Pt Care Theory 3 Flashcards
How much does BP decrease in the 2nd trimester of pregnancy?
10-15 mmHg
Typically returns to normal in the third trimester.
How much does the pulse rate increase in the third trimester?
15-20 bpm above baseline
How much does blood volume increase during pregnancy?
30%
What causes peripheral edema during pregnancy?
Increased blood volume.
What does the CRAP acronym for Cardiac Output stand for?
Contractility
Rate
Afterload
Preload
How much does cardiac output increase in the third trimester?
30%
How much does the Functional Residual Volume of the lungs decrease during pregnancy?
25%
Gravida
of pregnancies – current & past (counting miscarriages and abortions)
Para
of past pregnancy’s that remain “viable” to delivery. Number is recorded with both live & dead fetus. Twins/triples count as 1
Primip
short for primipara – means the patient has only had one birth/delivery
Multip
short for multipara – means the pt. has had 2 or more deliveries
What are the child bearing years?
From 14-50 years of age.
Nulipara
None
At what maternal age is a pregnancy considered geriatric?
35+
1st Trimester
Week 1 – Week 12 (approx. 3 months)
2nd Trimester
Week 13 – Week 27 (months 4 – 6 months)
3rd Trimester
Week 28 – birth. Usually approx. 40 – 42 weeks (months 7 – 9)
What age gestation is considered viable?
20 weeks+
Stage 1 of labour
Early labour and active labour.
Stage 2 of labour
Passive and active phases
Imminent birth as per ALS
- Crowning or other presenting part is visible or;
- in primips, presenting part is visible during and between contractions, maternal urge to push or bear down, and contractions are less than two (2) minutes apart, or;
- in multips, contractions five minutes apart or less and any other signs of second stage labor present.
When does the BLS say we should assume pre-eclampsia?
Pre-eclampsia should be assumed for patients beyond 20 weeks of gestation with a blood pressure ≥140/90 (severe pre-eclampsia = diastolic BP ≥110), with:
• generalized edema (e.g. face, legs), or
• non-specific complaints of headache, nausea, abdominal pain with or without vomiting, blurred vision, fatigue, generalized swelling or rapid weight gain.
What is eclampsia?
A seizure (pre-eclampsia=pre-seizure).
What do Beta 1 receptors do?
Innervate HR
