Final ll

Question 1

What is preterm labor?

Answer 1

labor bet 20-37 wks gestation

Question 2

prolonged labor herbal support to increase uterine activity:

Answer 2

• blue cohosh
• black cohosh
• raspberry

Question 3

How quickly should the baby latch?

Answer 3

within 1st hr

Question 4

Why don’t you need to supplement the baby right after birth?

Answer 4

colostrom

• its high in minerals, protein, fat sol vits, abs, helps establish gut flora, laxative
• and baby’s belly is the size of an almond

Question 5

When does mom’s milk supply come in?

Answer 5

3 d
- baby will be awake
- nurse 8-12x in 24hrs
(or every 2 hrs)

Question 6

Positioning of baby for nursing?

Answer 6

• belly to belly
• babys mouth aligned w nipple
• neck slightly extended
• ear, shoulder, hip in alignment

Question 7

Adv of breast feeding

Answer 7

• baby gets abs
• keeps uterus contraction
• mom loses weight

Question 8

2 fxs of prolactin for nursing

Answer 8

• stim. mammary glands to produce milk

- causes enlargement of mamm glands

Question 9

2 fxs of oxytocin for nursing

Answer 9

• mammary gland contractions

- stimulated by infant suckling, helps milk to “let down”

Question 10

milk supply regulated by?

Answer 10

supply and demand

• enough for 2-3 babies
• if premature, milk will be diff.

Question 11

Formulas avail

Answer 11

• cows milk
• soy
• partial whey hydrolysate formulas
• extensive casein or whey hydrolysate
• AA based

Question 12

What are some good positions for 2nd stage?

Answer 12

• squatting
• pull legs up
• hands and knees

Question 13

Placenta delivery is part of what stage? when does it get delivered?

Answer 13

3rd

- 5-6min

Question 14

Reasons baby can’t get out

Answer 14

• pelvic size
• contractions aren’t strong enough
• big baby

Question 15

if amniotic fluid is green, what is that called?

Answer 15

meconium

should be clear

Question 16

2 types of pushing

Answer 16

1. valsalva

2. physiologic - mom’s lead… pushes when she feels it… shorter and without a closed glottis

Question 17

Galactogogue herbs

Answer 17

• trigonella
• foeniculum
• milk thistle?
• fenugreek?
• hops?

Question 18

Mastitis can abscess, tx w?

Answer 18

hepar sulph and phytolacca oil topically

Question 19

What is the risk of having a nuchal fist?

Answer 19

perineal laceration

Question 20

How much bigger does a nuchal fist add to the diameter?

Answer 20

3 cm

Question 21

How much weight is normal for a baby to lose in the first few days?

Answer 21

10%

Question 22

What are reasons the baby might have excessive weight loss (>7%) w lactation?

Answer 22

• inadeq milk production
• poor milk transfer
• dz of newborn

Question 23

How can you tell the baby is being fed adeq?

Answer 23

• # of wet diapers

- BM every time they nurse

Question 24

Medical conditions that effect fertility

Answer 24

• PID

- endometriosis

Question 25

How long should a 30 yo woman try before she seeks tx for fertility? if over 35?

Answer 25

1 yr

• if over 35, then 6 mo
• or if irregular menses/hirsuitism, prostate infx, 2+ moscarriages

Question 26

semen supplements

Answer 26

vit c
oat
ginseng

Question 27

testerone supplements

Answer 27

• saw palmetto
• nux vomica
• damiana

Question 28

female infertility drug

Answer 28

clomid

- not good for F 40 or over

Question 29

2 herbs for ovulation

Answer 29

• vitex
• aletris farinose (true unicorn root)
  … can supplement beta carotene

Question 30

3 herbs for luteal phase for progesterone

Answer 30

• wild yam
• vitex
• sarsaparilla

Question 31

What is a bloody show?

Answer 31

Bloody show is the passage of a small amount of blood or blood-tinged mucus through the vagina near the end of pregnancy. It can occur just before labor or in early labor as the cervix changes shape, freeing mucus and blood that occupied the cervical glands or cervical os.