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OB > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

good indicator of transition phase

A
  • urge to have bowel movement
  • vomit
  • pt wants to give up
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2
Q

indication of placental separation

A
  • umbilical cord lengthens
  • gush of dark blood
  • fundus firm upon palpation (uterus ctx)
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3
Q

presumptive signs (7)

A 
•amenorrhea
•fatigue
•N/V
•urinary frequency
•breast changes
•quickening
•uterine enlargement
*subjective
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4
Q

probable signs (7)

A 
•abdominal enlargement
•Hegar's sign
•Goodell's sign
•ballottement
•Braxton hicks
•positive preggo test
•fetal outline palpated 
*objective
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5
Q

positive sign (3)

A
  • FHT
  • U/S visualization of fetus
  • fetal movement palpated by examiner
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6
Q

complications r/t breathing

A
  • dry mouth

* resp. alkalosis

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7
Q

visceral pain

A
  • slow deep pain
  • cervical dilation in 1st stage AND after pain
  • “everywhere” in lower abdomen
  • tx w/ epidural
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8
Q

somatic pain

A 
•localized, intense, sharp
•2nd stage- descent of fetal head
•perineal tearing 
•"burning"
*this part can't be controlled w/ epidural
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9
Q

spinal block

A

•quicker than epidural for C/S
•hypotension/HA likely
•quick onset, short duration
*never used for vaginal birth

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10
Q

variable deceleration tx (4)

A
  • vag exam to r/o cord prolapse
  • reposition mom
  • O2 @ 40% w/ mask
  • stop Pitocin
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11
Q

late deceleration tx (5)

A
  • turn mom to left side
  • correct hypotension w/ IVF bolus
  • stop/decrease Pitocin
  • stop ctx w/ tocolytic drugs (Brethine)
  • O2 at 40% w/ mask
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12
Q

when to r/o cord prolapse

A
  • variable deceleration

* ROM

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13
Q

normal labor complete…

A

•w/in 18 hrs

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14
Q

1st/3rd trimester lowest acceptable H&H

A
  • 33%

* 11

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15
Q

2nd trimester lowest acceptable H&H

A
  • 32%

* 10.5

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16
Q

hCG detected…

A
  • 7-10 days
  • higher levels if multiple fetuses
  • lower levels if miscarriage
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17
Q

frequency ctx measured in…

A

•min

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18
Q

duration ctx measured in…

A

•sec

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19
Q

para

A
  • # of pregnancies reaching 20 wks GA

* viable fetus

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20
Q

term

A

•deliveries at 38-42 wks

21
Q

preterm

A

•deliveries prior to 37 wks and after 20 wks

22
Q

post-term

A

• > 42 wks GA

23
Q

pregnancy after twins

A
  • G2
  • T1
  • P0
  • A0
  • L2
24
Q

underweight BMI & weight gain

A
  • <18.4

* should gain 27-40 lbs

25
Q

normal weight BMI and weight gain

A
  • 18.5-24.9

* should gain 25-35 lbs

26
Q

overweight BMI and weight gain

A
  • 25-29.9

* should gain 15-25 lbs

27
Q

obese BMI and weight gain

A
  • > 30

* minimal gain (as much as fetus)

28
Q

when is fist missed period

A

•3 weeks gestation

29
Q

when does fetal heart start beating

A

•17-18 days

30
Q

when does quickening first appear

A

•16-20 weeks

*also best time for U/S

31
Q

minimum GA for possible viability if born

A

•23-24 weeks

32
Q

minimum GA for good survival chances

A

•28 weeks

33
Q

when does fundus height start increasing by 1 cm/wk

A
  • after 20 cm

* once reaches umbilicus

34
Q

how to rule out getting mom HB instead of fetus

A

•take mom radial pulse or attach pulse ox

35
Q

ptyalism

A

•excessive secretion of saliva

36
Q

length of pregnancy

A 
•280 days (40 wks)
•3 trimesters
1. 1-13.9 wks
2. 14-26.9 wks
3. 27-40 wks
37
Q

frequency 1st/2nd trimester visits

A

•q 4 weeks

38
Q

frequency 3rd trimester visits

A
  • q 2 weeks until week 36

* q week 36-delivery

39
Q

when is L/S ratio obtained

A

•29-32 weeks

40
Q

when can baby hear

A
  • 24 weeks

* 2nd trimester

41
Q

when is GDM screening

A
  • 24-28 weeks

* 2nd trimester

42
Q

when is GBS screening

A
  • 34-36 weeks

* 3rd trimester

43
Q

when is Rhogam admin

A
  • 28 weeks

* 2nd trimester

44
Q

when does baby lightening occur

A
  • 38-40 weeks
  • 3rd trimester
  • pressure/breathing relief for mom
45
Q

latent phase characteristics

A
  • 1-3 cm dilation
  • ctx q 5-30 min
  • ctx last 30-45 sec
  • 6-8 hr duration
46
Q

active phase characteristics

A
  • 4-7 cm dilaiton
  • ctx q 3-5 min
  • ctx last 40-70 sec
  • 3-6 hr duration
47
Q

transition phase characteristics

A
  • 8-10 cm dilation
  • ctx q 2-3 min
  • ctx last 45-90 sec
  • 20-40 min duration
48
Q

2nd stage characteristics

A
  • 10 cm dilaiton
  • ctx q 1-2 min
  • ctx last 60-70 sec
  • duration 30-120 min

OB (17 decks)

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