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18 Cards in this Set
- Front
- Back
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Turning the fetus to a cephalic position
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External Cephalic Version
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When is the ECV performed?
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37 weeks gestation
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Before performing the ECV sonography is used to do what (6)
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verify fetal position
locate umbilical cord r/o placenta previa assess amt of amniotic fluid fetal age r/o fetal anomalies |
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Why does external cephalic version done at 37 wks?
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Because it's the peak of amniotic fluid
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Performed prior to version
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20 NST
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Why is a NST performed prior to a ECV?
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to confirm fetal well being
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When is external cephalic version contraindicated? (6)
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uterine anomalies
previous cesarean birth CPD placenta previa multifetal gestation oligohydramnios |
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What does tocolysis mean?
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to stop contractions
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Given before performing ECV
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Brethine or MgSO4
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What does brethine do to the heartrate?
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Causes tachycardia in baby and mom
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How is brethine given?
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SubQ
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Other than tocolytics what can be given prior to ECV
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Regional block
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What does the nurse monitor during the ECV? (3)
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FHR (bradycardia)
Maternal VS Level of comfort |
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Following the procedure of ECV what does the nurse monitor? (5)
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FHR
Maternal VS Uterine activity signs of bleeding SROM |
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May follow immediately after ECV
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induction
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Can occur after ECV
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baby flipping back to breech
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Given RhoGAM to prevent bleeding
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Rh- woman
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Risk after manipulation
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fetal/maternal bleeding
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