Exam 1 Review Flashcards by Lani Manners

5/70%/ +1

dilation
effacement
station

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dilation

how wide the cervix is

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effacement

thinning of the cervix

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station

how descended or “engaged” the fetus is

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positioning during labor
- mom

open hips
and preferably up to help descend the fetus with gravity

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positioning during labor
- fetus

fetal attitude head down, flexed, arms in
head first into the canal

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primary vs secondary powers

primary: involuntary contractions
secondary: voluntary pushing

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fergsons reflex

knowing when to push

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do what before epidural

check platelets
postion
pee
fluid bolus

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what is a common complaint of PP which could be caused by epidural

headache

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VEAL CHOP

variable, early, accerlations, late

cord, head, ok, perfusion

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how are we able to determine a deceleration

how it lines up with the contraction

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accerlations
- over 32

15BPM 15 sec

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accerlations
- under 32

10BPM for 10 sec

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External fetal monitoring

ultrasound over fetal back (use leoplods)
toco over fundus for contractions (does not say how intense a contraction is)

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internal fetal monitoring

spiral electrode into scalp for HR
IUPC into surrounding fluid/area for contractions
** need to be ruptured

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true s false labor

true: CERVICAL DILATION, EFFACEMENT, AND FETAL ENAGGEMENT OR DESCENT

true: bloody show, increase of contractions, back pain

false: no show, contractions staying same, goes away with sleep, Braxton hicks, no appreciable cervix change

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rupture of membrane what to check

time, odor, color, fetal HR for drop in HR which could be prolapse cord

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when can we artificially rupture the sac

-3

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what is the time peroid for delivery after rupture

18 hr

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nurse support

emotional, pain, inform, educate, calming

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maternal hypotension

bad because the placenta is not getting perfused which means the baby is not getting perfused

contraindication of epidural

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afterpains
what is it and who is it more common in

contractions of uterus clamping down

increase pain in multips due to lack of uterine tone, over distended uterus (increase fluid, twins, large baby), breast feeding or on PIT since oxytocin stimulates contraction of uterus

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lochia

rubra: red/dark red seen birth to 3/4 days
serosa: pink tinge, no clots seen 3/4-10 days
alba: white yellow seen 10-14 days but as long as 6 weeks

foul odor or large clots (grape size) are bad

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engorgment - someone who does want to breast feed

breast feed 8-12 times/day, pump, hand express, warm compress, stimulation

engorgment - someone who doesn't want to breast feed

tight fitting bra, ice, no warm water on breast, no stimulation

puerperium

4th trimester postpartum return of body to prepregnant state

appointments for mom and baby

mom: 2-6 weeks baby: 24-72 hours

platelet count for epidural

less than 100,000 no epidural

involution

uterus returning to prepregant state

subinvolution

inability of uterus to clamp down - normally due to placental fragments left over ** reason for late (24+ hour) PP hemorrhage

blood loss for vag and C

vag: 500 C: 1000

Rh status

if not matching, certain medications can be given can be one reason for hyperbili

PP depression vs blues

screen for depression before discharge blues less than 10 days depression greater than 10 days

most important physiologic change

imitation of breathing

heat loss types

convection: air radiation: no touch conduction: 2 objects touching evaporation: water to vapor

APGAR

1, 5, 10 min and 5 until 20 does not determine how well baby will do in future

SGA AGA LGA

small: less than 10 A: 10-90 L: greater than 90

early feeding cue

lip smacking, sucking on hand, rooting, open and closing mouthm

mid feeding cue

increase physical activity, stretching, nuzzling

late cue

crying, fussing, frantic * calm baby before feeding

LATCH

latch audible swallowing type of nipple comfort hold

fist appearance of full and hungry

hungry: closed full: open

colostrum

liquid gold, secreted after birth for 2-3 days small amounts since babies stomach is small

skin to skin

temp regulation and bonding golden hour

FO, DV, DA

jaundice causes

increase RBC, breast non feeding, dehydration, mom and baby blood mismatch, delayed mec stool,

CCHD screening

spo2 on R hand and then monitor on lower extremities and maybe... L hand

weight calculation

birth weight - weight now = # (#/birith weight) x 100 = %

maternal adaption

dependent taking hold letting go

why babies seen so early

weight and bili

4 basic types of pelvis and most common

gynecoid - most common android platypoid antropoid

do you need to be ruptured for FSE and IUPC

yes

uterine activity

frequency duration relaxation resting tones

holding breath during pushing is bad because

vaso decrease CO increase risk of perineal trauma

preeclampsia PP time frame

4 weeks - inform ED you are PP

+4/5 birth is

imminent

pregnancy is what state

hypercoagualble - increase fibrin and factor

pee how often

2 hour

open glottis pushing

pushing when needed and wants open mouth making noise

Cat 1 HT

110-160 normal variability moderate - normal no late or absent decel

Cat 3 Ht

sinusoidal late decel Brady or tacky no baseline

5 P

which one crosses

caput

tachystsole

>5 in 10 min window averaged over 30 min - tocolytics

gate control theory

narcan don't give if baby is dependent

lowest blood sugar for baby

2 hours

peak jaundice

3-5 for term 5-7 for preterm