuria
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5
Q

What weeks are in the second trimester?

A

13-27 weeks

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6
Q

What are the 3 main things mothers should avoid during pregnancy?

A

Listeria containing foods (blue cheese, unpasteurised milk)
Vit A - teratogenic
Warfarin

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7
Q

Why should warfarin be avoided in pregnancy?

A

Affects limb development

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8
Q

How does a baby normally positioned during birth?

A

Cephalic (head first)

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9
Q

What ways do you NOT want the baby positioned during birth

A

Breech (bum first) - potential head entrapment

Transverse (lying sideward)

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10
Q

Under what circumstances would a woman be offered an amniocentesis?

A

Women who are at a higher risk of giving birth to a baby with Down’s Syndrome:

  • If they are older (40+)
  • Family history of Down’s Syndrome
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11
Q

How much weight will a baby lose straight after birth?

A

Up to 10% (anything greater is ABNORMAL)

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12
Q

What Vitamin is offered to babies straight after birth?

Why is this?

A

Vit K
Babies have an immature liver - leads to decreased levels of vit K dependent clotting factor.
So prevents a haemorrhagic disease

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13
Q

What are the stages of labour?

A

Stage 1: Regular uterine contractions –> Full dilation of cervix

Stage 2: Full dilation of cervix –> Delivery of baby

Stage 3: Delivery of baby –> Delivery of placenta

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14
Q

If stage 3 has taken longer than 30 mins, what risk does this pose to the mother?

A

Risk of post partum haemorrhage (PPH)

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15
Q

4 T’s of PPH?

A

Trauma
Tissue (retention of placenta)
Thrombin
Tone (loss of tone in uterus)

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16
Q

What does a Cardiotocograph measure?

A
  • Uterine contractions

- Foetal heartbeat

17
Q

What pH should a baby’s blood be?

A

> 7.25