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63 Cards in this Set
- Front
- Back
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what signs and tests confirm the prescence of rupture of membranes?
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visualization of amniotic fluid from cervix, pooling of amniotic fluid inthe posterior vaginal fornix, pH above 6.5 in fluid collected from vagina using nitrazine paper; or visualization of "ferning on a sample of fluid on an air dried microscope slide
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what signs and tests confirm the prescence of rupture of membranes?
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visualization of amniotic fluid from cervix, pooling of amniotic fluid inthe posterior vaginal fornix, pH above 6.5 in fluid collected from vagina using nitrazine paper; or visualization of "ferning on a sample of fluid on an air dried microscope slide
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what signs and tests confirm the prescence of rupture of membranes?
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visualization of amniotic fluid from cervix, pooling of amniotic fluid inthe posterior vaginal fornix, pH above 6.5 in fluid collected from vagina using nitrazine paper; or visualization of "ferning on a sample of fluid on an air dried microscope slide
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GBS positive at 36 weeks, what therapy should be administered at this time?
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PCN 5mill IV load dose then 2.5 mill IV q 4
alt. IV amp, cephalthin, erythromycin, clindamycin, vanc. |
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GBS positive at 36 weeks, what therapy should be administered at this time?
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PCN 5mill IV load dose then 2.5 mill IV q 4
alt. IV amp, cephalthin, erythromycin, clindamycin, vanc |
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what us premature rupture of membranes?
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rupture of the fetal membranes prior to labor
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what is premature rupture of membranes
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rupture of the fetal membranes prior to labor
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what is premature rupture of membranes
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rupture of the fetal membranes prior to labor
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what is the first stage of labor?
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onset to whenever the cervix is completely dilated
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what is the first stage of labor?
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onset to whenever the cervix is completely dilated
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what is the first stage of labor?
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onset to whenever the cervix is completely dilated
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the first stage of labor :onset to whenever the cervix is completely dilated is divided further
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Latent phase: contractions become stronger, longer, and more coordinated
Active phase: starts at 3-4 cm of cervical dilation, when the rate of cervical dilation is at its maximum |
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the first stage of labor :onset to whenever the cervix is completely dilated is divided further
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Latent phase: contractions become stronger, longer, and more coordinated
Active phase: starts at 3-4 cm of cervical dilation, when the rate |
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the first stage of labor :onset to whenever the cervix is completely dilated is divided further
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Latent phase: contractions become stronger, longer, and more coordinated
Active phase: starts at 3-4 cm of cervical dilation, when the rate |
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In active labor and no epidural what are the normal rates of dilation per hour?
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1.5cm/hour
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when the rate of cervical dialtion is at its max?
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active labor?
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active labor?
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when the rate of cervical dialtion is at its max?
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what is the second stage of labor?
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from complete cervical dilation to delivery of the fetus normally ;lasts less than two hours in a nulliparrous woman, and less than an hour in a parous woman but epidural anesthesia prolongs by about an hour
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what is the second stage of labor?
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from complete cervical dilation to delivery of the fetus normally ;lasts less than two hours in a nulliparrous woman, and less than an hour in a parous woman but epidural anesthesia prolongs by about an hour
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what is the second stage of labor?
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from complete cervical dilation to delivery of the fetus normally ;lasts less than two hours in a nulliparrous woman, and less than an hour in a parous woman but epidural anesthesia prolongs by about an hour
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describe the third stage of labor?
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begins after delivery and ends with delivery of the placenta and membranes (30 min)
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describe the third stage of labor?
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begins after delivery and ends with delivery of the placenta and membranes (30 min)
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describe the third stage of labor?
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begins after delivery and ends with delivery of the placenta and membranes (30 min)
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fetal heart rate should be monitored Q
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30,15 in stage 1 and 2 resp if it is an uncomplicated
15 - 5 in complicated |
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fetal heart rate should be monitored Q
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30,15 in stage 1 and 2 resp if it is an uncomplicated
15 - 5 in complicated |
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fetal heart rate should be monitored Q
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30,15 in stage 1 and 2 resp if it is an uncomplicated
15 - 5 in complicated |
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what is a normal baseline fetal heart rate?
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110 - 160
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what is a normal baseline fetal heart rate?
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110 - 160
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what is a normal baseline fetal heart rate?
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110 - 160
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MCC of fetal tachy (greater than 160) is
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moms got a fever
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normal short-term variability is?
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6 - 25 narcotics and sleep can reduce it
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normal short-term variabilty is?
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6 - 25, narcotics and sleep can reduce it
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an early deceleration coincides with
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contraction in onset of the fetal heart rate decline and return to baseline
- thought to be a result of increased vagal tone from compression of the fetal head |
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an early deceleration coincides with
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contraction in onset of the fetal heart rate decline and return to baseline
- - thought to be a result of increased vagal tone from compression of the fetal head |
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an early deceleration coincides with
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contraction in onset of the fetal heart rate decline and return to baseline
- - thought to be a result of increased vagal tone from compression of the fetal head |
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what is a late deceleration?
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a gradual reduction in fetal heart rate that starts at or after the peak of contraction and has a gradual return to the baseline...it is associated with uteroplacental insufficiency, common among these are maternal hypotension often seen from epidurals and uterine hyperstimulation form oxytocin admin
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what is a late deceleration?
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a gradual reduction in fetal heart rate that starts at or after the peak of contraction and has a gradual return to the baseline...it is associated with uteroplacental insufficiency, common among these are maternal hypotension often seen from epidurals and uterine hyperstimulation form oxytocin admin
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what is a variable deceleration?
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an abrupt decrease in fetal heart rate, usually followed by an abrupt return to baseline that occurs variably in tis timing relative to contraction...it is the most common type of decel and occurs due to umbilical cord compression.
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what is a variable deceleration?
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an abrupt decrease in fetal heart rate, usually followed by an abrupt return to baseline that occurs variably in tis timing relative to contraction...it is the most common type of decel and occurs due to umbilical cord compression.
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what is a variable deceleration?
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an abrupt decrease in fetal heart rate, usually followed by an abrupt return to baseline that occurs variably in tis timing relative to contraction...it is the most common type of decel and occurs due to umbilical cord compression.
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contractions that are inadequate in frequency and power can be treated with
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an oxytocic agent oxytocin is the DOC
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what is the def of uterine hyperstimulation?
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6 or more contractions in a 10 minute period that causes nonreassuring fetal heart rate abnomalities (such as late decelerations)
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what is the def of uterine hyperstimulation?
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6 or more contractions in a 10 minute period that causes nonreassuring fetal heart rate abnomalities (such as late decelerations)
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what is the def of uterine hyperstimulation?
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6 or more contractions in a 10 minute period that causes nonreassuring fetal heart rate abnomalities (such as late decelerations)
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what are the four cardinal movements?
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1. flexion (chin-chest)
2. internal rotation (ociput anteriorly) 3. extension (as head approaches vulva) 4. external rotation for delivery of the head to face either the maternal right or left side. |
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what are the four cardinal movements?
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4. external rotation for delivery of the head to face either the maternal right or left side.
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what are the four cardinal movements?
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4. external rotation for delivery of the head to face either the maternal right or left side.
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what is it when the babies front shoulder can pass below the symphisis pubis
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shoulder dystocia and it is an Ob emergency requiring efforts to reduce the shoulder including the Mcroberts manaeuver (hyperflexion of the hips) suprapubic pressure, cutting an episotomy, or rotation of the body.
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what is it when the babies front shoulder can pass below the symphisis pubis
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shoulder dystocia and it is an Ob emergency requiring efforts to reduce the shoulder including the Mcroberts manaeuver (hyperflexion of the hips) suprapubic pressure, cutting an episotomy, or rotation of the body.
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what is it when the babies front shoulder can pass below the symphisis pubis
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shoulder dystocia and it is an Ob emergency requiring efforts to reduce the shoulder including the Mcroberts manaeuver (hyperflexion of the hips) suprapubic pressure, cutting an episotomy, or rotation of the body.
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arrest of active phase is what?
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no cervical dilation for 2 hours
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arrest of active phase is what?
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no cervical dilation for 2 hours
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late decelerations caused by?
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uteroplacental insufficiency
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late decelerations caused by?
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uteroplacental insufficiency
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late decelerations caused by?
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uteroplacental insufficiency
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early decelerations are caused by?
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fetal head compression
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early decelerations are caused by?
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fetal head compression
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uteroplacental insufficiency causes what?
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late decel
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uteroplacental insufficiency causes what?
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late decel
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cord compression causes
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variable decelerations
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the prescence of accelerations on a fetal heart rate tracing is very reassuring and consistent with?
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fetal heart pH of 7.2 or more
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the prescence of accelerations on a fetal heart rate tracing is very reassuring and consistent with?
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fetal heart pH of 7.2 or more
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the prescence of accelerations on a fetal heart rate tracing is very reassuring and consistent with?
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fetal heart pH of 7.2 or more
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