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42 Cards in this Set
- Front
- Back
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First tri |
0-13 |
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Second tri |
14+26 |
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3rd tri |
27-40 |
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Signs of pregnancy |
PRESUMPTIVE PROBABLE POSITIVE |
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Avoin pregnancy |
TERATOGENIC DRUGS Thalidomide Epileptic meds (valproic acid) Retinoid (vit A) Ace inhibitors Third element (lithium) Oral contraceptive Warfarin Alcohol Sulfonamides and sulfones |
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Stages of labor |
Stage 1 LATENT (early) cervix dilate (1-3 cm)- intensity (mild)-contractions(15-30 mins) ACTIVE- cervix dilate (4-7cm)- intensity (moderate)-contractions(3-5mins)- (30-60 sec in duration) TRANSITION- cervix dilate (8-10cm)- intensity (strong)-contractions(every 2-3 mins) (60-90 sec im duration) |
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STAGE 2 |
Baby is delivered - cervix fully dilated and effaced |
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STAGE 3 |
Placenta delivered -expelled (5-30 min after birth) Shiny schultz- side of baby delivered 1st Dirty duncan- side of mother delivered 1st |
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STAGE 4 |
Recovery- first 1-4 hours after delivery of placenta |
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Fontanels |
Spaces between the bones of skills allows molding |
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Anterior fontanel |
Larger Diamond shaped Osifies in 12-18 months |
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Posterior fontanel |
Triangle shaped Closes at 8-12 weeks 2-3 months? |
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APGAR meaning |
ACTIVITY PULE GRIMACE APPEARANCE RESPIRATION |
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ACTIVITY |
0-absent 1-flexed arms and legs 2- active |
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PULSE |
0-0pulse 1-below 100 2- above 100 |
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GRIMACE (REFLEX IRRITABILITY) |
0-floppy 1-minimal response to stimulation 2- prompt response to stimulation |
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APPEARANCE (SKIN COLOR) |
0-blue pale all over 1-pink body blue extremities(acrocyanosis) 2- pink all over |
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RESPIRATION (EFFORT) |
0-no breathing 1-slow and irregular 2- vigorous cry |
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Initial goals 1st priority 2nd priority |
1- AIRWAY 2- WARMTH |
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NEWBORN VS |
RR-30 TO 60 HR- 110-160, 180 IF CRYING, 100 SLEEPING, (TAKE APICAL PULSE FOR 1 MINUTE) TEMP& 36.5 TO 37.5 BP- NOT DONE ROUTINELY.S -60 TO 80. D- 40-50 |
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HEAD AND CHEST MEASUREMENT |
Head -32 to 39 cm Chest- 30 to 36 cm |
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Expected length and weight |
Length- 44 to 55 cm Weight- 2,500 to 4000 grams |
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birth trauma - collection if blood- ruptured periosteal capillaries |
Cephalhematoma |
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Edema and collection of fluid- crosses suture lines |
CAPUT SUCCENDANEUM |
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Molding |
Abnormal head shape results from pressure |
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Fontanel - sunken |
Dehydration |
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Fontanel bulging |
Increase in ICP or hydrocephalus |
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Fontanel bulging- NB cries, vomits, lying down |
Normal |
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TEMP HEAT LOSS OF NB |
Evaporation- moisture from skin and lungs Convection- body head to cooler air Conduction- body heat to a cooler surface in direct contact Radiation- body head to a cooler object nearby |
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OXYTOCIN and also misprostol |
Stimulates contraction of the uterine smooth muscle |
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METHERGINE |
Vasoconstrictions |
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Vaginal birth loss blood |
Above 500 ml of blood |
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Position giving birth |
LITHOTOMY POSITION |
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Signs of good attachment |
Chin touching the breast Mouth wide open More areola is visible above the babys top lips than below the lower lip Lower lip turn outware |
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Diseases screened for NBS |
Congenital hypothyroidism Glucose G phosphate dehydrogenase Phenylketonuria (PKU) Sickle cell disease |
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Type of jaundice occurs within 24 hours |
Physiologic jaundice |
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Main intervention in LBW- skin to skin contact by mother |
Kangaroo mother care |
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Apgar results |
7-10 supportive care 4-6 moderate depression <4 aggressive resuscitation |
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2 arteries and 1 vein |
2 arteries- deoxygenated 1 vein is oxygenated |
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Hegar's sign probable sign |
Compresibility and softening of lower uterine segment |
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goodell's sign Probable signs |
Softening of cervix |
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Chadwick's sign probable signs |
Violet coloration of mucous membranes |
