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Maternity > Exam 1 Review > Flashcards

Exam 1 Review Flashcards

1
Q

5/70%/ +1

A

dilation
effacement
station

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2
Q

dilation

A

how wide the cervix is

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3
Q

effacement

A

thinning of the cervix

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4
Q

station

A

how descended or “engaged” the fetus is

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5
Q

positioning during labor
- mom

A

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

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6
Q

positioning during labor
- fetus

A

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

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7
Q

primary vs secondary powers

A

primary: involuntary contractions
secondary: voluntary pushing

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8
Q

fergsons reflex

A

knowing when to push

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9
Q

do what before epidural

A

check platelets
postion
pee
fluid bolus

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10
Q

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

A

headache

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11
Q

VEAL CHOP

A

variable, early, accerlations, late

cord, head, ok, perfusion

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12
Q

how are we able to determine a deceleration

A

how it lines up with the contraction

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13
Q

accerlations
- over 32

A

15BPM 15 sec

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14
Q

accerlations
- under 32

A

10BPM for 10 sec

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15
Q

External fetal monitoring

A

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

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16
Q

internal fetal monitoring

A

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

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17
Q

true s false labor

A

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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18
Q

rupture of membrane what to check

A

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

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19
Q

when can we artificially rupture the sac

A

-3

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20
Q

what is the time peroid for delivery after rupture

A

18 hr

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21
Q

nurse support

A

emotional, pain, inform, educate, calming

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22
Q

maternal hypotension

A

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

contraindication of epidural

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23
Q

afterpains
what is it and who is it more common in

A

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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24
Q

lochia

A

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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25
Q

engorgment
- someone who does want to breast feed

A

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

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26
Q

engorgment
- someone who doesn’t want to breast feed

A

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

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27
Q

puerperium

A

4th trimester
postpartum
return of body to prepregnant state

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28
Q

appointments for mom and baby

A

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

29
Q

platelet count for epidural

A

less than 100,000 no epidural

30
Q

involution

A

uterus returning to prepregant state

31
Q

subinvolution

A

inability of uterus to clamp down
- normally due to placental fragments left over

** reason for late (24+ hour) PP hemorrhage

32
Q

blood loss for vag and C

A

vag: 500
C: 1000

33
Q

Rh status

A

if not matching, certain medications can be given

can be one reason for hyperbili

34
Q

PP depression vs blues

A

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

35
Q

most important physiologic change

A

imitation of breathing

36
Q

heat loss types

A

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

37
Q

APGAR

A

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

38
Q

SGA
AGA
LGA

A

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

39
Q

early feeding cue

A

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

40
Q

mid feeding cue

A

increase physical activity, stretching, nuzzling

41
Q

late cue

A

crying, fussing, frantic
* calm baby before feeding

42
Q

LATCH

A

latch
audible swallowing
type of nipple
comfort
hold

43
Q

fist appearance of full and hungry

A

hungry: closed
full: open

44
Q

colostrum

A

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

45
Q

skin to skin

A

temp regulation and bonding
golden hour

46
Q

FO, DV, DA

A
47
Q

jaundice causes

A

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

48
Q

CCHD screening

A

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

49
Q

weight calculation

A

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

50
Q

maternal adaption

A

dependent
taking hold
letting go

51
Q

why babies seen so early

A

weight and bili

52
Q

4 basic types of pelvis and most common

A

gynecoid - most common
android
platypoid
antropoid

53
Q

do you need to be ruptured for FSE and IUPC

A

yes

54
Q

uterine activity

A

frequency
duration
relaxation
resting tones

55
Q

holding breath during pushing is bad because

A

vaso
decrease CO
increase risk of perineal trauma

56
Q

preeclampsia PP time frame

A

4 weeks
- inform ED you are PP

57
Q

+4/5 birth is

A

imminent

58
Q

pregnancy is what state

A

hypercoagualble
- increase fibrin and factor

59
Q

pee how often

A

2 hour

60
Q

open glottis pushing

A

pushing when needed and wants
open mouth making noise

61
Q

Cat 1 HT

A

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

62
Q

Cat 3 Ht

A

sinusoidal
late decel
Brady or tacky
no baseline

63
Q

5 P

A
64
Q

which one crosses

A

caput

65
Q

tachystsole

A

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

66
Q

gate control theory

A
67
Q

narcan don’t give if baby is dependent

A
68
Q

lowest blood sugar for baby

A

2 hours

69
Q

peak jaundice

A

3-5 for term
5-7 for preterm

Maternity (25 decks)

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