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Lectures 1 & 2
Terms in this set (100)
Sterile Vaginal Exam (not so sterile in reality - Mom's got lots of germs in her vag)
Latent phase dilation diameter?
Active phase of labor diameter?
Transition of labor diameter?
3/50/-2 What does the 3 stand for?
3/50/-2 What does the 50 stand for?
3/50/-2 What does the -2 stand for?
Where the baby's head is at in the pelvis
0 station indicates:
The baby's head is that the ischial spines
+3 station means:
If mom is at 20% effaced and -2 station, what stage is she at?
Latent stage of phase one.
SVE of 60, what does this indicate?
She's in the active stage of phase 1.
What if we see 8, what phase is she in?
Transition phase of stage 1
At +2 what is mom doing?
Pushing the baby out.
Estimated date of confinement
Artificial Rupture Of Membrane (good - releases prostaglandins that speed up labor - only at 4 cm - but increases risk for infection)
Spontaneous Rupture of Membrane
Sterile Speculum Exam (to see if H20 has broken - use Qtip to look for the fern under the microscope)
Continuous lumbar epidural
# of Pregnancies
# of births after 20 weeks
38-42 is considered term
between 20 weeks to 37 weeks
36 + 6
What does the 6 stand for?
The number of days past 36 weeks.
Variable = Cord Compression
Early Decels = Head Compression (good - ok to be early and never late)
Accelerations = Increased heart rate (ok)
Late Decels = Placental insufficiency (oxygen is not getting through to the baby - bad)
Check milk, soft, filling, engorged? 3 days for milk to come in. Nipples bruised or cracked?
Should get smaller in size by 1 cm after delivery
Empty - fundus may not shrink if there is urine in bladder
Seeping fluids after birth
When was last BM? Are they passing gas? Do they have hemorrhoids?
Reminder to look for clonus or DVT
What does Clonus evaluate for?
Evaluates for seizing - push back the top of the foot, if it taps back it indicates the number you will record, 1 tap = +1
Clonus +4 =
Kicking you in the face
Rubin's Psychological Changes of Puerperium: Phase 1 of Psychological changes
Taking in: mother is passive and willing to let others do for her
Rubin's Psychological Changes of Puerperium: Phase 2
Taking hold: Mother begins to initiate action and become interested in the infant
Rubin's Psychological Changes of Puerperium: Phase 3
Letting go: Mothers and fathers work through giving up their previous lifestyle and incorporate new infant.
Teaching breast feeding:
Belly to Belly
Pt starts to bleed profusely, you call for help and whats the next best thing to do?
Massage her uterus while you wait for help to come.
Healthy People 2020 goals:
Health equality for all (eliminate disease, disability, injury and premature death)
Intimate partner violence
(Tension building, abusive incident, honeymoon phase)
What can you tell a woman who is a victim of IVP?
It's not your fault.
3 cycles of the menstrual period:
At the end of the menstrual cycle, the blood levels of what hormones begin to drop?
estrogen and progesterone
This causes the shedding of the endometrial lining.
estrogen and progesterone levels dropping
The peak time of estrogen is:
At ovulation (Day 14)
The follicle that releases the egg is called:
The corpus luteum releases what hormones to make the endometrial lining soft and comfy for the egg to implant?
progesterone and estrogen
When no egg implants what happens to the corpus luteum?
At the end of the shedding cycle (hypothalamic/pituitary cycle), what hormone is released?
Gonadotropin releasing hormone (GnRH)
What does the GnRH stimulate?
The anterior pituitary gland to release a follicle stimulating hormone (FSH) as well as LH (Lutenizing Hormone)
Where does estrogen come from?
The ovaries and the pituitary
Follicles mature with which hormones?
FSH and estrogen
As the oocyte and the follicles mature, we call that the
when the egg is released, we call that
when the follicle changes into a corpus luteum, we call that the
Proliferation phase is the time of:
thickening - This usually occurs ovulation to three days prior to the period - heavy, soft, velvet thick.
Blood supply is blocked off and necrosis occurs.
both parents submit a dominant gene for a trait
both parents submit a recessive gene.
only need one gene to express a trait.
need two genes to express a trait.
one dominant; one recessive. A carrier is heterozygous.
Homozygous dominant parent+ homozygous recessive parent =
all heterozygous children - they will display the dominant trait.
Heterozygous parent + homozygous recessive parent =
50% are heterozygous; 50% homozygous, displaying recessive trait
PKU is a disease that is autosomal recessive. With parents who are both heterozygous, what are the changes their offspring are going to have PKU?
A 40 yr old G3P2 is concerned about having a child with Down's Syndrome. Why should she see a genetic counselor?
Discuss concerns, determine genetic issues, receive support
A G1P0 is 12WGA and concerned that her baby isn't moving yet. Which response is the teaching priority?
FM is usually felt around 20WGA
The shunt transferring most of the blood in the fetal circulation from the right atrium to the left atrium is:
What kind of blood leaves the fetus through the umbilical artery?
What kind of blood is going to leave the placenta through the umbilical vein (going toward the baby.)
Some blood will flow to the liver, but most will bypass it and go straight to the inferior vena cava. Through which route does this happen?
Through the ductus arteriosis
Fetal strip: decels are variable in shape. They're usually "U", "V" or "W"
Caused by: the cord getting compressed
Why do early decels happen?
The baby is going down the birth canal
Cord compression can be caused by:
Cord around neck, arm, leg or other body part
knot in cord
NI's for cord compression:
Change maternal position
Admin 8-10 L/min O2
Amniofusion if ordered
Assist with birth if cannot be corrected
Late Decel causes:
Maternal supine hypotension
Epidural or spinal anesthesia
Intruterine growth restriction
NI's for Late decels:
Change maternal position
Correct hyotension by elevating legs
Increase rate of maintenance of intravenous solution
Plapate uterus to assess for tachysystole
Admin 8-10 L/min O2
Consider internal monitoring for more accurate fetal and uterine assessment
Assist with birth if it cannot be corrected
Fetal Scalp Electrode
What does an FSE do?
Goes on baby's head, to get the most accurate reading of the baby's heartbeat
Intrauterine pressure catheter
What does an IUPC do?
This measures contractions in mmHg. It's extremely accurate especially for big women.
When would you use an FSE?
When you are seeing decels in the baby's HR because the external monitor doesn't always pick up the HR as well, and so that gives you a much more accurate reading of what the baby is actually doing, especially if the mom is moving around a lot.
the chromosome number is not 46 the most common cause of an autosomal abnormality and is the leading genetic cause of an intellectual disability in children
have 47 chromosomes in each cell rather than 46
one chromosome (only an X.) This creates Turner's syndrome where the child is short in stature with webbing of the neck. Most embryos spontaneously miscarry
trisomy XXY (Klinefelter's syndrome
These children have poorly developed secondary sex characteristics and intellectual disabilities
When two or more genes act together to express a trait or their phenotype characteristics
the physical expression of the genes (ex. Eye color or hair color.
when a single gene expresses a trait.
only one copy of the allele or gene is needed for expression. (Ex. Dwarfism.)
you need both genes of a pair that must be abnormal for expression (Ex. Sickle cell or PKU.)
the hole between the atria
a shunt that connects the pulmonary and aorta
right off the umbilical cord
Rhogam is given when?
When mom is Rh - and baby is Rh +
THIS SET IS OFTEN IN FOLDERS WITH...
Complications of Pregnancy
Midterm Study Guide
GD Theories to Infants
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