Labor and Delivery Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

where are true contractions felt

A

lower back and move towards front of abdomen

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2
Q

2 tocolytics

A

terbutaline

mag sulfate

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3
Q

what are misoprostol and dinoprostone

A

prostaglandins that ripen the cervix

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4
Q

what determines left or right position of fetus (i.e. ROA or LOA)

A

where fetus back is facing

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5
Q

when does first stage of labor start

A

when contractions cause cervical change

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6
Q

when does the first stage end

A

cervix is fully dilated

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7
Q

what is the latent phase of the first stage

A

0-6cm
slower, less predicatble

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8
Q

what is the active phase of the first stage

A

6-10cm
faster

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9
Q

what is the second stage

A

10cm to delivery of neonate
pushing stage

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10
Q

7 cardinal movements

A

engagement
decent
flexion
internal rotation
extension
external rotation
expulsion

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11
Q

third stage

A

starts when fetus is fully delivered and ends when placenta has been delivered

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12
Q

fourth stage of labor

A

first 1-2 hours after delivery

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13
Q

what is painless bright red bleeding a sign of

A

placenta previa

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14
Q

what is dark red, painful bleeding a sign of

A

placenta abruption

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15
Q

what is the ml equivalent of 1 gram of blood loss

A

1 ml

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16
Q

s/s of abruption

A

dark red bleeding
painful bleeding
hypotension
rigid abdomen
maternal tachycardia

17
Q

what is turtle sign

A

sign of shoulder dystocia
head emerges and then pulls back in

not diagnostic

18
Q

PPH risk factors (PARTUM)

A

polyhydramnios or prolonged labor

antepartum htn

recent bleeding history

twins

uterine fibroids

multiparity

19
Q

how many pads are PPH patients saturating in an hour

A

4
1 every 15 mins

20
Q

what is periductal mastitis

A

occurs in menopausal or post menopausal women and smokers

milk duct thickens, can lead to inflammation or infection

21
Q

how to tx mastitis

A

antibiotics
warm compress/warm showers
frequent breastfeeding/pumping
gentle massage
OTC NSAIDs and acetaminophen
supportive bra

22
Q

when does pp blues become depression

A

longer than 2 weeks, can last up to a year

23
Q
A