Final Exam New Material Review & Study Guide Flashcards
uterus returning to pre pregnant state
involution
when can you not feel fundus PP
2 weeks
who is more likely to have afterpains
breast feeding, macrosomia, increase amniotic fluid, twins
loch stages and days
Lochia rubra: red/brown, may contain small clots (grape size)1-4 days after delivery
Lochia serosa: 4-10 days after delivery
Lochia alba: after 10 days, up to 6+ weeks
most frequent cause of excessive bleeding after birth
atony
who is going to have atony
bladder dis
who is at risk for atony and what meds do we use
induced with pit cause of receptors being full
- meth and hematite
common complaint of PP
headache
stimulate RR
mechnical
chem
sensory
thermal
hyperbili risk
exlucsive breast feeding
- decrease volume going in and decrease going out
no pass mec, ABO, Rh, bruising, polycytothemia
do cross
caput
not do cross
hematoma
CCHD
R hand - pre ductal
either food - post
>95% with less than 3% change
LATCH
latch
audible swallowing
type of nip
comfort
hold
what is indicative of feeding
output
late sign of feeding
crying
early signs
smacking, sucking, rooting, hand to mouth
when to see mom outpatient
2-6 weeks
baby is seen when outpatient and why
2-3 days
bili and weight
what is late cause of PPH
- 24hr plus
subinvol
where is fundus felt 12 hours
U or 1 above U
vag blood loss
500
C/S blood loss
1000
increase HR and decrease BP means what and we are going to give what
shock
fluids
shifted fundus means
bladder
free flowing bright red blood
laceration
preg is what state
hypercoag
most critical change of new born
imitation of breathing
100% Po2 may take how long
10 min
if baby isn’t breathing do we bag or CPR
bag
non shivering thermogenesis and what do we need
brown fat metabolism
O2 gluc
- grunting flaring and retract may just be cold
tremor vs seizure
hold down and tremor stops
BF enogrment
keep going, don’t pump cause you’ll make more
hand express
NBF engorment
ice, don’t face warm shower, tight bra
when APGAR
1, 5, 10
- 15, 20
APGAR of what 2, 4, 6, mean what
not adjusting
not long term
- long term pH/ABG
heat loss
conduction, convection, radiation, evaporation
what crosses placenta
glue not insulin
hormone for milk
prolactin
- highest in first 10 days
5 P
passenger
powers
psych
postion
passageway
Leopold tells us
presentation
lie
attitude
risk for rupture before -3
prolapse
primary
involuntary
- effacement, dilation, descent
secondary
maternal effort
3cm/50%/-3
3 cm dilated
50% effaced
-3 station
4 types of variability
absent, minimal, moderate, marked
KNOW VEAL CHOP AND LIONS PIT
what is the priory to asses with ROM
FHR
what is something else to assess with ROM
Time color odor
condriaindaiction of epidural
decrease platelets
what to do before epidural to prevent vasodilation and hypotension
IV bolus
closed glotis does what
decrease perfusion
vlasalva
what to do if cord prolapse
knee to chest
finger in
C/S
rupture greater than >18 hr
choiro
what to decrease when ROM
vag exams, introduce bacteria
evidence based pushing
open glotis for 60 seconds and when you feel like it
if you have epidural and decrease BP
LIONS PIT
what does holding breath while pushing do
decrease person
where is toco at
fundus
where is external fetal monitor
fetal back
tahcysysole and treatment
greater than 5 in 10 min period
- decrease pit
FSE placement
scalp
IUPC placement
just in there floating
we need what for FSE and IUPC
rupture
increase fear and anxiety does what
catehcolhmines
coping with labor
swaying
calm
breathing
rocking
most common violence
IPV
greatest risk of IPV
pregnancy
3 phases of walker cycle
tension
batter inciedence
loving
3 phases of rape trauma
disorg
outward adjustment
long term reorg
most common cause of cognitive impair
alcohol
serious complication of chlamydai
increase in ectopic
tubular factor infertility
PID
2nd most common STI
gonorrhea
neonatal infection with primary outbreak
HSV 2
perinatal transmission of virus most threatening to fetus is
hep b
TORCH
Toxoplasmosis
Other infections (Hepatitis, HIV)
Rubella virus
Cytomegalovirus (CMV)
Herpes simplex virus (HSV)
meth dose
.2 IM 2-4 hr
meth avoid in
HTN
hematite dose
.25 IM
hemabate avoid in
asthma
common side effect of meth and hematite
diarrhea
suspected previa
vag US
rupture for 26 hours and APGAR is decrease and HR is 180 with minimal variability and dusky and blue
sepsis
normal fetal HR
110-160
when to induce
ROM
fetal death
choiro
post term
GDM
marosomia
Gravida
total number of confirmed preg
Para
number of preg with the fetus reached 20 weeks
Para X-X-X-X
full term-preterm-abortion-living
first trimester
1-13
second trimester
14-26
this trimester
27-40
term preg is when
37 or more
neagles rule
first date of last menstral period
- 3 mo + 7 days
presumptive
subjective
- fatigue
-brest changes
- quickening
amenorrhea
N/V
frequency
probable
objective changes observed by examiner
- post preg
hegar
Chadwick
Braxton hick
positive
fetal heart tones
US
fetal movement
earliest mark for preg
beta HCG
what is the first organ system developing
cardiovascular
Rh when administer
26-30 weeks and 72 hour PP
fetal lie
relationship of long axis
attitude
relation of body parts
position
presenting part to four quadrants
cardinal moevemt of labor
engagement, decent, flexion, internal rotation, extension, resistitation/external rotation, expulsion
what to need for internal monitoring
ROM
dilated 2 cm
presenting part must be head
accerlation
> 15 for 15
10 for 10
first date of labor
onset of regular contractions to full dilation
second stage of labor
cervix fully dilated to birth of infant
this stage of labor
birth of infant until placenta is delivered
fourth stage of labor
delivery of placenta and the first 2 hours PP
rubra time frame
1-3 days
serosa time frame
4-10 days
alba time Frame
10-14 days
3-6 weeks
gestational hypertension tiem frame
20 weeks
preeclampsia
hypertension with proteinuria
in absence of proteinuria
- thrombocytopenia
- renal insuff
- impaired liver function
- pulmonary edema
- cerebral or visual symptoms
eeclampsia
development of seizures or coma
can preeclampsia begin in PP
yes
med for preeclampsia
Bp
- nifedepine
- labetol
- hydralazine
seizure acidity
- mag
initial loading dose of mag
4-6g over 15 to 30 mins
mainentce of mag
2-3g/hrt
therapeutic for mag
4-7
why is mag given
neuroprotection
common SE of mag
feeling of warmth, flushing, diaphoresis, and burning at IV site
what can cause mag toxicity
impaired renal function
s/s of mag toxicity
absent DTR, decrease RR, decreased LOC
reversal for Mag
ca gluclonate
previa what is ti
implanted in lower uterine segment
previa s/s
painless, bright red bleeding
soft contender uterus with normal tone
placental abruption what is it
detachment of part or all of the placenta
abruption manifestations
vaginal bleeding
abdominal pain
uterine tenderness
contractions
board like abdomen
what size babies of GD
macosomia
