CARE OF THE MOTHER (NP2)

Question 1

Pregnancy

Answer 1

Gravity/ Gestation

Question 2

Where is the pregnancy happen?

Answer 2

Uterine Cavity
Because the Uterine is Stretchable.
20-40% blood flow

Question 3

Average

Answer 3

40 weeks = (280 days)

Question 4

When we ask the pregnant woman, they will answer.

Answer 4

9 calendar month

Question 5

We use this to assess the pregnancy.

Answer 5

10 lunar months or equivalent of 4 weeks in 1 month.

Question 6

Range

Answer 6

38 - 42 weeks

Question 7

Labor & Delivery

Answer 7

Expulsion of fetus and placenta in vagina ( birth canal)

Question 8

Components: 4 PS

Answer 8

Power
Passage
Passenger
Psyche

Question 9

First P in the components

Answer 9

POWER: Contractions and bearing down

Question 10

Second P in components

Answer 10

Passage

Question 11

The third P

Answer 11

Passenger

Question 12

The fourth P

Answer 12

It’s the Psyche, the willingness of the mother to cooperate during the delivery.

Question 13

FIRST STAGE

Answer 13

Cervix dilation

Question 14

Cervix dilation

Answer 14

10 cm

Question 15

Latent

Answer 15

0 - 3 cm

Question 16

Latent: Parturient (Patient in labor)

Answer 16

Nullipara ( Isa pa lang ang anak)
Multipara (madami ng anak)

Question 17

Strength of contraction during latent.

Answer 17

Mild

Question 18

Frequency in latent

Answer 18

1-2/ 10 mins

Question 19

Duration in latent

Answer 19

20-30 sec

Question 20

Time in latent (Nullipara)

Answer 20

8-20 hrs
Tell the patient to Ambulate ( maglakad)

Question 21

Time in latent ( Multipara)

Answer 21

5-14 hrs
Ambulate

Question 22

The nursing intervention in latent phase

Answer 22

The natural way like deep breathing
Ambulate

Question 23

Active

Answer 23

4cm - 7cm
The patient needs to be Admitted

Question 24

Strength

Answer 24

Moderate

Question 25

Frequency

Answer 25

2-3/10 mins

Question 26

Duration

Answer 26

40-60 sec

Question 27

Time (Nullipara)

Answer 27

1 to 1.2 cm/hr

Question 29

Time (Multipara)

Answer 29

1.5 cm to 1 hr We can give med here

Question 30

Transitional

Answer 30

8cm to 10cm

Question 31

Strength

Answer 31

Strong contractions

Question 32

Frequency in Transitional

Answer 32

3-5/10 min

Question 33

Maximum of frequency during Transitional

Answer 33

5/10 mins

Question 34

Duration during Transitional

Answer 34

60 -70 sec 60 sec is the limit

Question 35

SECOND STAGE

Answer 35

10 cm to Fetal delivery

Question 36

Bearing down & Contractions

Answer 36

Urge to push

Question 37

How:

Answer 37

Valsalva maneuver + Ritgen's Manuever

Question 38

Valsalva Manuever

Answer 38

a pushing technique where a woman takes a deep breath, holds it (closed glottis), and pushes downward during a uterine contraction, essentially creating pressure by bearing down while holding her breath

Question 39

Ritgen's Manuever

Answer 39

a technique used to deliver the fetal head during vaginal childbirth. It involves pulling the fetal chin forward while supporting the fetal head with the other hand.

Question 40

How is Ritgen's Manuever perform

Answer 40

Place two fingers just behind the anus Pull the fetal chin forward through the perineum Support the fetal head with the other hand Deliver the head before the next contraction

Question 41

Nullipara

Answer 41

1-2 hrs

Question 42

Multipara

Answer 42

30 mins to 1hr

Question 43

IDEAL PRESENTING PART

Answer 43

Cephalic Presentation: Occiput - Vertex

Question 44

IDEAL POSITION

Answer 44

Occiput: Anterior Vertex

Question 45

Check first

Answer 45

Nuchal Cord

Question 46

Nuchal cord is loose

Answer 46

Slip the finger and remove

Question 47

Nuchal cord (tight)

Answer 47

Clamp 2x then cut between

Question 48

Then delayed cord clamping.

Answer 48

Wait for cessation of pulsating (1-3 min)

Question 49

THIRD STAGE

Answer 49

PLACENTA DELIVERY

Question 50

Average

Answer 50

5-15 mins

Question 51

Report if the placenta:

Answer 51

30 mins na hindi pa nailalabas

Question 52

SIGNS: LUVS

Answer 52

Lengthening cord Uterus firm (Calkin's) Visible in Vagina Sudden gush of blood

Question 53

(Calkin's Sign)

Answer 53

1st sign of placental separation, Uterus becomes firm and globular-shaped uterine fundus on palpation. The change of shape of the uterus from discoid to ovoid, indicating placental separation from the uterine wall.

Question 55

Uterus firm (Calkin's)

Answer 55

Bear down "gently"

Question 56

If visible in vagina

Answer 56

FUNDAL PRESSURE "GENTLE " IN A CONTRACTED UTERUS

Question 57

Active Management: prevent postpartum hemorrhage

Answer 57

1. Controlled cord traction 2. Oxytocin prior to fetal delivery 3. Early cord clamping

Question 58

FOURTH STAGE: RECOVERY

Answer 58

1 to 4 hours after the delivery of the fetus.

Question 59

Monitor

Answer 59

Bleeding

Question 60

Bleeding average

Answer 60

300 to 400 ml

Question 61

Postpartum Hemorrhage

Answer 61

More than 500 ml in 24 hours

Question 62

CS delivery the bleeding

Answer 62

More than 1000 ml

Question 63

Cause of bleeding:

Answer 63

Uterine Atony in placenta detachment

Question 64

POSTPARTUM

Answer 64

After delivery

Question 66

Return of uterus to pre-pregnancy state

Answer 66

6 weeks called Uterine Involution

Question 67

Uterine Involution Management

Answer 67

Uterine contractions also known as the "afterpains" -Analgesic Ambulation Nutrition

Question 69

Late: Subinvolution

Answer 69

Conditions in which the uterus doesn't return to its normal size after delivery.

Question 70

Subinvolution Management