Pregnancy Labor and Delivery Flashcards

1
Q

When referring to the time period of a pregnancy you say:

A

weeks completed

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2
Q

Viablilty means

A

Through half of the pregnancy. (24 weeks)

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3
Q

Preterm =

A

viable- 37 weeks

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4
Q

wt gain during pregnancy

A

25-30 pounds, add five for each additional kid

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5
Q

Obesity is a form of malnutrition

A

ok

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6
Q

Pre-existing High Blood Pressure. What do you need to watch for in pregnancy?

A

MUST TAKE THEM off ACEi, 50% congenital malformation if the baby is fetus is exposed to ACEi during organogenesis

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7
Q

2 types of Hypertension of pregnancy

A

1) Gestational HTN

2) Pre-eclampsia

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8
Q

Pre-eclampsia

A

hypertension, proteinuria (500mg per day)

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9
Q

Know Rh stuff

A

ok

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10
Q

What’s the big deal about gestational diabetes?

A

40-50% of people that develop gestational diabetes will develop overt DM later in life

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11
Q

hCG, TSH, Insulin

A

all have similar alpha structures

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12
Q

When is the anatomic structure of the baby analyzed via ultra-sound

A

18- 20 weeks, prior to that eveything is too small

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13
Q

What three things can ultrasound tell you?

A

Structure
Blood Flow
Amniotic Fluid Volume

-Can’t tell you everything about fetal well-being like many ppl think

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14
Q

Fetal heart rate criteria

A

should be between 110- 160 BPM

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15
Q

viability

A

ability to live outside the uterus supported or unsupported

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16
Q

premature

A

talks about the baby whereas preterm talks about the pregnancy

17
Q

4 phases of labor:

A
  • Latent= pre-labor < 4 cm
  • Active phase = 1st 4-10 cm
  • Pushing = 2nd
  • Delivery Placenta= 3rd

KNOW THESE

18
Q

C/S risks

A

KNOW

  • Increased bleeding
  • increased abdominal scarring
  • increased risk of uterine rupture with each additional C/S
  • Increased risk of placenta accreta if the palcenta is low in the uterus. Placenta acreta involves the placenta being over the top of the scar, deep in the myometrium. Leads to hemorrhage.