Mat & Peds Flashcards
gravida
the # of pregnancies the woman has (regardless of the of outcome)
para /parity
outcome of previous pregnancies in the obstetric hx
lightening
may not occur in a multigraivida until labor has started
4 essential components of labor (4P’s)
- Passagways
- Passenger
- Powers
- Psyche
passageway consists of …
bony pelvis
soft tissue of cervix
vagina
pelvic shape favorable for vaginal birth
Gynecoid pelvis
pelvic shapes
4
a. gynecoid
b. anthropoid
c. android
d. platypelloid
true labor vs false labor
true labor
contractions increase in intensity and duration
what is the immediate concern when cx membranes rupture spontaneously prior to fetal engagemnt?
prolaped umbilical cord
types of breach? (4)
Frank
complete
single footling
double footling
fetal attitude refers to
the relationship on the fetal parts to one another
most common attitude and favorable for vaginal birth
flexion aka vertex
fetal Lie describes
the position of the long axis of the fetus in relation long anxis of mother
3 ways fetal lie in uterus
longitudinal lie (ready for delivery)
transverse
oblique
most important fetal structure in relation to labor and birth
Fetal skull (largest and least compressible structure)
not rigid- cartilage allows bones to overlap during labor
molding
elonggates the fetal skull
CERVICAL EFFACEMENT AND DILATION
Before labor
cervix is not effaced or dialated
CERVICAL EFFACEMENT AND DILATION
Early effacement
early dialation to 1 cm
CERVICAL EFFACEMENT AND DILATION
complete enfacement
mid-dilation to 5cm
full dialation
10 cm
caput succedaneum
generalized swelling of scalp
generally requires no treatment
what helps baby with clotting?
and why
vitamin K
given within 6 hours
erthromycin ointment
newborn eyes after birth to prevent
ophtalmia neonatorum
Amenorrhea
absence of mentration
chadwick’s sign
bluish/purple cokor or cervix vagina and perineum during pregnacy
braxton hixks contractions
painless contractions (probable)
