Unit 1 (Pregnancy, Labor, and Birth): 5 Flashcards
Naegele’s Rule
Fundal height
GTPAL
first date of last period - 3 months + 7 days
AT 20 WEEKS FUNDAL HEIGHT SHOULD BE AT THE UMBILICUS
18 weeks pregnant = measure 18 cm +/- 2 so between16/20 is fine
True labor
What kind of change?
Where are contractions felt?
Contractions get?
What else happens?
Progressive cervical change
Contractions felt in back and abdomen
Contractions get longer/stronger /closer together
bloody show and Rupture of membranes
False labor
Cervical change?
Contractions felt where?
Contractions have?
Contractions stop how?
No cervical change
Contractions mostly felt in lower abdomen
Contractions have little to no pattern and do not get stronger
Contractions stop with hydration or activity
Fetal monitoring
List acceptable fetal heart rate and variability criteria
Define decelerations of fetal heart rate and associated causes
110-160 beats per minute
Absent
Minimal (less than 5 bpm)
Moderate (5-25 bpm)
Marked (> 25 bpm)
Define decelerations of fetal heart rate and associated causes
Periods when the fetal heart rate (FHR) temporarily slows down.
Early: mirror contractions, benign, often caused by fetal head compression, no intervention needed
Variable: Sharp, abrupt decrease in heart rate, Often caused by umbilical cord compression, does not need to be related to contraction. Can change position and amnioinfusion
VEAL
CHOP
Variable decelerations,
Early decelerations,
Accelerations,
Late decelerations
Cord compression,
Head compression,
Oxygenated or OK,
Placental insufficiency
Magnesium sulfate
Given prior to? reduces?
recommended for?
Dose?
antidote?
Given prior to delivery
Reduces the risk of intraventricular hemorrhage leading to cerebral palsy
Recommended for gestational ages < 33 weeks
Loading dose followed by maintenance infusion for 24 hrs
antidote: calcium gluconate
