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OB > Chap 13-17 “perry book” > Flashcards

Chap 13-17 “perry book” Flashcards

1
Q

What are the 5 P’s affecting labor

A

Passenger (fetus/placenta)
Passageway (Birth canal)
Powers (contractions)
Position (of mother)
Physiologic response

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2
Q

Most important fontanelle(anterior or posterior) and when does it close?

A

Anterior
18months after birth

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3
Q

What are the fontanelles/sutures

A

Fontanelles-Where two bones meet on the fetus head
Sutures- bones are connected by connective tissue

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4
Q

Birth is imminent at how many cm
(Presentation)

A

4-5 cm

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5
Q

What is the gynecoid
(Passenger)

A

Form of bony pelvis or “pelvis”

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6
Q

Primary powers:
What is effacement
What is dilation

A

Shortening and thinning of cervix
2-3cm thick
1cm thick
= 1st stage

Enlargement of cervix= labors begun

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7
Q

What is secondary powers

A

Bearing down-urge to push

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8
Q

Common labor signs

A

Lightening/dropping
Bloody show
Backache
Stronger Braxton hicks

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9
Q

Normal fetal heart rate

A

110-160

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10
Q

What changes FHR

A
  • periodic change with uterine contractions
    Accelerations
    Decelerations
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11
Q

What are early deceleration caused by

A

Fetal head compression

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12
Q

What are late deceleration caused by

A

Uteroplacental insufficiency

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13
Q

Fetal tachycardia is most common during

A

Maternal fever

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14
Q

First thing that happens in the First stage of labor

A

Onset of uterine contractions

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15
Q

Last thing that happens with first stage of labor

A

Ends with full effacement and dilation

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16
Q

Latent phase goes up to what cm

A

3cm dilation

17
Q

Active phase goes up to what cm

A

4-7cm dilation

18
Q

Transition phase goes up to what cm

A

8-10 cm dilation

19
Q

True labor vs false labor

A

True contractions do not go away with temporary do go away with getting comfortable

20
Q

What do you obtain during initial assessment in first stage of labor

A

See if membrane ruptured
Vitals
History
Physical exam
Urine specimen
Blood tests

21
Q

How often should a women void while waiting for deliver

A

Every 2 hours

22
Q

With early support what is the patient less likely to use during birth process

A

Pain meds

23
Q

What happens during the second stage of labor

A

Infant is born
Full dilation and effacement

24
Q

What is the Latent phase

A

Relatively calm with passive descent oh baby through birth canal

25
Q

What is descent

A

Active pushing and urge to bear down

26
Q

What is ritgen maneuver

A

Birth of head

27
Q

What happens in third stage

A

Placental separation and expulsion
Firmly contracting fundus
Potential problem- excessive blood loss

28
Q

Fourth stage entails

A

Assesment
Care of new mother/family
Post anesthesia recovery

OB (13 decks)

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