Obstetrical Hx Gathering And Assessment Flashcards
What does gravida mean?
Number of previous pregnancies
What does Para mean?
Number of previous births
What is stillbirth?
Death of a baby after 20 weeks of pregnancy where a baby is born without signs of life
What is the uterine height at 20 weeks of gestational size?
At the umbilicus
What is the uterine height at 36 weeks of gestational size?
Costal margins
What does a decrease in uterine height near 40 weeks indicate
The baby had dropped into the pelvis in preparation for birth
It is important to assess for cord prolapse, why?
Because the cord precedes the baby, it poses a risk of cord compression and loss of fetal blood supply
What is term gestation?
> 37 weeks
37 - 40 weeks
What does the vertex position refer to?
The babies head is positioned down
What is precipitous labour?
Labour that progresses very rapidly and birth comes <3 hours of regular contractions starting
What complications can precipitous labour cause?
Perineal tears
What are four strategies strategies for managing fast labour?
1) using gravity to help slow the baby’s decent
2) gently applying pressure on the baby’s head as it crowns to reduce the risk of tearing
3) perineum support to prevent excess tearing
4) ask mom to pant instead of pushing
What are Braxton hicks contractions (false labour)
- irregular, non-painful contractions that do not lead to cervicle dialation
How early can Braxton hicks contractions start?
As early as 20 weeks
After the delivery of the placenta, what is the first priority to assess for?
Postpartum hemorrhage
