Maternity Flashcards
Presumptive signs
ammenorhea, breast tenderness, frequency, novo
Probable signs
Goodall sign, Chadwicks sign, Hegar sign, uterine enlargement, braxton hicks, pigmentation of skin: lines nigra, facial chloasma, abdo striae
Definite signs
doppler (10-12 weeks), fetoscope (7-20 weeks), ultrasound
Goodall sign
softening of cervix, 2nd month
Chadwicks sign
bluish colour of vag mucosa and cervix, week 4
Hegar sign
softening of lower uterine segment: 2-3rd month
Nageles rule
+ 7 days -3 months + 1 year
Ado should increase calorie intake by how much
500 cal
danger signs
headache, no, sever abode pain, sudden gush of vaginal fluid, temp spike, edema, persistent vo
When see Dr
0-26: once a month
26-36: twice a month
36 and up:every week
fetal mouv which week
16-20
lightening
head in pelvis
enagagement
largest part of fetus in pelvic inlet
signs of labor
lightening, engagement, bloody show, diarrhea, sudden burst of energy, breathe easier, urinary frequency, softening cervix
non stress test
2 or more access with fetal move where the bp is 15 ppm more for 15 sec, goes back to baseline within 2 mins and is recorded in 20 min
negative stress test
no late decels, 3 or more contractions lasting 40-60 secs in 10 minute time frame
positive stress test
late decals more than half the time
major cx of epidural
hypota
after epidural, place
semi-fowler on side to prevent mean cava compression (dim venous return, CO, BP, placental perfusion)
oxytocin alert for
uterine rupture, fetal distress, hypertonic labor contractions
sx incomplete uterine rupture
faint, vo, internal bleeding, lose fetal heart tones, late decal, retard progress
discontinue oxytocin if contractions last
more than 90s
abdo post partum
diastisis recti
uterus few hours after birth
1 finger above umbilici
fondus boggy
massage until firm, check for bladder distension
lochia
rubia: 3-4
serosa: 4-10
alma: 10-28
breast care
extra 500 cal, 8-10 8 ounce glasses of fluid per day
causes of late hemm
uterine atrophie, forceps, lacerations
patio jaundice
first 24h ABO/RH incompatibility
erythroblastosis fetalis
neuro damage, anemia, hyperbole, hydrous fettles, CHF
Miscarriage trx, what imp
bed rest, abstinence from sex, measure hug levels
abrupito placenta
sx: board like abdomen, pain, internal bleeding, difficult to palpate fetus
causes: MVA, domestic violence, premature membrane rupture associated with cocaine
Preeclampsia mild sx
headache, blurred vision, oedema face and hands, clonus, hyperreflexia
when giving Mg sulfate
check mg toxicity every 1-2h: BP, LOC, RR, UO, DTR
preeclampsia happens after
20th week
