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OB > Week 1 intrapartum assessment > Flashcards

Week 1 intrapartum assessment Flashcards

1
Q

How much folic acid is recommended pre-conception?

A

400 ug

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2
Q

What are the 6 pregnancy specific components of an intrapartum assessment? (before physical assessments)
EPGPLB

A
  • EDD
  • Prenatal care
  • G/P
  • Preg History
  • Labor Status
  • Birth Plan
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3
Q

What are some unique aspects of Dick-Read childbirth education?

A
  • One of the first to use relaxation
  • Fear of child birth causes tension and pain which is bad for baby
  • Slow abdominal breathing in labor
  • Rapid chest breathing in labor
  • First to be called “natural” childbirth
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4
Q

How fast can iron anemia be corrected and what doses of iron are used to do so?

A

can increase hemoglobin by 2g/dl over one month

60-120mg of iron are used.

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5
Q

What are two common neural tube defects?

A
  • Spina bifida

- Anencephaly

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6
Q

What should be obtained in pregnancy history during a intrapartum assessment?

A
  • Any problems experienced during previous preg.
  • Past deliveries vag/c-section
  • Any current problems
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7
Q

How many additional calories should a lactating mother receive?

A

500/day (170 from stores)

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8
Q

What is the goal of perinatal education?

A

Help parents become more knowledgeable consumers, take and active role in managing health during pregnancy and birth, and learn coping techniques for pregnancy, childbirth, and parenting

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9
Q

What does GPTAL stand for?

A
  • Gravida
  • Para
  • Term
  • Abortion
  • Living
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10
Q

If a mother claims no pre-natal care during the intrapartum assessment, what should be suspected?

A

Drug use or some other issue causing the mother not to seek care

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11
Q

What is a teaching tip to decrease intolerance to iron supplements?

A

Take at night with PNV, vit c, and dry cereal snack

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12
Q

How is the fetal eval done?

A

Through FHR monitoring

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13
Q

What are the four physical aspects of the intrapartum assessment?

A
  • Fetal Eval
  • Labor Status
  • Physical exam
  • Labs
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14
Q

Nausea is very common in the ___ trimester. This is also known as _____

A

first

Morning sickness

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15
Q

What are the non-pregnancy specific components of the intrapartum assessment?
AFRMT (before physical assessments)

A
  • Allergies
  • Food Intake
  • Recent Illnesses
  • Medications
  • Tobacco/Alcohol use
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16
Q

What are the two belts placed on the pregnant mother during the intrapartum assessment?

A

1st- Fetal HR monitor

2nd- Transducer (measures contractions)

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17
Q

What is the main focus of perinatal education in the third trimester?

A
  • Pharm vs non-pharm methods of pain management
  • Physical/psychological changes in late preg
  • Labor and birth
  • coping techniques for labor
  • complications
  • High-risk preg
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18
Q

What are some aspects of family centered care related to childbirth?

A
  • it is usually a normal healthy event
  • It affects the entire family
  • Families can make decisions about care if they are well informed
  • It is beneficial to focus on family
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19
Q

What are some sources of folate?

A

Avocado, bananas, OJ, dry cereal, asparagus, fruits, green leafy veg, nuts, liver, dried beans, peas

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20
Q

What is a Multipara?

A

Delivered two or more pregnancies of at least 20 weeks

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21
Q

What information is collected in the labor status portion of the intrapartum assessment?

A
  • When did the contractions become regular
  • What is the contraction pattern
  • What is your membrane status
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22
Q

What are the disadvantages of birthing centers?

A

They are not equipt for major obstetric emergencies

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23
Q

What are some aspects of Bradley childbirth education?

A
  • First to include father support
  • Abdominal breath support and relaxation
  • Avoidance of medications or other interventions
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24
Q

A pregnancy at or beyond ___ weeks is term

A

38

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25
Q

What is the normal healthy weight gain during pregnancy for a woman of normal BMI?

A

25-35lbs total

0.35- 0.5kg/week in the 2 and 3 trimesters

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26
Q

What 5 lab tests on done during the intrapartum assessment?

A
  • Mid-stream urine
  • CBC
  • Blood type with Rh factor
  • STI tests
  • Drug screen if applicable
27
Q

What are some aspects of Lamaze childbirth education

A
  • Psychoprophylaxis to prevent pan
  • Concentration and conditioning to help respond to contractions with relaxations
  • Most common
28
Q

What is tested for with the mid-stream urine collection during the intrapartum assessment?

A

-Protein and glucose

29
Q

What is the DRI for iron during pregnancy?

A

27mg/day

30
Q

What is Gravidity?

A

Number of time pregnant regardless of length

31
Q

How do you calculate EDD using Naegele’s rule?

A

Subtract 3 months from the date of the beginning of the LNMP add 7 days and correct for the year.

32
Q

What is the RDI of folate during pregnancy?

A

400-800/day

33
Q

What physical exam in done during the intrapartum assessment?

A

A full H2T

34
Q

How is membrane status checked during the intrapartum assessment?

A
  • Hx of water break
  • pH (AF will turn paper blue (pH >6.5))
  • Fern presentation seen with microscopy
35
Q

What are the expected values for the CBC taken during the intrapartum assessment? what does it mean if these values are low?

A
  • Hgb 11g/dl and HCT less than 33 increased RBC and plasma volume
  • Physiologic anemia
36
Q

What is a Nullipara?

A

Never been pregnant or never completed a pregnancy at or beyond 20 weeks

37
Q

What are the 4 common types that deliver babies?

A

Certified nurse midwife, Nurse practitioner, Physician

38
Q

How many months does the infants iron store last?

A

6

39
Q

How is a labor status assessment done during a intrapartum assessment?

A
  • Via a sterile Vag. exam
  • Membrane status
  • Pain level
  • Leopold’s maneuvers
40
Q

What is Para?

A

Number of pregnancies that ended at 20 or more weeks

41
Q

What is the importance of folic acid?

A

-Prevention of neural tube defects

42
Q

What does GTPAL stand for?

A
  • Gravida
  • Term
  • Preterm
  • Abortion
  • Living
43
Q

What is the focus of perinatal education in the first trimester?

A
  • Adapting to the pregnancy
  • Understanding what to expect
  • Physical changes
  • Self-care
  • Infant care
  • Birth
44
Q

Weight gain recommendations in pregnancy are based off of ____

A

The mothers BMI

45
Q

____ is very important for any woman preparing for a natural birth. Specifically because they need to know what to expect during labor

A

Perinatal education

46
Q

What should be asked about pre-natal care during the intrapartum assessment?

A
  • Who provides your prenatal care (obtain their contact info if not in system)
  • Where do you receive the care
47
Q

Why do most women stop taking iron supplements?

A

Intolerance

48
Q

Why are pregnant woman at high risk for iron def. anemia?

A

Because during pregnancy, maternal blood volume expands and requires more iron for hemoglobin production.

49
Q

How do you know the days in a month?

A

If the month is on a knuckle, it has 31 days. Otherwise is has 30 or less days.
Starting with the 1st knuckle as January.

50
Q

What are the three most common perinatal education models?

A

-Dick-Read
-Bradley
Lamaze

51
Q

What is the focus of perinatal education at preconception?

A
  • Helping with a healthy pregnancy
  • Nutrition before conception
  • Healthy lifestyles
  • S/s of pregnancy
  • choosing caregiver
52
Q

What is the focus of perinatal education during the second trimester?

A

Changes that occur during middle pregnancy

-Exercise if approved

53
Q

What is the very first thing that is done during the physical aspects of the intrapartum assessment?

A

Fetal Eval

54
Q

How is iron deficiency diagnosed?

A

A ferritin level of < 15 ug/L

55
Q

When is the most important time for a pregnant mother to have adequate iron? Why?

A

During the 3rd trimester.

Because this is when the fetus begins to store iron it will use for the first months of its life

56
Q

Iron needs ___ during pregnancy

A

double

57
Q

What is a Primipara?

A

Delivered one pregnancy of at least 20 weeks

58
Q

When is the sterile vag. exam not done?

A
  • If rupture occured with no active labor
  • If actively bleeding
  • If pre-term (under 38 weeks)
  • PROM or PPROM (premature rupture of membranes/Pretemr premature……)
59
Q

What does the sterile vag. exam determine?

A
  • Cervical Dilation
  • Cervical effacement
  • Fetal presentation, position, station
60
Q

What is one issue with the availability of perinatal education?

A

it can be very expensive.

61
Q

If a patients LNMP started on Aug 30th 2018 when is their EDD? (using Naegele’s rule)

A

June 6th 2019

62
Q

How many para’s in a multiple gestation?

A

still 1

63
Q

Why is iron important during fetal development?

A

Deficiency in infancy and early childhood is associated with impaired memory function and changes in temperament that may mimic ADD

Important for neurological development

OB (14 decks)

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