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OB - Study Group > OB Lab 1 > Flashcards

OB Lab 1 Flashcards

1
Q

When is baseline FHR observed

A

between contractions over 10 min

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2
Q

what is baseline FHR

A

110-160bpm

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3
Q

what interventions can a patient take for cramps after birth

A

tylenol/ibprofen

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4
Q

how long should pain last after birth

A

5-7 days

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5
Q

all pain should be evaluated for what

A

infection

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6
Q

what does a electronic fetal monitoring do

A

monitors fetal well being by monitoring fetal heart rate and contractions

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7
Q

what is fetal tachycardia and what could be the causes

A

over 160bpm
causes: hypoxemia, anemia, prematurity, maternal conditions, meds

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8
Q

what is accelerations FHR

A

increase in FHR 15bpm over 15 seconds - before 32 weeks 10bpm over 10 seconds

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9
Q

how is FHR and contractions monitored by internal fetal monitoring system

A

fetal monitoring- scalp spiral electrode, intrauterine pressure catheter measure contractions

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10
Q

what is effacement

A

thinning of the cervix

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11
Q

what is early deceleration FHR

A

symmetrical, gradual decrease in FHR with contraction - mirror

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12
Q

where should fundus level be one our postpartum

A

at umbillicus

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13
Q

what does late deceleration FHR look like

A

decel mirrors contraction but starts after contraction and ends after contraction

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14
Q

what is dilation

A

opening of cervix

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15
Q

what does BUBBLE -LE stand for in postpartum assessment

A

Breast, Uterine, Bladder, Bowels, Lochia, Episiotomy, Legs, Emotions

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16
Q

where is the uterus immediately postpartum

A

1/2 down between umbilical and symphysis pubic

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17
Q

how often should uterus be checked after birth

A

every 15 min for hour, then every 30min, then every 4 hours

18
Q

what is involution

A

process of uterus returning to pre-pregnancy state takes about 6-7 weeks

19
Q

how do you measure frequency of contractions

A

measure from beginning of one contractions to beginning of next contraction

20
Q

what are braxton hicks

A

irregular cramping, doesnt cause cervical changes

21
Q

what is the treatment for braxton hicks

A

position changes, hydration

22
Q

what is lochia

A

vaginal discharge

23
Q

1-3 days postpartum lochia =

A

lochia rubra (dark red)

24
Q

4-10 days postpartum lochia =

A

lochia serosa (bright red)

25
Q

10-28 days postpartum lochia=

A

lochia alba (yellow)

26
Q

Intensity of contractions mild abdomen will feel like…

A

nose

27
Q

Intensity of contractions moderate abdomen will feel like

A

chin

28
Q

Intensity of contractions severe abdomen will feel like

A

forehead

29
Q

how does a external fetal monitoring work

A

doppler ultrasound measures HR and tocodynanometer used to measure contractions

30
Q

what is baseline variability

A

fluctuating in baseline FHR indicator of adequate fetal oxygenation during labor

31
Q

what is minimal baseline variability

A

less then 5bpm

32
Q

what is moderate baseline variability

A

best - 6-25bpm

33
Q

what is marked baseline variability

A

over 25 bpm

34
Q

what is fetal bradycardia and what could be some causes

A

less then 110bpm
causes: maternal position, decreased BP, cord compression

35
Q

what is variable deceleration FHR

A

abrupt decrease in FHR 15 bpm by 15 seconds looks like a v or u

36
Q

what is hyperstimulation

A

uterine tachysystole - excessively frequent contractions, over 5 within 1 minute of eachother over 10 min

37
Q

what is deceleration FHR

A

decrease FHR below baselie

38
Q

what is recurrent deceleration FHR

A

occurs 50% of contractions over 20 minutes

39
Q

what is intermittent decelerations FHR

A

occurs over 50% of contractions over 20 min

40
Q

how much should the uterus decrease per day

A

1 fingerbreath (1cm)

41
Q

when should the uterus not be palpable

A

10 weeks

42
Q

what is prolonged decelerations FHR

A

decels over 15bpm below baseline over 2 min – immediate intervention needed

OB - Study Group (6 decks)

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