OBGYN Flashcards
Full term
How long is it
40 weeks which is 9 months
Pre-term
<35 -37 weeks
How many trimesters are there?
3
first trimester
1-3 months
Second trimester
3-6 months
Third trimester
6 month-term
How do you position pregnant patients
And what do you never do with positioning
Lay them on their side
Never lay the patient supine
Blood pressure changes for each trimester
- First - decreases 5-10 mmHg
- Second - time of lowest BP
- Third- returns to pre pregnancy BP
Physiological changes to the respiratory drive
(4)
- Structural changes - uterus shifts diaphram upward, decreasing the length of the lungs
- Chest enlarges 2 cm
- Tidal volume increases 20-30%
- Oxygen consumption increases 15-20%
First stage
Labor and delivery
starts from time of first true, regular contraction and ends with dilation of cervix (10cm)
Second stage
Labor and delivery
Starts with full dilation of cervix (10cm) and ends with birth of baby
3rd stage
Labor and delivery
Begins once the baby is born until after the placenta is delivered
Braxton Hix contractions
What are they
- False labor contractions
How far away from the baby do you cut the umbilical cord?
6-9 inches
APGAR scoring
When do you start this assessment?
1-5 minutes after birth
APGAR scoring
What does it stand for
- A - Appearance
- P - Pulse
- G - Grimace
- A - activity
- R - Respirations
APGAR scoring
What is the range for a normal score?
7-10