Maternal & Newborn Flashcards
(20 cards)
Calculate Estimated Due Date
1st day last period
Add 7 days
Subtract 3 months
total weight gain during pregnancy
28 lbs +/- 3
how do you calculate weight gain
week - 9
When is the fundus palpable
week 12
when does the fundus typically reach umbilical level
week 20-22 (2nd trimester below, 3rd above)
Dilation
Opening of the cervix 0-10 cm
Effacement
thinning of the cervix 0%-100%
Station
Where the fetus is presenting - baby high + baby low (positive is positive news) 0 = engaged
4 stages of labour + delivery
stage 1 = labour (muscle contractions, dilation, effacement. ALL ABOUT UTERUS)
stage 2 = baby delivered
stage 3 = placenta delivered
stage 4 first 2 hours after placenta, then youre in postpartum
Latent, Active, and Transition
(less = latent, more = transition)
Active 5-7 cm dilated, cxn frequency 3-5 min, cxn duration 3-60 sec, cxn intensity moderate
high priority labour and delivery
cxn should not be longer than 90 sec or closer than every 2 min this woman is high priority
Assessing contractions
Frequency (beg of one cxn to the beg of next cxn)
Duration beg to end of one cxn
Intensity strength of contraction, palpate with one hand over the fundus with fingertips
Complications of labor
Prolapsed cord (PUSH head up, then POSITION mom on hands and knees, shoulders down. call HCP its emergency c section)
EVERYTHING ELSE! Pitocin LION
STOP PITOCIN
left side, increase IV, oxygen, notixy HCP
BAD fetal monitor patterns 4/7
all bad start with L + prolapsed cord
LOW fhr <110, low baseline variability, late decelerations = BAD, LION
prolapsed cord = PUSH + POSITION
Second stage of labour + delivery
deliver whole body, suction mouth, then nose, check for cord around neck, ID band on baby before it leaves mom
third stage of labour and delivery
make sure all of placenta comes out and it has 3 vessel vord (AVA - 2 arteries 1 vein) report if it doesnt
4th stage labour and delivery
recovery 4 things to do 4 times an hour in 4th stage
1. vs assess for shock
2. fundus if boggy massage, if displaced void/cath
3. pads excessive lochia = pad saturated <15 min
4. roll on side check for bleeding under pt
Terbulatine + Nifedipine
Tocolytics
Toco = contractions
Lytics = stop
Terbulatine caused Tachycardia
Nifedipine (dipine = ccb. HHB headache, hypotension, bradycardia)
Oxytocin
Oxytocics - start/stimulate labour
Causes uterine hyperstimulation. if contractions should not be longer than 90 sec or closer than 2 min. STOP infusion
Betamethasone + Beractant
Fetal/Neonatal Lung meds
Betamethasone steroid to strengthen lungs - given to mom IM before the baby is born
Beractant given to baby after birth tracheally
