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Segment 3 > Labour And Devilery And Pregancy > Flashcards

Labour And Devilery And Pregancy Flashcards

1
Q

Stage 1 labour

A

Full contraction to full dilation

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2
Q

Stage 2 labour

A

Full dilation cervix to delivery of baby

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3
Q

Stage 3 Labour

A

Delivery of the baby to delivery of the placenta

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4
Q

The more kids you have the _ they go through the _ of labour

A

Faster
Stages

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5
Q

Imminent signs to delivery

A

Crowning
Contraction less than 2 minutes apart
Mom knows
Mom feels like she having a Bowel movement
Personal bulge

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6
Q

How to stop bleeding (3)

A

Fundal message
Pads/ with legs together
Brest feeding

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7
Q

Meconium

A

Fetal bowel movement
Shows signs of fetal distress

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8
Q

1st trimester

A

0-3 months

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9
Q

2nd trimester

A

3-6 months

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10
Q

3rd trimester

A

6-9 months

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11
Q

Nuchal cord

A

Umbilical cord is around the baby’s neck
During delivery try and move around the head
If unable, clamp and cut in place

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12
Q

How should baby come out

A

Head first and face down

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13
Q

Prolapsed cord

A

Umbilical cord comes out before baby

Raise baby off, presenting part with gloved hand
Crowning yes
Deliver, prepare for prolonged NRB
crowing no
Kness to chest
Don’t push
Place LLR with elevated hips

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14
Q

Breach

A

Butt or both feet first
Have an assistant supply suabubic pressure to maintain flexion of fetal head
If no progression in 2 to 3 minutes, make a V for an air pocket so baby can breathe

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15
Q

Foot / limb presentation

A

Require a C-section
Do not touch the limbs
Put needs to chest
Hips elevated
Don’t push

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16
Q

Non-progressing birth

A

Extended labor, a baby and baby with no deceleration
Drugs
Small mom with big baby

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17
Q

Explosive birth

A

Mom pushes too hard baby comes out too fast
Traumatic to mom
Baby transition too fast to adopt

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18
Q

Shoulder dystocia

A

Shoulder stuck on pelvic bone
Should be assumed when there is no forward movement

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19
Q

Three steps to stop bleeding

A

Fundal massage
Pad/legs together each pad is 500ml
Breast-feeding

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20
Q

The placenta should deliver within how many minutes of the baby ?

A

30 minutes

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21
Q

What should you look for once the placenta comes out?

A

Any ruptured pieces as it can cause an infection and sepsis

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22
Q

What to do with the placenta of once it comes out

A

Place in bag and bring to ER

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23
Q

Possible complications for neonates (4)

A

Respiratory distress
due to mothers Naracotic use
gestational age
cardiovascular system compromise
hole in heart ( for amen oval, ductus arterious )
Thermal regulation
Meconium aspiration

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24
Q

When do I check the APGAr score

A

at one minute
Five minutes
Possibly 10 minutes

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25
Q

What should babies Apgar score be after one minute

A

8-10

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26
Q

APGAr score

A

Appearance Blue/white Pink In blue out. All pink

Pulse None. Under 100. Over 100

Grimace. None. Whimpering. Active crying

Activity. Limo. Twitching. Active moving

Resp. None. Slow and irregular. Good (40-60)

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27
Q

Baby under 28 week

A

Do not dry and place in plastic bag

28
Q

How long do you wait to cut the cord

A

1-4 minutes

29
Q

Where do you cut the umbilical cord?

A

at nine and six inches

30
Q

Post partum care

A

Keep baby warm
Deliver placenta
Encouraged mother to Bravo Ball Swingers
Find a massage rub on top of the bundles in a circular motion assess at 5:10 and 15 minute should be firm not spongy

31
Q

In utero, there is no oxygen supply through the lungs oxygen is supplied through the

A

Umbilical cord
The change in the temperature of the biblical cord causes the vasoconstrict that causes the baby to Breath on its own

32
Q

Any blood that goes through the lungs becomes

A

Deoxygenated

33
Q

What happens to the heart during the first few minutes of a fetus life

A

The foreman ovale close, which establishes normal circulartory flow
This is usually accomplished by making the baby cry

34
Q

What are the most immediate risks to fetus

A

Hypothermia
Hypoxia
Get blankets and a Bvm ready

35
Q

Changes in moms vitals

A

Decrease blood pressure
increase heart rate
increase respirations

Resp have decrease volume
Cardiac output has increased, but not red blood cells

36
Q

GTPLAM

A

Gravida past pregnancies including the current one
T term how far along 37 weeks and up
P para how many pregnancies have processed at least 20 weeks no abortions under 20weeks
L number of living children u have home
A abortus. - how many under week 20 babies u had
Multiple births how many sets of twins or more u have had

37
Q

Para

A

Pregnancies that have made it past 20 weeks and delivered

38
Q

Miscarriage

A

Pregnancies under 20 weeks

39
Q

Abortus

A

Pregnancies under 20 weeks
Miscarriage

40
Q

Gravida

A

Past pregnancies including your current one
Twins count as one

41
Q

Abortions

A

Happen, elective or spontaneous
happens before the foetus develops to survive

42
Q

Stillbirth

A

Delivery of the baby, which is attained an old enough age to survive, but it’s born dead
Over 20wks

43
Q

Ectopic pregnancies

A

A pregnancy located outside the uterus usually on the fallopian tubes
These patients require immediate surgery
Life-threatening
Signs are within the first six weeks of pregnancy or a missed period with abdominal pain should be suspected of any female of childbearing age with a domino pain until proven otherwise

44
Q

Endometriosis

A

Tissue outside of the uterus reacts the same as it does in utero

45
Q

Pre-eclampsia

A

A condition that causes high BP in pregnant ladies
Arise and systolic over 20
Arise in diastolic l over 10
4 to 4.5 pounds anytime of the pregnancy weight gain
3 pounds in second time master or 1 pound per week and third trimester

46
Q

Eclampsia

A

Turns into seizures as a condition of preeclampsia
Peaks in third trimester
Life-threatening to both foetus and mother
May come on one week after delivery

47
Q

Postpartum haemorrhage

A

Bleeding more than 500mls
If the mother soaks up one pad in 15 min it’s considered excessive
You can management through found a massage and breast-feeding

48
Q

Uterine rupture

A

Occurs on the onset of labour
High death rate for baby and mother

49
Q

Placenta prévia

A

Placenta over the cervix

50
Q

Placenta Abruptio

A

The placenta becomes detached and rips off may be complete or partial can occur at any stage in pregnancy, but usually third

51
Q

How many weeks is full term?

A

40 weeks

52
Q

Fertilization

A

The penetration of a ovum by spermatozoon
this becomes a enzyme

53
Q

Zygote

A

What divides over and over
And burrows into endometrium

54
Q

Fetus

A

Last development of the baby

55
Q

The umbilical cord contains three blood vessels, which are

A

2 arteries and one vein

56
Q

Less than 28 weeks should be keep wet or dry

A

Wet

57
Q

What is full dilation

A

10cm

58
Q

Suction what first

A

Mouth then nose

59
Q

4Ms

A

Medication
Mecumiom
Mulitpluy
Maturity

60
Q

Most involved organ’s with seatbelts

A

Uertrus
Bladder

61
Q

Sp02 targets

A

Targets
1min 60-65%
2 min 65-70%
3 min 70-75%
4 min75-80%
5 min 80-85%
10 min 85-95%

62
Q

0-2 weeks

A

Zygote

63
Q

2-8 weeks

A

Embro

64
Q

8 weeks +

A

Fetus

65
Q

Interval time

A

Time between the contractions

66
Q

How much her heart rate / Bp goes up

A

15
10-15

67
Q

Supine hypotension

A

Lying down low bp with baby on vana cava

Segment 3 (11 decks)

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