Pregnancy Labor and Delivery Flashcards Preview

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Flashcards in Pregnancy Labor and Delivery Deck (18):
1

When referring to the time period of a pregnancy you say:

weeks completed

2

Viablilty means

Through half of the pregnancy. (24 weeks)

3

Preterm =

viable- 37 weeks

4

wt gain during pregnancy

25-30 pounds, add five for each additional kid

5

Obesity is a form of malnutrition

ok

6

Pre-existing High Blood Pressure. What do you need to watch for in pregnancy?

MUST TAKE THEM off ACEi, 50% congenital malformation if the baby is fetus is exposed to ACEi during organogenesis

7

2 types of Hypertension of pregnancy

1) Gestational HTN
2) Pre-eclampsia

8

Pre-eclampsia

hypertension, proteinuria (500mg per day)

9

Know Rh stuff

ok

10

What's the big deal about gestational diabetes?

40-50% of people that develop gestational diabetes will develop overt DM later in life

11

hCG, TSH, Insulin

all have similar alpha structures

12

When is the anatomic structure of the baby analyzed via ultra-sound

18- 20 weeks, prior to that eveything is too small

13

What three things can ultrasound tell you?

Structure
Blood Flow
Amniotic Fluid Volume

-Can't tell you everything about fetal well-being like many ppl think

14

Fetal heart rate criteria

should be between 110- 160 BPM

15

viability

ability to live outside the uterus supported or unsupported

16

premature

talks about the baby whereas preterm talks about the pregnancy

17

4 phases of labor:

- Latent= pre-labor < 4 cm
- Active phase = 1st 4-10 cm
- Pushing = 2nd
- Delivery Placenta= 3rd

KNOW THESE

18

C/S risks

KNOW
- Increased bleeding
- increased abdominal scarring
- increased risk of uterine rupture with each additional C/S
- Increased risk of placenta accreta if the palcenta is low in the uterus. Placenta acreta involves the placenta being over the top of the scar, deep in the myometrium. Leads to hemorrhage.