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Midwifery care in pregnancy > Laras notes > Flashcards

Laras notes Flashcards

1
Q

Where does fertilisation occur

A

Ideally in wider part of fallopian tube

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2
Q

Normal haemoglobin rate?

A

11-15g/dl

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3
Q

Normal fetal heart rate?

A

110-160 bpm

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4
Q

Naegles rule?

A

1st day of last period plus 9months nd 7days

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5
Q

When is placenta fully formed?

A

10 weeks after fertilisation

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6
Q

What r the two membranes of the placenta

A

Amnion=inner
Chorion=outer
Derived from trophoblast

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7
Q

How many arteries/veins in umbilical cord nd what r functions of each?

A

AVA
2Arteries= bring deoxygenated blood & waste products from the fetus to the placenta
1Vein= brings oxygen and nutrients from the placenta to the fetus

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8
Q

What does amniotic fluid consist of

A

99% water
1% dissolved solid matter (food +waste)

Abnormal constituents=meconium+ blood

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9
Q

How much amniotic fluid at 20 weeks

A

350-450mls

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10
Q

How much amniotic fluid by 36-39wks

A

700-1l

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11
Q

Whats the weight of the placenta

A

1/6th of the babys weight

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12
Q

Where is placenta and when does it separate

A

Its in upper uterine segment
It separates in third stage of labour

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13
Q

Measurements of placenta

A

20cm in diameter
2.5cm at centre

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14
Q

Layers of the vagina

A

Mucosa=sueprficial layer
Muscle
Fascia=surrounds vagina and adjacent pelvic organs

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15
Q

What r the three superficial muscles of the perineum

A

Bulbocavernosus muscles
ð Ischiocavernous muscles
ð Transverse perineal muscles

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16
Q

What r the two superficial muscles of pelvic floor

A

Urogenital triangle
ð External anal sphincter

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17
Q

What r the two deep pelvic floor muscles

A

Levator ani
ð Coccygeus

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18
Q

Whats the top of the uterus called in pregnancy

A

Fundus

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19
Q

What does a 1st degree tear involve

A

the skin of the fourchette

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20
Q

What does a 2nd degree tear involve

A

skin of the fourchette
the superficial perineal muscle

21
Q

What does 3rd degree tear involve

A

skin of the fourchette,
the superficial perineal muscle,
& damage to the anal sphincter

22
Q

Odema (common disorder in pregnancy)

A

Swelling of gums

23
Q

Pica (common disorder in pregnancy)

A

Craving unusual and unedible things

24
Q

Ptyalism (common disorder in pregnancy)

A

Increased saliva

25
Q

Heartburn/Pyrosis (common disorder in pregnancy)

A

Burning sensation due to relaxation of lower oesophagal sphincter

26
Q

Hemmorhoids (common disorder in pregnancy)

A

Swollen veins at or near anus

27
Q

Leucorrhea (common disorder in pregnancy)

A

Increase in amount of vaginal dischage

28
Q

Vaginal thrush (common disorder in pregnancy)

A

Yeast infection of mucous membrane of vag

29
Q

Epistaxis (common disorder in pregnancy)

A

nosebleeds

30
Q

Syncope (common disorder in pregnancy)

31
Q

Whats the increase of vaginal discharge during pregnancy called?

A

Leucorrhea

32
Q

Whats involved in stage 1 of labour

A

Contractions until dilation of 10cm

33
Q

Whats involved in stage 2 of lavour

A

full dilation until birth

34
Q

Whats involved in stage 3 of lavour

A

Separation + expulsion of placenta and the membranes

35
Q

Why should a preggerrs woman sit in an upright position

A

To prevent aortocaval occlusion (compressionof inferior vena cava and aorta)

36
Q

Dimensions of non pregnant uterus

A

7.5cm long X 5cm wide X 2.5cm thick
60g

37
Q

Dimensions of preggnant uterus

A

30cm long X 23cm wide X 20xm thick
1kg

38
Q

3 layers of tissue in cervix:

A

Endometrium = inner layer
ð Muscle layer
ð Peritoneum layer

39
Q

Function of oestrogen

A

Stimulates gwoth of cells in lining of uterus vagina and cervix

40
Q

Function of progesterone:

A

Builds up lining of uterus for fertilization
Initiates secretory phase of the endometrium
Signals the pituitary to stop producing LH

41
Q

What r the antenatal blood tests

A

ABO blood group
RH antigen
Full blood count

42
Q

Sutures of fetal skull

A

ð Lambdoid suture
ð Sagittal suture
ð Coronal suture
ð Frontal suture

43
Q

Vault of fetal skull consists of:

A

ð 2 frontal bones
ð 2 parietal bones
ð 2 temporal bones
ð 1 occipital bones

44
Q

What three sections is fetal skull made up of

A
  1. The fetal skull is made up of:
    ð Vault
    ð Face
    ð Base
45
Q

whatte the 4 types of female pelvises

A

Gynaecoid
ð Platypelloid
ð Anthropoid
ð Android

46
Q

What r the three regions if the pelvis

A

The pelvic brim
ð The pelvic cavity
ð The pelvic outlet

47
Q

What are the 4 pelvic bones

A

ð The sacrum (= 5 fused vertebrae)
ð The coccyx (=4 fused vertebrae)
ð 2 innominate bones, each composed of 3 parts :
o The ilium
o The ischium o The pubis

48
Q

Need layers of eymbro development and 2 genital trianglws

Midwifery care in pregnancy (6 decks)

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