Lesson 3

Question 1

what to do if mother is under the influence when you arrive?

Answer 1

document in PCR and let nurse know

Question 2

gravida

Answer 2

number of times women been pregnant

Question 3

parity

Answer 3

number of pregnancies carried to a viable gestational age (beyond 26 weeks)

Question 4

primigravida

Answer 4

pregnant for the first time or has been pregnant one time

Question 5

primipara

Answer 5

given birth once before

Question 6

multigravida

Answer 6

been pregnant more then once

Question 7

multipara

Answer 7

given birth 2 or more times

Question 8

nullipara

Answer 8

never carried beyond 20 weeks

Question 9

nulligravida

Answer 9

has never been pregnant

Question 10

most common pregnancy calls

Answer 10

pain
vaginal bleeding
traumatic injury

Question 11

pregnant patients are immune from any other causes of abdominal pain

Answer 11

false!

Question 12

GP questions if patient is pregnant

Answer 12

how many times you've been pregnant
how many times have you given birth?
abortions?
miscarriage?
C sections?
twins?
ultrasound result?
last baby movement?

Question 13

pregnancy symptoms

Answer 13

amenorrhea
nausea
vomiting
breast tenderness 
back pain 
cramping 
vaginal discharge 
weigh gain 
edema

Question 14

first ultrasound non high risk

Answer 14

20 weeks

Question 15

first ultrasound high risk

Answer 15

10-12 weeks come weekly/biweekly

Question 16

Cesarean sections once they happen once there’s a great probability they will happen again T/F

Answer 16

T!

Question 17

We can do C sections T/F

Answer 17

F! don’t even think about it

Question 18

pregnancy vitals

Answer 18

HR increases 10-20
RR increases
generalized edema
BP decreases in 2nd tri returns in 3rd

Question 19

best way to do fetal assessment

Answer 19

ask the mother
movement?
contractions?

Question 20

fundal height

Answer 20

zero mark on top of symphysis pubis

1cm = 1 week

Question 21

normal fetal heart rate

Answer 21

110/60mmHG

count for a minute

Question 22

what trimester does the mom really start to feel movement

Answer 22

2nd

Question 23

type of assessment on mom

Answer 23

head to toe

Question 24

what should you do if you have to deliver out in there field

Answer 24

call a second unit

Question 25

labour prodromal stage

Answer 25

plug of mucus/blood
often goes unnoticed
not painful

Question 26

first stage of labour

Answer 26

5-15 minute contraction intervals
cervix thins out /dilates
1st stage lasts until cervix is fun;y dialled (10cm)
amniotic sac should rupture if not we have to do it

Question 27

stage 2 of labour

Answer 27

baby enters birth canal
contractions more intense 1-2 minuses long 1-2 minutes long
crowning
get ready
once head delivers (largest part) rest of the body usually comes right out

Question 28

stage 3 labour

Answer 28

delivery of the placenta
minutes to 10 minutes
don’t have to wait for this before transporting
giving oxytocin helps with this stage

Question 29

questions to ask yourself

Answer 29

am I delivering this baby here?
what do I need to prepare?
is there time to reach the hospital?
what are contractions like? frequency?
feel urge to move bowels

Question 30

when transporting mother in labour what shouldn’t you do?

Answer 30

DON’T LET HER WALK

Question 31

If there’s no time to transport to the hospital

Answer 31

clean environment

Question 32

abruptio placentae

Answer 32

premature separation of the placenta

painless vaginal bleeding

Question 33

pregnancy and drugs

Answer 33

pass through placenta barrier causing birth defects