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SNRAObPedGer > VALUES and HOTSPOT > Flashcards

VALUES and HOTSPOT Flashcards

1
Q

Head compression, usually during______(what stage) What is the Corrective maneuvers_______

A

2nd stage

Women should be Pushing only with alternate contractions (return Umbilical BF toward normal)

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2
Q

Causes : Prolonged asphyxia Corrective maneuvers

A

Change in maternal position, supplemental O2

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3
Q

Causes: Transient umbilical cord compression Corrective maneuvers

A

Change in maternal position, amniotransfusion (Return of Umbilical BF toward normal)

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4
Q

Excessive Uterine contraction Corrective maneuveres

A

Decrease in oxytocin, lateral position, tocolysis

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5
Q

Head compression you see of FHR strip

A

variable decelerations

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6
Q

Transient umbilical cord compression

A

variable decelerations

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7
Q

Excessive Uterine contraction and HYPOTENSION FHR strip

A

Bradycardia, Late decelerations

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8
Q

Hypotension (supine hypotension, regional anesthesia) Corrective measure

A

IV fluids, position change, Ephedrine

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9
Q

Decreased FHR variability

A

prolonged Asphyxia

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10
Q

Decreased uterine blood flow associated with uterine contractions, below limits of fetal O2 needs FHR___ Corrective maneuvers

A

FHR : Late decelerations Change in maternal position, supplemental O2, Tocolysis

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11
Q

Identify dermatomes

A
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12
Q

Identify the dermatomes

A

Refer to Slide

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13
Q

O2 consumption and CO2 production during pregnancy

A

Increase up to 60% due to fetus, uterus and placenta

secondary to cardiac/respiratory work

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14
Q

Basal temperature in pregnancy

A

Rises

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15
Q

MV in pregnancy

TV and RR

A

Rise close to 50%

TV increase (45%)

RR unchanged

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16
Q

Cardiac output and pregnancy

HR and SV

A

increase 50%

HR 25%

SV 35%

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17
Q

Diaphragm changes

A

Flatter and higher

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18
Q

Inspiration at term

A

Diaphragmatic

Dependent on phrenic nerve function

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19
Q

No effect on

A

FEV, FEV1/FVC , closing capacity.

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20
Q

FRC and pregnancy

A

80% of pre-preg value by term

There is 20% reduction in FRC, accounted for 25% in ERV

and 15% RV

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21
Q

IRV and pregnancy

A

+ 5%

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22
Q

TV in pregnancy

A

+45%

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23
Q

ERV change

A

-25%

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24
Q

RV change

A

-15%

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25
IC change
+15%
26
FRC
-20%
27
VC change
no change
28
TLC change
-5%
29
Dead Space change
+45%
30
RR change
No change
31
Ventilation : change: MV
+45%
32
Alveolar ventilation change 45%
33
Term changes: CO
+50%
34
Term SV
+25%
35
Term HR
+25%
36
LVEDV
Increased
37
LVESV
no change
38
EF
increased
39
PCWP/ PA diastolic pressure CVP
No change
40
SVR at term
-20%
41
Hemodynamics labor when is CO higher
Immediatly postpartum 75%
42
Hemodynamics of labor when is SV the highest
Immediately postpartum 75%
43
Early 1st stage CO and SV
10%
44
Hemodynamics during labor: Late 1st, SV and CO
25%
45
Hemodynamics during labor 2nd stage: CO and SV
40%
46
Hemodynamics during Puerperium CO
1 hour post 30%
47
hemodynamics during Puerperium CO - 48 hours
-5%
48
Hemodynamics during puerperium 2 weeks CO
-40%
49
Identify all components
50
Face vs Brow presentation
FACE
51
Face vs Brow
Brow
52
Identify position
Occiput posterior
53
Identify position
LOP
54
Identify position of the fetus
LOT
55
Identify position of the fetus
LOA
56
Identify position of the fetus
Occiput Anterior
57
Identify position of the fetus
ROA
58
Identify position of the fetus
ROT
59
60
Identify position of the fetus
ROP
61
Identify this rhythm strip A, B, C and interpret rhythm and fill in the blanks
Baseline FHR is 120-160, preserved beat to beat and long term variability Accelerations lasts for 15 or more seconds above baseline and peak to 15 or more bpm A- Health Acceleration B: Fetal Heart rate C. Contractions Interpretation is reassuring pattern
62
Explain rhythm
Severe Variable Decelerations Interpretation is SEVERE VARIABLE DECELRATIONS Severe deceleration below 70bpm Persistent variable deceleration may lead to hypoxia and fetal distress
63
Identify the strip and all missing components
Late deceleration with PRESERVED VARIABILITY A- Deceleration lag behind contractions Fetal Heart rate return to baseline after the contractionhas ended Uteroplacental insufficiency or decreased blood flow
64
Identify all components and fill in the blanks
A- Acceleration B- Deceleration C- Acceleration D- "w" or "v" shape pattern Interpretation is VARIABLE DECELERATIONS Variable decelerations are varible in duration, intensity and timing acceleration-deceleration- acceleration is due to compression and decompression of cord
65
Associated with fetal conditions that results in either ___________ or __________ with \_\_\_\_\_\_\_ 4 conditions
Sinusoidal FHR pattern (resemble A-flutter) Associated with fetal conditions that results in either SEVERE FETAL ANEMIA or SEVERE/PROLONGED Fetal hypoxia with acidosis CAFI Chronic FETAL anemia associated with Erythroblastosis fetalis from RH sensitization Acute Intrapartum Asphyxia Fetal-maternal Hemorrhage In-utero, Fetal HEMORRHAGE
66
Identify rhythm and possible causes
Saltatory FHR Pattern : resemble Torsade de pointes Due to Excessive swings in variability ACUTE FETAL HYPOXIA
67
Autonomic Nervous system identify all parts A-O
A- midbrain B- Medulla C- Vagus nerve D- C1 E: Superior Cervical Ganglion F- T1 G- Celiac Ganglion H- Superior Mesenteric Ganglion I - L1 J- Inferior Mesenteric Ganglion K- S1 L- Pelvic nerves M- S2 N- S3 O- S4
68
Identify rhythm strip
Variable Decelerations most common Umbilical cord compression Baroreceptor chemoreceptor medicatied vagal activity
69
Identify rhythm strip
Uteroplacental insufficiency
70
Identify stage
Stage 1 Initial (latent) phase
71
Identify phase
Active Phase of Stage I
72
Identify stage
Transition stage of Phase 1
73
Identify all components
74
Identify position
LOP
75
LOT
76
Identify position
LOA
77
Identify position
ROA
78
Identify position
ROT
79
Identify position
ROP
80
Explain chart with plasma volume
Blue: plasma volume Green: Blood Volume Red: TOTAL RED CELL VOLUME
81
Explain hormone chart
A- Estrogen increase 100% B- Sympathetic input C- Renin released by juxtaglomerula cells of neprhone cleave ANGIOTENSINOGEN D- ANGIOTENSINOGEN E- ANGIOTENSIN I F- ANGIOTENSIN CONVERTING ENZYME IN LUNGS H- ANGITONSIN II I- INCREASE ALDOSTERONE LEVELS J- Increase sodium and water Reabsorption by nephron collecting duct K- Increased effective blood volume to correct initial stimulus to the system L- Progesterone increase 100%
82
83
Which represent compression
Supine Aortacaval compression vs Lateral
84
Identify all structures
A- intervillus space B- Chorionic villi C- Placenta
85
Identify each element of graph ; PREGNANCY
Blue: Thoracic compliance Green: Total compliance Red: Lung compliance
86
Is this normal or pregnancy graph
Normal FRC A- Thoracic compliance B- Lung compliance C- Total compliance
87
Identify types of breech
Frank Breech presentation
88
Identify Breech
Complete breech presentation
89
What breech presentation is this position?
Complete footing
90
What type of breech presentation is this?
Incomplete footing
91
Identify stage and phase
Stage 2 Phase 1 Presentation of head
92
Identify stage and phase
Stage 2 phase 2 Rotation and delivery of anterior shoulder
93
Identify stage and phase
Delivery of Posterior shoulder Stage 2 phase 3
94
Identify Phase and Stage
Stage 2 Phase 4 Delivery of lower body and UMBILICAL CORD
95
Identify Breech position
Complete breech
96
Identify breech
Incomplete Breech
97
Identify Breech position
Frank breech
98
Identify presentation
Transverse lie shoulder presentation
99
Identify A
Ligamentum Arteriosum Remnant of Ductus Arteriosus
100
What is this presentation
Shoulder distocia
101
What is this presentation
Compound VERTEX
102
Identify all components
#1 12 o' clock #2 - 3 O'clock #3 - 6 o'clock #4 - 9 'o'clock A - ROP B- OP C- LOP D- LOT E - LOA F - OA G - ROA H- ROT
103
Identify all missing components of fetal circulation
A- Pulmonary trunk B- Supevior Vena Cava C- Foramen Ovale D- Ductus VENOUS E- UMBILICAL VEIN F: UMBILICAL ARTERIES G- AORTA H- DUCTUS ARTERIOSUS I- LEFT pulmonary artery J- LEFT PULMONARY VEIN K Inferior VENA CAVA L AORTA M CELIAC TRUNK
104
Identify MARKED part of Fetal circulation Identify A and what is it the remnant of ? Identify B and what is it the remnant of ? Identify C and what is it the remnant of ? Identify D and what is the remant of ? Identify E and what is the remant of ?
A- Ligamentum Arteriosum / remant of ductus arteriosus B- Fossa Ovalis - Remnant of Foramen ovale C- Ligamentum Venosum - Remnant of ductus venosus D- Ligmentum Teres - remnant of umbilical vein E- Medial umbilical Ligament - Remnant of umbilical arteries
105
What are the conditions for area labels A and B
A- PDA B- Patent Foramen Ovale
106
Identify Breech presentation
107
Identify Breech
ROA
108
Identify breech presentation
Left Mentum anterior
109
Identify breech
Left Occiput Transverse
110
Identify this breech
Right Occiput Transverse
111
Identify breech
Right Mentum Anterior
112
113
Identify this breech
Left occiput posterior
114
Identify this breech
Right Occiput Posterior
115
116
Identify breech
Right Mentum Posterior
117
Identify Breech
Brow presentation
118
119
Identify This Breech
shoulder presentation transverse lie
120
Identify breech
Left Sacral Anterior
121
Identify this breech
Left SACRUM POSTERIOR
122
Identify the Intervillous space
Pinkish area

SNRAObPedGer (25 decks)

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