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Segment 3 > Labour And Devilery And Pregancy > Flashcards

Labour And Devilery And Pregancy Flashcards

(67 cards)

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1
Q

Stage 1 labour

A

Full contraction to full dilation

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2
Q

Stage 2 labour

A

Full dilation cervix to delivery of baby

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3
Q

Stage 3 Labour

A

Delivery of the baby to delivery of the placenta

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4
Q

The more kids you have the _ they go through the _ of labour

A

Faster
Stages

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5
Q

Imminent signs to delivery

A

Crowning
Contraction less than 2 minutes apart
Mom knows
Mom feels like she having a Bowel movement
Personal bulge

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6
Q

How to stop bleeding (3)

A

Fundal message
Pads/ with legs together
Brest feeding

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7
Q

Meconium

A

Fetal bowel movement
Shows signs of fetal distress

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8
Q

1st trimester

A

0-3 months

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9
Q

2nd trimester

A

3-6 months

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10
Q

3rd trimester

A

6-9 months

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11
Q

Nuchal cord

A

Umbilical cord is around the baby’s neck
During delivery try and move around the head
If unable, clamp and cut in place

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12
Q

How should baby come out

A

Head first and face down

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13
Q

Prolapsed cord

A

Umbilical cord comes out before baby

Raise baby off, presenting part with gloved hand
Crowning yes
Deliver, prepare for prolonged NRB
crowing no
Kness to chest
Don’t push
Place LLR with elevated hips

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14
Q

Breach

A

Butt or both feet first
Have an assistant supply suabubic pressure to maintain flexion of fetal head
If no progression in 2 to 3 minutes, make a V for an air pocket so baby can breathe

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15
Q

Foot / limb presentation

A

Require a C-section
Do not touch the limbs
Put needs to chest
Hips elevated
Don’t push

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16
Q

Non-progressing birth

A

Extended labor, a baby and baby with no deceleration
Drugs
Small mom with big baby

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17
Q

Explosive birth

A

Mom pushes too hard baby comes out too fast
Traumatic to mom
Baby transition too fast to adopt

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18
Q

Shoulder dystocia

A

Shoulder stuck on pelvic bone
Should be assumed when there is no forward movement

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19
Q

Three steps to stop bleeding

A

Fundal massage
Pad/legs together each pad is 500ml
Breast-feeding

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20
Q

The placenta should deliver within how many minutes of the baby ?

A

30 minutes

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21
Q

What should you look for once the placenta comes out?

A

Any ruptured pieces as it can cause an infection and sepsis

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22
Q

What to do with the placenta of once it comes out

A

Place in bag and bring to ER

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23
Q

Possible complications for neonates (4)

A

Respiratory distress
due to mothers Naracotic use
gestational age
cardiovascular system compromise
hole in heart ( for amen oval, ductus arterious )
Thermal regulation
Meconium aspiration

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24
Q

When do I check the APGAr score

A

at one minute
Five minutes
Possibly 10 minutes

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25
What should babies Apgar score be after one minute
8-10
26
APGAr score
Appearance Blue/white Pink In blue out. All pink Pulse None. Under 100. Over 100 Grimace. None. Whimpering. Active crying Activity. Limo. Twitching. Active moving Resp. None. Slow and irregular. Good (40-60)
27
Baby under 28 week
Do not dry and place in plastic bag
28
How long do you wait to cut the cord
1-4 minutes
29
Where do you cut the umbilical cord?
at nine and six inches
30
Post partum care
Keep baby warm Deliver placenta Encouraged mother to Bravo Ball Swingers Find a massage rub on top of the bundles in a circular motion assess at 5:10 and 15 minute should be firm not spongy
31
In utero, there is no oxygen supply through the lungs oxygen is supplied through the
Umbilical cord The change in the temperature of the biblical cord causes the vasoconstrict that causes the baby to Breath on its own
32
Any blood that goes through the lungs becomes
Deoxygenated
33
What happens to the heart during the first few minutes of a fetus life
The foreman ovale close, which establishes normal circulartory flow This is usually accomplished by making the baby cry
34
What are the most immediate risks to fetus
Hypothermia Hypoxia Get blankets and a Bvm ready
35
Changes in moms vitals
Decrease blood pressure increase heart rate increase respirations Resp have decrease volume Cardiac output has increased, but not red blood cells
36
GTPLAM
Gravida past pregnancies including the current one T term how far along 37 weeks and up P para how many pregnancies have processed at least 20 weeks no abortions under 20weeks L number of living children u have home A abortus. - how many under week 20 babies u had Multiple births how many sets of twins or more u have had
37
Para
Pregnancies that have made it past 20 weeks and delivered
38
Miscarriage
Pregnancies under 20 weeks
39
Abortus
Pregnancies under 20 weeks Miscarriage
40
Gravida
Past pregnancies including your current one Twins count as one
41
Abortions
Happen, elective or spontaneous happens before the foetus develops to survive
42
Stillbirth
Delivery of the baby, which is attained an old enough age to survive, but it’s born dead Over 20wks
43
Ectopic pregnancies
A pregnancy located outside the uterus usually on the fallopian tubes These patients require immediate surgery Life-threatening Signs are within the first six weeks of pregnancy or a missed period with abdominal pain should be suspected of any female of childbearing age with a domino pain until proven otherwise
44
Endometriosis
Tissue outside of the uterus reacts the same as it does in utero
45
Pre-eclampsia
A condition that causes high BP in pregnant ladies Arise and systolic over 20 Arise in diastolic l over 10 4 to 4.5 pounds anytime of the pregnancy weight gain 3 pounds in second time master or 1 pound per week and third trimester
46
Eclampsia
Turns into seizures as a condition of preeclampsia Peaks in third trimester Life-threatening to both foetus and mother May come on one week after delivery
47
Postpartum haemorrhage
Bleeding more than 500mls If the mother soaks up one pad in 15 min it’s considered excessive You can management through found a massage and breast-feeding
48
Uterine rupture
Occurs on the onset of labour High death rate for baby and mother
49
Placenta prévia
Placenta over the cervix
50
Placenta Abruptio
The placenta becomes detached and rips off may be complete or partial can occur at any stage in pregnancy, but usually third
51
How many weeks is full term?
40 weeks
52
Fertilization
The penetration of a ovum by spermatozoon this becomes a enzyme
53
Zygote
What divides over and over And burrows into endometrium
54
Fetus
Last development of the baby
55
The umbilical cord contains three blood vessels, which are
2 arteries and one vein
56
Less than 28 weeks should be keep wet or dry
Wet
57
What is full dilation
10cm
58
Suction what first
Mouth then nose
59
4Ms
Medication Mecumiom Mulitpluy Maturity
60
Most involved organ’s with seatbelts
Uertrus Bladder
61
Sp02 targets
Targets 1min 60-65% 2 min 65-70% 3 min 70-75% 4 min75-80% 5 min 80-85% 10 min 85-95%
62
0-2 weeks
Zygote
63
2-8 weeks
Embro
64
8 weeks +
Fetus
65
Interval time
Time between the contractions
66
How much her heart rate / Bp goes up
15 10-15
67
Supine hypotension
Lying down low bp with baby on vana cava

Segment 3 (11 decks)

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