Lecture ten- OB Flashcards
Naegeles rule
1st day of last menstrual period + 7 days - 3 months
in the 1st trimester mom should gain
1lb per month; 3lbs total
in the 2nd & 3rd trimester mom should gain
1lb per week
how to calculate ideal weight of mom
take week of gestation and - 9
the fundus is not palpable until
wk12 after 1st tri
the fundus should be at the umbilicus at
20-22wks
date of viability is between
22-24wks
positive signs of pregnancy
fetal skeleton on xray
fetal presence on ultrasound
auscultation of FHR (8-12wks)
examiner palpates fetal movement
Norm FHR
140bpm
a pos pregnancy test is not a pos sign of
pregnancy
probable signs of pregnancy
urine/blood tests
chadwicks sign
darkening/bluing of cervix
goodells sign
softening of cervix
hegars sign
softening of uterus
chadwicks, goodell, hegar signs in order of occurrence
chadwick
goodells
hegar
mom should visit ob __ times a month until wk 28
one time
after week 28 mom should visit every
2wks until 36
after 36 wks mom should visit
every week until delivery or 42wks
hgb in pregnancy
will drop; due to decreased cardiac output
norm:12-16
1st tri hgb
11 norm
2nd tri hgb
10.5 norm
3rd tri hgb
10 norm
1st tri discomforts
morning sickness, urinary incontinence, difficulty breathing
2nd tri discomforts
back pain
back pain ix
pelvic tilt or foot on stool
3rd tri discomforts
urinary incontinence, difficulty breathing, back pain
truest sign a woman is in labor
onset of regular progressive contractions
ischeal spines
sm narrowest part of pelvis
if bby doesnt fit no vag delivery
fetal lie
the relationship between the spine of mom and the spine of baby
ideal fetal lie
vertical
bad fetal lie
transverse & perpendicular
fetal presentation
part of baby entering canal first
ideal fetal presentation
ROA, LOA
occiput anterior
4 stages of labor
Stage1;labor; 3 phases
Stage2;delivery of baby
Stage3;delivery of placenta
Stage4;recovery (2hrs)
1st stage of labor; 3 phases
latent: 0-4cm; contractions 5-30min apart, 15-30sec, mild
active: control pain; 5-7cm, 3-5min apart, 30-60sec, moderate
transition: 8-10cm; check dilation, aid in breathing, pain mngmt; 2-3min apart, 60-90sec, strong
purpose of contractions in the 1st stage of labor
dilate and efface cervix
2nd stage of labor
push bby out
3rd stage of labor
push placenta out
4th stage of labor
stop bleeding
postpartum technically starts
2hrs q placenta
contractions should not be longer than __ sec and closer than every __ min
90 sec, 2 min
contractions longer than 90sec and closer than every 2 min are signs of
uterine tetany and hyperstim
contraction frequency
beginning of one contraction to the beg of next
contraction duration
length of one contraction
contraction intensity
strength of contraction
painful back labor is __ priority
low priority
painful back labor Ix
position mom in knee chest on all fours, push into moms sacrum to relieve pain
prolapsed cord is __ prioriy
high
prolapsed cord Ix
push head back in, position knees to chest until csec
Ix for all other pregnancy/labor complications
LION
Left side
Increase iv
Oxygen
Notify dr
do not administer pain meds to a mom in labor if the baby is likely to be born when
the med peaks
