Labor and Delivery Flashcards
where are true contractions felt
lower back and move towards front of abdomen
2 tocolytics
terbutaline
mag sulfate
what are misoprostol and dinoprostone
prostaglandins that ripen the cervix
what determines left or right position of fetus (i.e. ROA or LOA)
where fetus back is facing
when does first stage of labor start
when contractions cause cervical change
when does the first stage end
cervix is fully dilated
what is the latent phase of the first stage
0-6cm
slower, less predicatble
what is the active phase of the first stage
6-10cm
faster
what is the second stage
10cm to delivery of neonate
pushing stage
7 cardinal movements
engagement
decent
flexion
internal rotation
extension
external rotation
expulsion
third stage
starts when fetus is fully delivered and ends when placenta has been delivered
fourth stage of labor
first 1-2 hours after delivery
what is painless bright red bleeding a sign of
placenta previa
what is dark red, painful bleeding a sign of
placenta abruption
what is the ml equivalent of 1 gram of blood loss
1 ml
s/s of abruption
dark red bleeding
painful bleeding
hypotension
rigid abdomen
maternal tachycardia
what is turtle sign
sign of shoulder dystocia
head emerges and then pulls back in
not diagnostic
PPH risk factors (PARTUM)
polyhydramnios or prolonged labor
antepartum htn
recent bleeding history
twins
uterine fibroids
multiparity
how many pads are PPH patients saturating in an hour
4
1 every 15 mins
what is periductal mastitis
occurs in menopausal or post menopausal women and smokers
milk duct thickens, can lead to inflammation or infection
how to tx mastitis
antibiotics
warm compress/warm showers
frequent breastfeeding/pumping
gentle massage
OTC NSAIDs and acetaminophen
supportive bra
when does pp blues become depression
longer than 2 weeks, can last up to a year
