LO9 Deliveries Flashcards

1
Q
  • Fertilization
A

: Occurs in distal third of fallopian tube

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2
Q
  • Implantation
A

Occurs in the uterus

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3
Q
  • Placenta
A

begins to develop after 4th week

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4
Q
  • Umbilical cord
A

o Has 2 arteries 1 vein

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5
Q

Fetal circulation

A
  • Arteries carries the deoxygenated blood back to the placenta
  • The veins carry oxygenated blood back to baby
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6
Q
  • Ductus venosus
A

duct that opens when blood comes in

  • Blood will leave from left atrium to lungs and return back through ductus arteriosus
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7
Q
  • Gestation usually averages
A

40 weeks from time of fertilization to delivery

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8
Q

24 Weeks

A
  • Sex organs visible
  • Covered with lanugo and vernix
  • Breathing by inhaling amniotic fluid into lungs
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9
Q

40 Weeks

A
  • Surfactant present
  • Baby now about 7.5 lbs
  • Week 35-36 baby gain .5lb per week
  • Placenta detaches & umbilical cord ceases functioning as child takes first breath of air
  • Child’s breathing triggers changes in the structure of the heart and bypass arteries which will force all blood to travel through the lungs
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10
Q

maternal cardiac output increases to approximately

A

40% reaching its maximum capacity approximately 22 weeks and then declines approximately 20%

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11
Q
  • A pregnant woman’s heart
A

increases slightly due to increased cardiac workload

is displaced upward, forward and to the left with a slight rotation in its long access which causes the apex of the heart to shift laterally

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12
Q
  • Enlarged uterus contributes
A

to slowed venous return, pooling, dependent edema, haemorrhoids and varicose veins

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13
Q
  • Lying supine position maternal cardiac output can increase as much is
  • Maternal oxygen consumption increases by
A

25%

20% of 40% above nonpregnant levels entitle volume increases gradually to approximately 40%

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14
Q
  • Primigravida
A

: A woman who is pregnant for the first time

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15
Q
  • Multigravida
A

: A woman who has had two or more pregnancies

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16
Q
  • Nullipara
  • Primipara- Multipara
  • Grand multipara
A
  • Nullipara: A woman who has never delivered
  • Primipara: A woman who has given birth only once
  • Multipara: A woman who has had two or more deliveries
  • Grand multipara: A woman who has had seven deliveries or more
17
Q
  • EDC
A

estimated date of confinement (40wks/280 days from last menstrual period)

18
Q

Indications that birth is imminent

A
  • Active labor 5mins apart
  • Contractions 1-2mins apart get ready to deliver
  • Mom feels like she needs to poop
  • Get her top pant so she wont bare down
19
Q

Prepare for an imminent delivery

A
  • Regular contractions
    o 45 to 60 seconds at 1-2 minute intervals
  • The mother has urge to bear down/sensation of a bowel movement
  • There is a large amount of bloody show
  • Crowning occurs(!)
  • Mother believes delivery is imminent
20
Q

Dilation – Stage 1

A
  • Start of contractions to full 10cm dilation & thinning of cervix.
  • Bloody show
  • mucus plug
  • Rupture of amniotic sac “…water breaks…”
  • Cramp-like pains
  • 10 - 20 min apart
  • 30-60seclong
  • Last days.
21
Q

Expulsion – Stage 2

A
  • Pass through cervix into vagina
  • Contractions
  • 2‐3minsapart
  • lasting 45 ‐ 90 secs
  • Pressure on rectum
  • Feeling like pushing
  • Bulging of perineum
  • Crowning
  • Cephalic normal
  • Head turn to side
  • Can last up to 50 min
  • Ends with delivery of the baby
22
Q

Placenta Delivery - Stage 3

A
  • From delivery of the baby to delivery of the placenta
  • Up to 30 min
  • Know time
23
Q

Assisting with Delivery

A
  1. Control deliver
  2. Start to turn baby
  3. Slip finger along head to check for cord
  4. Clear airway IF NEEDED
  5. Gently guide head downward to deliver upper shoulder
  6. Gently guide head up to deliver lower shoulder
  7. Maintain newborn at level of vagina to prevent blood drainage from umboilical cord
  8. Dry warm stimulate baby
  9. Give baby to mom
  10. Record time
  11. Fundus massage