MATERNITY Flashcards

1
Q

What is gynecology?

A

Study of diseases of women’s reproductive organs

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2
Q

What is obstetrics?

A

The care of women during pregnancy, childbirth, and up to 42 days after expulsion of all pregnancy contents

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3
Q

What is the transport position for a woman >20wks and why?

A

Left lateral recumbent

Prevents compression of inferior vena cava (supine hypotension)

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4
Q

What is the 1st stage of labour?

A

Onset of regular contractions to full dilation of cervix

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5
Q

What is stage two of labour?

A

Full dilation to birth of baby

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6
Q

What is the 3rd stage of labour?

A

Delivery of the placenta?

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7
Q

What is uterine atony?

A

Uterus fails to contract after delivery

Can cause PPH

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8
Q

What signs and symptoms would query pre-eclampsia?

A

Symptom + 2 elevated BP readings (15 mins apart)

BP >140/90

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9
Q

What can be given for vomiting in pregnancy?

A

Cyclizine 50mg IM

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10
Q

How long is an umbilical cord?

A

≈50cm

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11
Q

What are the cord clamp distances?

A

20/15/10cm

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12
Q

Where is the cord clamped?

A

Between 20-15cm
AFTER 1 minute!!!!

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13
Q

What is considered a full term baby?

A

37-40wks

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14
Q

What is considered a pre-mature baby?

A

<37wks

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15
Q

What is considered a late birth?

A

> 42 weeks

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16
Q

What is a multiparous woman?

A

A woman who have given birth one of more times

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17
Q

What is the 5-1-1 rule?

A

Contractions every 5 minutes
Lasting 1 minute
For at least 1 hour

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18
Q

How do you remember gravida vs parity?

A

G -got it
P- pushed it

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19
Q

What is a mucus plug/bloody show?

A

Sits inside cervix during pregnancy to keep cervix closed

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20
Q

What is gestational diabetes?

A

Diabetes during pregnancy

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21
Q

What is parity?

A

The number of times a woman has given birth to a foetus with a gestational age of >24wks regardless of the outcome

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22
Q

What is the gestational time for the delivery of twins in Ireland?

A

37.1wks

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23
Q

How do you assess PV bleeding?

A

Volume/colour/consistency/location

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24
Q

If there is PV bleeding, when would you pre-alert the ED?

A

If there is:
- pain
- high/low BP
- shock
- low placenta
- shoulder tip pain
- SEPSIS

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25
What is low placenta?
Placenta is attached lower in the uterus
26
What is another term for low placenta?
Placenta previa
27
What is placental abruption?
Placenta has come away from uterine wall
28
What is a miscarriage?
Foetus that has been delivered/not survived before 24wks
29
What is an ectopic pregnancy?
Pregnancy that implants outside the uterus
30
What is a molar pregnancy?
RARE abnormal collection of cells in the uterus
31
What is an incompetent pregnancy/CERVIX?
Cervix opens too early
32
What are the different classifications of miscarriage?
- threatened - inevitable - incomplete - complete - missed
33
What is hyperemesis gravidarum?
- vomiting more than x3 a day - dark coloured urine - severe dehydration
34
What is a mal presentation?
Any presentation other than vertex presentation
35
What is the treatment for prolapsed cord
(Hips higher than head) Mother to adopt head down in left lateral position
36
What are the three things you look for when a baby is born?
CRY COLOUR TONE
37
What is placenta accreta?
Placenta grows too deeply into uterine wall
38
How many arteries/veins in umbilical cord?
2A/1V
39
What is unstable lie?
Baby’s position keeps changing
40
What is polyhydramnios?
Too much amniotic fluid around baby during pregnancy
41
What is the first stage of labour?
The first stage of labour is the period of time from the onset of contractions to full dilation of the cervix.
42
What is the second stage of labour?
The second stage of labour involves the baby being born.
43
What is the third stage of labour?
The third stage of labour involves the delivery of the placenta and cord.
44
What is the duration of the first trimester?
The first trimester lasts from 0 to 12 weeks + 6 days.
45
What is the duration of the second trimester?
The second trimester lasts from 13 to 27 weeks + 6 days.
46
What is the duration of the third trimester?
The third trimester lasts from 28 weeks to delivery.
47
What is SpO2 for a newborn at 1 minute?
The SpO2 for a newborn at 1 minute is 60-65%. (+5% every min)
48
What is SpO2 for a newborn at 10 minutes?
The SpO2 for a newborn at 10 minutes is 85-95%.
49
What is oxygen therapy for a term infant?
FiO2 21% (room air)
50
What is oxygen therapy for a preterm infant?
FiO2 30%
51
What is the procedure for PPV on an infant?
Single finger and thumb ventilations. Count: BREATHE....2...3. ## Footnote M.R S.O.P.A: MASK (correct size/fit), REPOSITION (move head to open airway), SUCTION, OPEN MOUTH, PRESSURE, AIRWAY (alternative P/AP).
52
How long is PPV done on an infant?
At least 30 seconds.
53
What is the CPR rate for infants?
30 compressions and 2 breaths.
54
Where do you check for pulse on an infant?
Brachial artery.
55
When do you check the pulse of an infant in distress?
After effective positive pressure ventilation (PPV).
56
What is the pre-alert criteria for an infant?
Preterm/low birth weight, suspected congenital anomaly, pre-identified complications, cardiac arrest.
57
What are the components of the warm chain?
Drying and wrapping the baby immediately at birth; keeping the baby warm during any procedure. - skin to skin contact - early initiation of breast feeding
58
BGL of a newborn?
>2.6mmol/L
59
Where is BGL taken from on newborn?
- lateral curve of foot - medial curve of foot
60
If BGL of a neonate is <2.6mmol/L What medication can be given?
Glucose gel 2-4mL buccal
61
What is the positive pressure ventilation rate for a new born neonate?
40-60 breaths per minute
62
What is the amount of oxytocin given?
10 international units IM
63
What are the side effects of oxytocin?
CHAND C - Cardiac arrhythmias H - headache/hypotension A - abdominal pain N - nausea D - dizziness
64
What are the storage rules for oxytocin?
Store @ 2-8°C Shelf life unrefrigerated 3 months
65
What may happen is oxytocin is given too quickly?
May transiently reduce BP
66
What are the contra-indications for oxytocin?
Severe cardiac dysfunction KSAR