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Maternity > Clinical 1 > Flashcards

Clinical 1 Flashcards

1
Q

First Stage of Labor

A

The first stages refers to the interval between the onset of labor and full cervical dilation
Latent phase- Irregular contractions with dilations 0-3cm
Active phase- 4-7cm dilatation and contractions 5-8 min apart
Transition phase- Dilatation 8-10 cm. Contractions 1-2 min apart

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2
Q

Second Stage

A

The second stage of labor refers to the interval between full cervical dilatation (10 cm) and delivery of the infant.

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3
Q

Third Stage

A

The third stage of labor refers to the time from delivery of the baby to the separation and explosion of placenta

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4
Q

Apgar Score

A
  • Heart Rate
    -Respirations
    -Muscle Tone
    -Reflex irritability
    -Color
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5
Q

Variability

A

Fluctuations in baseline that are irregular in amplitude and frequency
Measured in a 10 minute window. The amplitude is measured peak to trough

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6
Q

Absent

A

amplitude is undetectable

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7
Q

Minimal

A

amplitude 0-5 bpm

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8
Q

Moderate

A

Amplitude 6 to 25 bpm

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9
Q

Marked

A

amplitude over 25 bpm

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10
Q

Bradycardia

A

Below 110 bpm

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11
Q

Normal

A

110 to 160 bpm

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12
Q

Tachycardia

A

over 160 bpm

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13
Q

Ab

A

Antibody/Abortion

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14
Q

ABC

A

Alternative birthing center

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15
Q

ADP

A

Alpha-fetoprotein

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16
Q

AGA

A

Appropriate for gestational age

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17
Q

APROM

A

Artificial rupture of membranes

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18
Q

BPM

A

Beats per minute

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19
Q

BPP

A

Biophysical profile

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20
Q

CPD

A

Cephalopelvic disproportion

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21
Q

CST

A

Contraction stress test

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22
Q

D&C

A

Dilatation and curettage

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23
Q

DIC

A

Disseminated intravascular coagulation

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24
Q

DTR

A

Deep tendon reflex

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25
Q

EDD

A

Estimated date of delivery

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26
Q

FAS

A

Fetal alcohol syndrome

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27
Q

FHR

A

Fetal heart rate

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28
Q

FSH

A

Follicle stimulating hormone

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29
Q

G

A

Gravida

30
Q

GC

A

Gonococcus/ Gonorrhea

31
Q

hCG

A

Human chorionic gonadotropin

32
Q

HELLP

A

Hemolysis, elevated liver enzymes, low platelets

33
Q

HSV

A

Herpes simplex virus

34
Q

IDM

A

Infant of a diabetic mother

35
Q

IUD

A

Intrauterine device

36
Q

IUFD

A

Intrauterine fetal demise/death

37
Q

IUGR

A

Intrauterine growth restriction

38
Q

LDR

A

labor delivery recovery room

39
Q

LGA

A

Large for gestational age

40
Q

LMP

A

Last menstrual period

41
Q

L/S

A

Lecithin-sphingomyelin ration

42
Q

NEC

A

Necrotizing enterocolitis

43
Q

NSVD

A

Normal spontaneous vaginal delivery

44
Q

NST

A

Nonstress test

45
Q

OCT

A

Oxytocin stress test (oxytocin challenge test)

46
Q

PID

A

Pelvic inflammatory disease

47
Q

PIH

A

Pregnancy-induced hypertension

48
Q

PROM

A

Premature (prolonged) rupture of membranes

49
Q

PTL

A

Preterm labor

50
Q

PUBS

A

Percutaneous umbilical blood sampling

51
Q

RDS

A

Respiratory distress syndrome

52
Q

ROM

A

Rupture of membranes

53
Q

SGA

A

Small for gestational age

54
Q

SROM

A

Spontaneous rupture of membranes

55
Q

Toco

A

Tocotransducer, used to measure uterine activity

56
Q

VBAC

A

Vaginal birth after Cesarean Delivery

57
Q

VDRL

A

Venereal Disease Research Laboratory Test

58
Q

VLBW

A

Very low birth rate

59
Q

VTX

A

Vertex

60
Q

BUBBLE HE

A

Breast
Uterus
Bladder
Bowel
Lochia
Episiotomy
Hemorrhoids/Hemoglobin
Emotions/Extremities

61
Q

Fundal Height Measurements

A

12 weeks: Just above PS
16 weeks: midway between PS & umbilicus
20 weeks: at umbilicus
After 20 weeks, cm=weeks

62
Q

How big is a newborns stomach? Day 1?

A

Cherry 5-7 mL

63
Q

How big is a newborns stomach? Day 2?

A

size of a walnut 22-27 mL

64
Q

How big is a newborns stomach? One week?

A

Size of an apricot 45-60 mL

65
Q

How big is a newborns stomach? One month?

A

Size of a large egg 80-150 mL

66
Q

Infant Meds:

A

Erythromycin ointment-OU within 12h of age
Vitamin K: 1mg IM within 12h in vastus lateralis
Hep B Vaccine: IM vastus lateralis
- Never inject more than 1 mL into neonate in the same site

67
Q

Normal Infant Glucose & Signs of hypoglycemia

A

-40-80 mg/dL
-IMMEDIATELY report any readings less than 40
-Signs of hypoglycemia: Jittery, high pitched cry, sleepiness

68
Q

When should a baby have their first void?

A

Void within 24 hrs, at least 1 wet diaper per day of life
First void may have red “dust”

69
Q

When should a baby have their first stool?

A

Meconium within 24hrs of age

70
Q

Infant Vital Signs

A

HR: 110-160 bpm
RR: 30-60 bpm
Temp: 36.5-37.5 C (97.7-99.5 F)
BP: average 80/50
Normal Weight: 2700 to 4000g (5.9-8.8 lb)

Maternity (2 decks)

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