Maternity Flashcards
Normal fetal HR
120-160 bpm
Normal variability for FHR
6-10 bpm
Normal for contractions (frequency, duration and intensity)
Frequency: 2-5 mins apart
Duration: Under 90 sec
Intensity: Under 100mmHg
Normal amount of amniotic fluid
500-1200 ml
Normal amount of blood vessels in umbilical cord
2 arteries and 1 vein
What does APGAR stand for?
Appearance Pulses Grimace Activity Reflex
How is APGAR scored?
- Normal score
- Low score
- Critical score
Apgar is scored each thing as: 0 = absent, 1 = decreased, 2 = strongly positive - 7 and above: normal - 4-6: low - below 3: critically low
What is folic acid? Why do you need it in pregnancy?
It is also known as vitamin B9.
It prevents neural tube defects (think B for brain)
What are early decels?
- Due to?
- Are they normal?
Early decels: start prior to the contraction
- Due to head compression
- Normal if variability within normal and returns to baseline quickly
What are variable decels?
- Due to?
- What do we do?
Late decels: v-shaped on the strip and occur at anytime during labour
- Due to cord compression
- Change the mother’s position and stop pitocin (if infusing)
- Call PCP if continues
What are late decels?
- Due to?
- What do we do?
Late decels: occur at peak of contractin and last as long as the contraction
- Due to uteroplacental insufficiency
- Change the mother’s position and stop pitocin
- Call PCP is continues
What is the treatment for hypotension from an epidural?
- Stop the pitocin
- Turn client on the left side
- Administer O2
- Push IV fluids (if hypovolemic)
What is pregnancy drug category A?
No risk in controlled human studies
What is pregnancy drug category B?
No risk in other (non-human) studies
What is pregnancy drug category C?
Risk has not been ruled out
