OB NORMAL Flashcards

1
Q

1

A

Scrotum

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2
Q

2

A

Penis

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3
Q

A

External structure (protect)

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4
Q

A

pad of adipose tissue located over the

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5
Q

A

symphysis pubis.

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6
Q

A

covered by a triangular coarse curly hair.

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7
Q

A

Functions:

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8
Q

A

2 small lips

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9
Q

A

two folds of hairless connective tissue.

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10
Q

A

pinkish

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11
Q

A

not covered with pubic hair

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12
Q

A

Child bearing - becomes firm and full

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13
Q

A

Menopause - atrophied

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14
Q

A

2 large lips longitudinal fold

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15
Q

A

extends

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16
Q

A

Clitoris

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17
Q

A

Function:

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18
Q

A

almond

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19
Q

A

Sensitive to manipulation (easily thorn)

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20
Q

A

Fourchette - cut during episiotomy.

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21
Q

A

For urination

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22
Q

A

secretes mucus for lubrication (alkalinic)

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23
Q

A

a.k.a Paraurethral gland

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24
Q

A

Tough

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25
Q

A

Healing

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26
Q

A

external opening of the vagina

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27
Q

A

deoderlein’s bacillus

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28
Q

A

normal ph - 3.8 to 5.0

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29
Q

A

para-vaginal or vulvo vaginal gland

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30
Q

A

secretes mucus

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31
Q

A

inferior part of vagina

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32
Q

A

Bartholin’s

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33
Q

A

mascular structure

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34
Q

A

located between vagina and anus

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35
Q

A

Layers of the uterus

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36
Q

A

2 to 4 inches long

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37
Q

A

serves

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38
Q

A

passageway

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39
Q

A

ampulla

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40
Q

A

interstitium

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41
Q

A

AOG - age of gestation

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42
Q

A

EDD - expected date of delivery

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43
Q

A

hormone for the women

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44
Q

A

Function:

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45
Q

A

hormone for the mother

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46
Q

A

prepares the endometrium for

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47
Q

A

responsible for uterine contraction

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48
Q

A

decreases GI motility which causes

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49
Q

A

mood swings during pregnancy

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50
Q

A

increase in basal body temperature

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51
Q

A

development in mammary gland

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52
Q

A

Should maintain level of progesterone

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53
Q

A

episodic

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54
Q

A

Structures involved:

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55
Q

A

occurs

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56
Q

A

moderate increase in the vital signs

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57
Q

A

sex flush

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58
Q

A

erection; for the

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59
Q

A

may last from minutes to hours

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60
Q

A

foreplay

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61
Q

A

further increase in the vital signs

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62
Q

A

women;

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63
Q

A

Short time (30 sec to 3 mins)

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64
Q

A

more erection

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65
Q

A

reached before orgasm

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66
Q

A

“Orgasmic platform”

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67
Q

A

Note: Encourage foreplay

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68
Q

A

Women have more problems with orgasm

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69
Q

A

Men: problems with ejaculation,

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70
Q

A

2 to 10 seconds

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71
Q

A

pain during coitus

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72
Q

A

can occur because of endometriosis,

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73
Q

A

Estrogen- maintains wetness; decrease

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74
Q

A

Prone to vaginismus

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75
Q

A

Ovum - ovulation to fertilization

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76
Q

A

Zygote - fertilization to implantation

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77
Q

A

Embryo - implantation to 5-8 weeks AOG

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78
Q

A

Fetus - 8 weeks until term

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79
Q

A

Neonate- birth to first 28 days of life

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80
Q

A

Conceptus - developing embryo and

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81
Q

A

Age of Viability - 20 weeks / 20 to 24

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82
Q

A

Equal maturation of both sperm and

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83
Q

A

Ability of the sperm to reach the ovum

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84
Q

A

Ability of the sperm to penetrate the zone

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85
Q

A

Implantation may occur 7 to 10 days after

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86
Q

A

from ovulation; 3 to 4 days, after it

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87
Q

A

Trophoblast cells - becomes the placenta

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88
Q

A

Protection

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89
Q

A

Remaining portion of uterine lining

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90
Q

A

fingerlike projections

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91
Q

A

Reach about 200 villi at term

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92
Q

A

Present as early as 11-12 weeks of AOG

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93
Q

A

CV: central core - connective tissue

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94
Q

A

Central core: Capillaries

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95
Q

A

The outer of the two covering layer is

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96
Q

A

Cytotrophoblast:

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97
Q

A

early detection of genetic abnormalities

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98
Q

A

removal of tissue sampling from the fetal

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99
Q

A

9 to 12 weeks or during the 1st trimester

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100
Q

A

be careful because complication includes:

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101
Q

A

genetic investigation

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102
Q

during 1st trimester = there will be normal

A

delivery

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103
Q

A

2 layers

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104
Q

A

Bag of water

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105
Q

A

Musty odor with crystalized ferning

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106
Q

A

500 to 1200 ml

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107
Q

A

Life span of amniotic fluid- 42 weeks

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108
Q

A

As early as 37-38 weeks the amniotic fluid

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109
Q

A

Function:

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110
Q

A

more than 2000 ml - 4000 ml amniotic

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111
Q

A

pocket of fluid that is more than 8 cm

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112
Q

A

Amniotic Fluid - form in the kidneys,

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113
Q

A

Esophageal atresia - incomplete

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114
Q

A

Normal pocket of amniotic fluid - 2 to 8

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115
Q

A

Problems with the production of amniotic

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116
Q

A

CNS

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117
Q

A

Peripheral Nervous System

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118
Q

A

Skin, hair and nails

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119
Q

A

Sebaceous glands

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120
Q

A

Sense organs

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121
Q

A

Mammary glands

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122
Q

A

Tooth enamel

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123
Q

A

supporting structures of the body

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124
Q

A

Heart and Circulatory System

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125
Q

A

Reproductive System

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126
Q

A

Any drugs, virus or irradiation that expose

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127
Q

A

Toxoplasmosis

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128
Q

A

German Measles

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129
Q

A

Viral infection

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130
Q

A

Deafness- most common side effect

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131
Q

A

Painless, irregular / Practice or

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132
Q

A

From abdomen radiates to the back

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133
Q

A

To increase placental perfusion

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134
Q

3

A

Ballottement

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135
Q

A

Bouncing of fetus (IE)

136
Q

A

Cervix (consistency)

137
Q

1

A

Goodles Sign

138
Q

A

Mucus plug

139
Q

A

Located in the cervix

140
Q

A

Ovulation stops

141
Q

A

Chadwick Sign

142
Q

A

Increase

143
Q

A

Bluish/purplish discoloration

144
Q

A

Increase amount of vaginal discharge

145
Q

A

Occurs as a result of estrogen and

146
Q

A

Active colostrum production can start as

147
Q

A

Increase in size of breast

148
Q

A

Nipple increase in size and becomes

149
Q

A

There is tingling sensation, breast

150
Q

1

A

Morning Sickness

151
Q

A

Cause: UNKNWON

152
Q

A

Related to increase HCG level

153
Q

A

Nausea, vomiting, dizziness

154
Q

A

Decrease energy every morning

155
Q

A

Acid reflux because of hypoglycemia

156
Q

A

Can occur every morning or afternoon

157
Q

A

Normal during 1st trimester

158
Q

A

Hyperemesis gravidarum- MS on 2nd

159
Q

A

Management:

160
Q

A

Increase

161
Q

1

A

Lordosis

162
Q

A

Pride of pregnancy

163
Q

A

To maintain balance/ equilibrium

164
Q

2

A

Waddling Gait

165
Q

A

Because of hormone relaxin- the body

166
Q

3

A

Leg Cramps

167
Q

A

Pressure of the growing uterus to the legs

168
Q

A

Decrease calcium, Decrease potassium,

169
Q

A

Management:

170
Q

1

A

Striae Gravidarum

171
Q

A

“Stretch

172
Q

A

Reddish streaks- located in abdomen,

173
Q

A

Because of stretching of the skin; not

174
Q

2

A

Linea Nigra

175
Q

A

Dark line from symphysis pubis to

176
Q

3

A

Chloasma or Melasma

177
Q

A

Mask of pregnancy

178
Q

A

Increase activity of melanocyte

179
Q

A

Increase production of Melany

180
Q

A

Palmar erythema/ Palmar pruritus =

181
Q

A

Occur temporarily

182
Q

A

Management

183
Q

1

A

Shortness of Breath

184
Q

A

Because of the pressure of the uterus to

185
Q

A

Management

186
Q

3

A

Constipation

187
Q

A

Because of progesterone- decrease

188
Q

A

Because of diet

189
Q

A

Because of decrease activity/ exercise

190
Q

A

Because of hydration/ fluid intake

191
Q

A

Because of pressure of the growing

192
Q

A

Because of the ferrous sulfate/ iron

193
Q

A

Management:

194
Q

A

Do not give suppositories, laxative; If

195
Q

4

A

Flatulence

196
Q

A

Management

197
Q

5

A

Nausea and Vomiting

198
Q

A

Due to increase HCG

199
Q

A

Management:

200
Q

6

A

Heartburn/ Pyrosis

201
Q

A

There is gastric reflux to the esophagus

202
Q

A

There is a pressure of the uterus to the

203
Q

A

There is a relaxation of cardiac sphincter

204
Q

A

Management:

205
Q

7

A

Fatigue

206
Q

A

Common in early pregnancy= there is

207
Q

A

Caloric requirement during pregnancy

208
Q

8

A

Muscle/Leg Cramps

209
Q

A

Decrease serum calcium level and

210
Q

A

Give amphogel

211
Q

A

Second Trimester

212
Q

A

Third Trimester

213
Q

A

Calories

214
Q

A

Protein

215
Q

A

Folic Acid

216
Q

A

Calcium

217
Q

A

Iron

218
Q

A

Vitamin C

219
Q

A

Vitamin D

220
Q

A

Vitamin B Complex

221
Q

1

A

Sexual Activity

222
Q

A

Not allowed if mother has history of

223
Q

A

Can still intercourse during 1st and 2nd

224
Q

A

If the abdomen is already big, suggest the

225
Q

A

Avoid cunnilingus = because of the risk of

226
Q

2

A

Bathing

227
Q

A

Can use bath tub= just make sure it is not

228
Q

A

Locate what is in the fundus

229
Q

A

Fundal Grip

230
Q

A

To determine fetal back and spine

231
Q

A

Umbilical Grip

232
Q

2

A

Passage way

233
Q

A

Penis, cervix, vagina

234
Q

A

Those who underwent pelvic surgery

235
Q

A.

A

Gynecoid

236
Q

A

Female pelvis = round, wide

237
Q

A

Most ideal type of pelvis in NSD

238
Q

A

NSD

239
Q

B.

A

Android

240
Q

A

Male pelvis = heart shape= wide anterior

241
Q

A

CS

242
Q

C.

A

Anthropoid

243
Q

A

Ape like pelvis = Oval / ovoid shape

244
Q

A

NSD

245
Q

D.

A

Platypelloid

246
Q

A

Flat

247
Q

A

posterior diameter = narrow diameter

248
Q

A

CS

249
Q

1

A

Diagonal Conjugate

250
Q

A

Measurment between sacral promontory

251
Q

A

Normal measurement= 11.5 to 12. 5

252
Q

2

A

True Conjugate / Con

253
Q

A

Measurement from the anterior

254
Q

A

Normal

255
Q

3

A

Obstetrical Conjugate

256
Q

A

Smallest antero- posterior diameter

257
Q

A

Subtract 1.5 cm to 2cm from the

258
Q

A

Normal = 10 cm

259
Q

4

A

Tuberoischi Diameter

260
Q

A

Transverse diameter of the pelvic outlet

261
Q

5

A

Ischial Tuberosity

262
Q

A

8 cm and above

263
Q

A

If you can insert your fist, means =

264
Q

3

A

Power

265
Q

A

The force activity to expel the fetus and

266
Q

A

Increment crescendo = ascending

267
Q

A

Decrement decrescendo = Descending

268
Q

A

Peak = acme

269
Q

A

Duration

270
Q

A

Frequency = from the start of 1

271
Q

A

Cervical Dilation= 0.3cm

272
Q

A

Duration = 20

273
Q

A

Frequency = 5 to 10 mins.

274
Q

A

Intensity = mild and short

275
Q

A

Do not plot in

276
Q

A

Do not give medication for pain = it can

277
Q

2

A

Active Phase

278
Q

A

Fears losing control of self

279
Q

A

Admit patient

280
Q

A

Plot on the partograph

281
Q

A

Cervical Dilation = 4-7 cm

282
Q

A

Duration = 40-60 secs.

283
Q

A

Frequency = 3-5 min.

284
Q

A

Intensity = Moderate or Stronger

285
Q

A

Give meds ; do not eat food and drink ;

286
Q

A

Assess:

287
Q

3

A

Transitional Phase

288
Q

A

Mood changes with hyperesthesia

289
Q

A

Cervical dilation = 8-10 cm

290
Q

A

Duration = 60

291
Q

A

Frequency = 2 to 3 mins.

292
Q

A

Intensity = severe / strongest

293
Q

A

8-9

294
Q

A

Tires= give pillow, apply massage, exert

295
Q

A

Inform of progress= inform the client

296
Q

A

Restless= purst lip breathing, pant

297
Q

A

Encourage and praise

298
Q

A

Effacement = thinning of cervix ; cm is

299
Q

A

Dilatation = express in cm; 1 cm per hour

300
Q

A.

A

Station

301
Q

A

Ischial Spine

302
Q

A

If the presenting is already engage to

303
Q

A

(Cardinal Movement)

304
Q

A

Engagement

305
Q

A

Descent

306
Q

A

Flexion

307
Q

A

Internal rotation

308
Q

A

Extension

309
Q

A

Extended rotation

310
Q

A

Expulsion

311
Q

3

A

THIRD STAGE

312
Q

A

Placental stage = start from delivering the

313
Q

A

Placenta should be delivered within 5 to

314
Q

A

15

315
Q

1

A

Lengthening of cord

316
Q

2

A

Sudden gush of blood

317
Q

3

A

Calkin sign = firm and globular,

318
Q

A

Fetal side

319
Q

A

Shiny

320
Q

A

Separates from center to edge

321
Q

A

Maternal side

322
Q

A

Dirty

323
Q

A

Beefy

324
Q

A

Separate from edge to center

325
Q

A

If the placenta is being delivered do not

326
Q

A

Before injecting the methergine

327
Q

A

When evacuating blood clot used gloved

328
Q

4

A

FOURTH STAGE

329
Q

A

First 1 to 2 hours after placental delivery

330
Q

A

Monitor V/S of mother every 15 mins. for

331
Q

A

Monitor the fundus = must be

332
Q

A

Check the uterus every 15 mins. = check if

333
Q

A

Check the b ladder = if full,

334
Q

A

Involution = return of fundus to its non

335
Q

A

After 1 day = 1 cm below umbilicus