Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Natural Childbirth > Final > Flashcards

Final Flashcards

1
Q

Definition of infertility:

A

no PG in 1 year of unprotected intercourse
* seek tx after 6 mos of trying if over 35yrs, irreg menses, hirsutism, sterilization, prostate infx, 2+ miscarriages, endometriosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Male fertility support - semen:

A

vit C
Avena sativa
ginseng

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Male fertility support - testosterone:

A

saw palmetto
damiana
nux vomica (sm dose, short term)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

3 parts of sperm analysis:

A

count
morphology
motility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is Clomid (pharmaceutical)?

A

estrogen antagonist - not good for a woman 40+ yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

2 herbs for ovulation:

A 
vitex
aletris farinose (true unicorn root)

also supplement beta carotene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

3 herbs to support luteal phase for progesterone:

A

wild yam
vitex
smilax officinale (sarsaparilla)

supplement: oral micronized progesterone p.v. throughout 1st trimester

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Naturopathic tx for infertility:

A

F: vitex, increased protein intake
M: saw palmetto, avena, Vit C, ginseng

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are mechanical infertility modes:

A 
sperm motility/delivery issues
impotence
retrograde ejaculation
F has sperm antibodies
anatomical cervical issues
endometriosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How to deliver a baby in an emergent situation:

A
  1. counter pressure to keep head from popping out too fast
  2. flex head
  3. head will deliver, check for cord around neck (pull over)
  4. baby : moves : restitution
  5. shoulder comes out
  6. keep infant warm! dry off, skin to skin
  7. no crying: rub back, stimulate kidney-1 on feet, mouth to mouth
  8. keep cord - uterus rises in abdomen, cord gets longer
  9. deliver placenta - rub abdomen to push out clots
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What amount is considered hemorrhage during labor?

A

over 500mL of blood

stop bleeding with Trendelenberg maneuver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When is the most important time to nurse?

A

the first hour - d/t hormones, adrenaline (baby is awake!) nurse 8-12x in a 24 hr period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

3 advantages of colostrum:

A 
high in minerals
high in protein
high fat soluble vitamins
antibodies
helps establish gut flora
laxative effects
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Advantages of breast feeding:

A

provides baby with antibodies
mom loses weight
keeps uterus contracting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

nursing timing:

A

q 2 hrs, or 8-12x per 24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

2 functions of prolactin as it relates to nursing:

A

stimulates mammary glands to produce milk

causes enlargement of mammary glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

2 functions of oxytocin as it relates to nursing:

A

stimulated by infant suckling, helps let down milk

causes contraction of mammary glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how is milk supply regulated in the body?

A

supply and demand
when it comes - enough for 2-3 babies
in a premie, milk makeup is different than full term

19
Q

When does milk typically come in?

A

day 3

20
Q

Formula options:

A 
cows milk
soy milk
partial whey hydrolysate formulas
extensive casein or whey hydrolysate formula
amino acid based
21
Q

How big is a neonate stomach?

A

size of an almond - don’t need to feed before mom’s milk arrives

22
Q

Positions for breast feeding:

A

belly to belly
baby’s mouth aligned with nipple
neck slightly extended
ear, shoulder, and hip aligned

23
Q

What do you do to support labor?

A 
position changes
massage
counter pressure
warm water
encouragement
24
Q

2 good positions for 2nd stage labor:

A

squatting
pull legs up
hands and knees

25
Q

How long is an average labor?

A

12 hours

normal to have contractions on and off for 7 days, then 12 hours of active labor to delivery

26
Q

Definition of labor:

A

contractions that increase in intensity that ultimately result in birth

27
Q

Normal term is how many weeks?

A

37-42

Preterm - before 37 weeks

28
Q

Physiology of starting labor:

A

Prostaglandins: increase, esp PGE2/PGF2 near initiation of labor
Estrogen: up regulates receptors on uterus, increasing contractility

29
Q

First stage of labor:

latent, active, and transition phases

A

Onset to full cervical dilation

Latent phase:
* 0-4 cm
* slow dilation
* contractions 5-10 mins apart, 30-45 seconds
Active phase:
* faster rate of dilation
* 4-6 cm
* contractions 2-4 mins apart, 60 seconds
Transition phase
* 7-10 cm
* mix of cervical dilation and descent of fetus

30
Q

Second stage of labor:

A

interval btw full cervical dilation and delivery
descent of fetus through pelvis
ends with delivery

31
Q

Third stage:

A

delivery of placenta

avg 5-6 mins (90% by 15 mins, 97% by 30 mins)

32
Q

What is restitution?

A

baby flips on side to get out of vaginal canal

anterior -> extends -> shoulder rotates

33
Q

Do you help the baby during restitution?

A

No! you don’t know which way the baby wants to rotate. Don’t touch the baby while it’s turning.

34
Q

Reasons you can’t get the baby out:

A
  • contractions aren’t strong enough
  • pelvis size / shape
  • position (breech)
35
Q

Amniotic fluid should be (color)?

A

clear

if green - meconium

36
Q

After the water breaks, why can’t you put anything in the vagina?

A

risk of infx

37
Q

Monitoring during labor:

A 
vitals q 4 hours (normal) or 1-2 hours (abN)
assessment of uterine contractions
cervical examinations
* on admission
* 1-4 hr intervals during 1st stage
* 1 hr intervals during 2nd stage
* when pt feels urge to push
* with any fetal HR abN
38
Q

Pushing techniques:

A

Valsalva -

  • pull back knees
  • tuck chin
  • deep breath and hold
  • push!

Physiologic -

  • follow mom’s lead
  • she pushes when she feels the need
  • tends to have shorter pushes without a closed glottis
39
Q

Basic anatomy of breast tissue and ducts:

A 
suspensory ligament
fat
glandular tissue
duct
pectoralis muscle
40
Q

What is “tongue tied”?

A 
short tongue due to attached frenulum
mb assoc with folate deficiency
* talking difficult
* painful to nurse
* easier to cut when very young
41
Q

Mgmt of excessive baby wt loss with lactation (7+%):

A 
reasons
* inadequate milk production
* poor milk transfer
* disease of newborn
encourage frequent and full feedings
* baby to breast q 2-3 hrs for 10-15 mins each breast
* stimulate sleepy babies to finish feeding
Follow breastfeeding with 10 mins of pumping
Feed baby any pumped milk
Galactagogue herbs
* trigonella
* foeniculum
42
Q

Breast pain - causes:

A

engorgement
nipple injury
plugged ducts
infection (staph, candida)

43
Q

Breast pain - mgmt:

A

correct latch
let nipples air dry
cool or warm compresses
apply lanolin or nipple butter to nipples
consider frenotomy if ankyloglossia present

44
Q

Mastitis can lead to:

A

abscess
tx with
* hepar sulph
* phytolacca oil topically

Natural Childbirth (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions