Labour And Devilery And Pregancy Flashcards
Stage 1 labour
Full contraction to full dilation
Stage 2 labour
Full dilation cervix to delivery of baby
Stage 3 Labour
Delivery of the baby to delivery of the placenta
The more kids you have the _ they go through the _ of labour
Faster
Stages
Imminent signs to delivery
Crowning
Contraction less than 2 minutes apart
Mom knows
Mom feels like she having a Bowel movement
Personal bulge
How to stop bleeding (3)
Fundal message
Pads/ with legs together
Brest feeding
Meconium
Fetal bowel movement
Shows signs of fetal distress
1st trimester
0-3 months
2nd trimester
3-6 months
3rd trimester
6-9 months
Nuchal cord
Umbilical cord is around the baby’s neck
During delivery try and move around the head
If unable, clamp and cut in place
How should baby come out
Head first and face down
Prolapsed cord
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
Breach
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
Foot / limb presentation
Require a C-section
Do not touch the limbs
Put needs to chest
Hips elevated
Don’t push
Non-progressing birth
Extended labor, a baby and baby with no deceleration
Drugs
Small mom with big baby
Explosive birth
Mom pushes too hard baby comes out too fast
Traumatic to mom
Baby transition too fast to adopt
Shoulder dystocia
Shoulder stuck on pelvic bone
Should be assumed when there is no forward movement
Three steps to stop bleeding
Fundal massage
Pad/legs together each pad is 500ml
Breast-feeding
The placenta should deliver within how many minutes of the baby ?
30 minutes
What should you look for once the placenta comes out?
Any ruptured pieces as it can cause an infection and sepsis
What to do with the placenta of once it comes out
Place in bag and bring to ER
Possible complications for neonates (4)
Respiratory distress
due to mothers Naracotic use
gestational age
cardiovascular system compromise
hole in heart ( for amen oval, ductus arterious )
Thermal regulation
Meconium aspiration
When do I check the APGAr score
at one minute
Five minutes
Possibly 10 minutes
What should babies Apgar score be after one minute
8-10
APGAr score
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)
Baby under 28 week
Do not dry and place in plastic bag
How long do you wait to cut the cord
1-4 minutes
Where do you cut the umbilical cord?
at nine and six inches
Post partum care
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
In utero, there is no oxygen supply through the lungs oxygen is supplied through the
Umbilical cord
The change in the temperature of the biblical cord causes the vasoconstrict that causes the baby to Breath on its own
Any blood that goes through the lungs becomes
Deoxygenated
What happens to the heart during the first few minutes of a fetus life
The foreman ovale close, which establishes normal circulartory flow
This is usually accomplished by making the baby cry
What are the most immediate risks to fetus
Hypothermia
Hypoxia
Get blankets and a Bvm ready
Changes in moms vitals
Decrease blood pressure
increase heart rate
increase respirations
Resp have decrease volume
Cardiac output has increased, but not red blood cells
GTPLAM
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
Para
Pregnancies that have made it past 20 weeks and delivered
Miscarriage
Pregnancies under 20 weeks
Abortus
Pregnancies under 20 weeks
Miscarriage
Gravida
Past pregnancies including your current one
Twins count as one
Abortions
Happen, elective or spontaneous
happens before the foetus develops to survive
Stillbirth
Delivery of the baby, which is attained an old enough age to survive, but it’s born dead
Over 20wks
Ectopic pregnancies
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
Endometriosis
Tissue outside of the uterus reacts the same as it does in utero
Pre-eclampsia
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
Eclampsia
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
Postpartum haemorrhage
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
Uterine rupture
Occurs on the onset of labour
High death rate for baby and mother
Placenta prévia
Placenta over the cervix
Placenta Abruptio
The placenta becomes detached and rips off may be complete or partial can occur at any stage in pregnancy, but usually third
How many weeks is full term?
40 weeks
Fertilization
The penetration of a ovum by spermatozoon
this becomes a enzyme
Zygote
What divides over and over
And burrows into endometrium
Fetus
Last development of the baby
The umbilical cord contains three blood vessels, which are
2 arteries and one vein
Less than 28 weeks should be keep wet or dry
Wet
What is full dilation
10cm
Suction what first
Mouth then nose
4Ms
Medication
Mecumiom
Mulitpluy
Maturity
Most involved organ’s with seatbelts
Uertrus
Bladder
Sp02 targets
Targets
1min 60-65%
2 min 65-70%
3 min 70-75%
4 min75-80%
5 min 80-85%
10 min 85-95%
0-2 weeks
Zygote
2-8 weeks
Embro
8 weeks +
Fetus
Interval time
Time between the contractions
How much her heart rate / Bp goes up
15
10-15
Supine hypotension
Lying down low bp with baby on vana cava
