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Mark K > Labor > Flashcards

Labor Flashcards

1
Q

How do you date a pregnancy?

A

Take the FIRST day of the LMP and add 7 days to it then subtract 3 months

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2
Q

What is the first trimester weight gain? Second? Third?

A

First (12 weeks): 1lb/month or 3 pounds
Second (13-28): 1lb/week
Third (29-40): 1lb/week

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3
Q

What is the total ideal weight gain for a pregnancy?

A

28+/- 3 pounds
SO…. 25-31 pounds

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4
Q

If weight gain is +/- 3 pounds what should you do? If weight gain is +/- 4 pounds what should you do?

A

+/- 3 pounds: assess her

+/- 4 pounds: trouble, preform a BPP of fetus

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5
Q

When can the fundal height be palpated? When will the fundus be at the umbilicus?

A

Fundal height cant be palpated until 12 weeks (after first trimester and it’ll be midway between pubic symphysis and umbilicus)

At umbilicus at 20-22 weeks

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6
Q

In a trauma, when is mom a priority and when is baby?

A

Mom is in the 1st and 2nd

Baby is in the 3rd

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7
Q

What are positive signs of pregnancy?

A

Fetal skeleton on xray
Presence of fetus on ultrasound
Auscultation of fetal heart
Examiner palpates fetal movement

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8
Q

When is fetal heart beats heard? When is quickening felt?

A

Fetal heart: 8-12 weeks gestation (first: 8 weeks, most likely: 10 weeks, latest: 12 weeks)

Quickening: 16-20 weeks gestation (first: 16 weeks, most likely: 18 weeks, latest: 20 weeks)

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9
Q

What are maybe signs of pregnancy?

A

Positive blood/urine test
Chadwich (cervical/vaginal color change to cyanosis)
Goodell (softening of cervix)
Hegar (softening of uterus)

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10
Q

What order does Chadwick, goodells, and hegar occur?

A

Chadwick, goodells, and hegar

Alphabetical order
Move up form vulva, vagina, cervix, to uterus

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11
Q

When should prenatal visits be?

A

28 weeks once a month
28-36 every other week
36-42 weekly

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12
Q

What is considered a normal Hgb in first trimester? Second? Third?

A

First: 11
Second: 10.5
Third: 10

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13
Q

How do you treat morning sickness?

A

Dry carb before getting out of bed

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14
Q

When is urinary incontinence usually seen? Treat?

A

1st and 3rd trimester

Treat by voiding every 2 hours form the day she gets pregnant until 6 weeks PP

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15
Q

When does difficulty breathing occur? Treat?

A

2nd and 3rd trimesters

Tripod positioning

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16
Q

When does back pain occur? Treatment?

A

2nd and 3rd trimester

Pelvic tilt exercises to treat

17
Q

What is the most VALID sign that true labor is occurring?

A

Onset of regular/progressive contractions

18
Q

What is station?

A

relation between fetal presenting part and mom ischial spines (narrowest part of pelvis)

+3, +2, +1, 0, -1, -2, -3

0 is engaged (presenting part is at ischial spines)

19
Q

What it the lie?

A

Relationship between spine of mom and spine of baby

Vertical lie is what you want

20
Q

What is the presentation?

A

The part that is comes out first and how baby is sitting

ROA and LOA are most common

21
Q

What 4 STAGES of labor?

A
  1. Onset of labor - cervical dilation/effacement
  2. Delivery of baby
  3. Delivery of placenta
  4. Recovery - 2 hours after placenta is delivered
22
Q

What are the 3 phases of the first stage?

A

Phase 1: Latent. Contractions are 5-30 minute apart lasting 15-30 seconds with mild intensity. 0-4 cm dilated

Phase 2: Active. Contractions are 3-5 minute apart lasting 30-60 seconds with moderate intensity. 5-7 cm dilated

Phase 3: Transition. Contractions are 2-3 minutes apart lasting 60-90 seconds with strong intensity. 8-10 cm dilated

23
Q

Uterine contractions should be no longer than ______ and no closer than _____. What is this a sing of? Would it make you stop the Pitocin?

A

Uterine contractions should be no longer than 90 seconds and no closer than 2 minutes

Sign of uterine tetany

Yes, stop pit

24
Q

How do you palpate intensity of labor?

A

Palpate with one hand over fundus with pads of fingers

25
Q

What do you do for painful back in labor?

A

OP position - oh pain

Place mom in knee-chest position then push with fist into sacrum to use counter pressure to relieve pain

26
Q

What do you do for a prolapsed cord?

A

Push head off of cord and then position mom in knee-chest or trendleburg

Prep for c-section

27
Q

What are the interventions for things like tetany, maternal hypotension, vena cava syndrome, uterine rupture, toxemia, eclampsia?

A

If Pitocin is running, stop if first THEN,
Left side
Increased IV
Oxygen
Notify HCP

28
Q

In labor systemic pain medication is okay unless…

A

Unless baby is likely to be born when the medication peaks.

Mark K (12 decks)

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