Exam One Content Flashcards by Jena Clark

Q

Lanugo week

A

20

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Q

Vernix week

A

25

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Q

Goodell Sign

A

softening of cervix

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Q

Chadwick Sign

A

bluish of cervix

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Q

Vena Caval Syndrome

What? SX? Intervention?

A

Pressure on vena cava

Hypotension, decreased blood flow

Place patient on left side

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Q

Presumptive

A

Subjective

tired, n/v

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Q

Probable

A

Objective

+ home pregnancy

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Q

Positive

A

Diagnostic

fetus on u/s

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Q

TPAL

A

Term 38w+
Preterm 20w-37w
Abortion <20wk
Living

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Q

Ideal presentation

A

ROA

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Q

Anterior

A

Diamond shaped suture

10mo

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Q

Posterior

A

Triangle shaped sutures

1-2mo

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Q

Station

A

Relationship to ischial spine
- up
+down

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Q

Labor is eminent when

A

10cm dilation

100% effacement

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Q

False labor

A

irregular contraction

do not increase in forces

no cervical changes

“hardening sensation”

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Q

Maternal response - pH

A

mild metabolic acidosis compensated by respiratory alkalosis

Q

Early/Latent phase

A

onset, cope with pain, excited

Q

Active Phase

A

contractions intensift 4-7cm

Q

Transition phase

A

increase force/intensity
8-10cm

Q

Stage 2 Labor

A

10cm-delivery

push with urge

Q

Stage 3 Labor

A

placental seperation

Q

Stage 4 Labor

A

Bond/Breastfeed

Q

Epidural pros

A

awake, adjusted, allow pushing

Q

Epidural SE

A

hypotension, seizures, meningitis, arrest, spinal HA

Q

Epidural qualifications

A

100k < platelets
fluid bolus
monitor BP

Q

Palpating contraction

A

Mild - nose
Moderate - chin
Stong - hard

Q

What to do with non-reassuring variability

A

wake baby up

Q

Intervention for late decels

A

O2
Left lying
Turn off pitocin
Fluids
Call light