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
What is pregnancy drug category D?
Positive evidence of risk
What is pregnancy drug category X?
Contraindicated in pregnancy
What is pregnancy drug category N?
Not yet classified
