Maternity And Childbirth Flashcards

1
Q

What does it mean to be full-term in pregnancy?

A

37 to 40 weeks is full term

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2
Q

What is the first trimester weeks?

A

Week one, the week, 12

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3
Q

What is the second trimester weeks?

A

Week 13 to week, 28

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4
Q

What are the final trimester weeks?

A

Week 29 to 40 weeks or more

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5
Q

How many stages are there in labor?

A

Three

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6
Q

What does the first stage of labour consist of?

A

Dilation of cervix, regular painful contractions, and the mucous plug rupture
Usually lasts 12 hours

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7
Q

What did the second stage of labour consist of?

A

Birth of the infant(s)
Usually lasts between two and three hours

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8
Q

What is the third stage of labour consist of?

A

The delivery of the placenta
Usually lasts up to one hour

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9
Q

What is eclampsia?

A

New onset, seizure or coma in a woman with pre-eclampsia

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10
Q

What is the treatment for eclampsia?

A

Magnesium sulphate 4 g over 20 minutes

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11
Q

Can you give Mazza Lamb to a pregnant patient who is seizing?

A

Yes, after the initial dose of magnesium sulphate and the patient is seizing

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12
Q

What is preeclampsia?

A

Multisystem disorder of a patient who is pregnant over 20 weeks gestation that presents with a new onset of hypertension, proteinuria, and typically headaches

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13
Q

Can ACP’s give magnesium sulphate prophylactically in patients that have pre-eclampsia?

A

Yes, they have to call clinical prior to administration

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14
Q

What are the major sources of non-traumatic bleeding in early pregnancy less than 20 weeks?

A

Ectopic pregnancy, early pregnancy loss, implementation of the pregnancy, threatened abortion, cervical vagina or uterine pathologies

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15
Q

Can we give TXA in maternal vaginal bleeding in less than 20 week patients?

A

Yes, as long as you contact clinicall

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16
Q

What are the major causes in maternal vaginal bleeding greater than 20 weeks?

A

Abrupt placenta, placenta, previa, uterine rupture

17
Q

Is it always concerning to have maternal vaginal bleeding after 20 weeks?

A

Yes, it is always concerning

18
Q

Can you give TXA in maternal vaginal bleeding greater than 20 weeks?

A

Yes, as long as you call clinicall

19
Q

What do you do in a breach birth?

A

Hands off the neonate until the body has been born to the umbilicus attempt the MSV maneuver repeatedly until delivers, or you reach the obstetrical facility

20
Q

What are you to do in a limb presentation birth?

A

Rapid transport to hospital

21
Q

What are you to do in a shoulder dystocia birth?

A

Declare an emergency and prepare to resuscitate neonate
Use the acronym:
H
E
L
P
E
R
R

22
Q

What are you to do when there is a cord prolapse during birth?

A

Elevate the hips and rapid transport to the nearest receiving hospital

23
Q

What are you to do in postpartum haemorrhage?

A

Fundal massage
Intravenous access
After consultation with clinicall you can give TXA