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30 Cards in this Set
- Front
- Back
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Which immune globulin is formed with exposure of Rh- blood to Rh + blood?
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IgM
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When is RhoGam given to an Rh- mom?
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at 28 weeks gestation, after any invasive procedure, and after delivery of an Rh + child
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Risks of PROM
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polyhydramnios
multilple fetuses amnioscentesis placement of placenta smoking |
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How do you check for ROM?
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nitrazine paper
will turn dark blue if positive for amniotic fluid |
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What are the TORCH infections?
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toxoplasmosis
other infections rubella cytomegalovirus herpes simplex |
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What are the four P's of labor?
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Power - contractions
Passage Passenger Psychological factors |
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three parts of a contraction
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increment
acme decrement |
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what is the peak of the contraction called?
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the acme
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only way to tell for sure the strength of the contraction
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using IUPC
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most common pelvis type
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gynecoid
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two most favorable pelvic types for vaginal delivery
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gynecoid and anthropoid
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Most common cephalic position is LOA, what does this mean?
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Left Occiput anterior - vertex position with back part of head facing mom's left anterior side
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definition of minimal, moderate and marked variability
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minimal - not greater than 5 beats/min,
moderate - 6-25 beats/min marked - greater than 25 beats/min |
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when do you see early decels? are these a bad sign?
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usually occur in first stage of labor 4-7cm OR during fetal head compression during second stage; not a bad sign
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what are late decels?
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decel begins after contraction has started with lowest point of decel after peak of contraction; does not return to baseline till after contraction is over, usually sign of fetal hypoxia
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what are variable decels and what can cause them?
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abrupt changes in FHR; change > 15 bpm lasts 15 seconds and returns tobaseline in < 2 mins
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parameters for contractions
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lasting 60-90 seconds or less with at least a 30 second resting interval; occurring no more frequently than every 2 minutes
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define latent stage of labor
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0-3cm
cxns 5-7 min apart last 30-40 seconds |
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definition of active phase of labor
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4-7cm
cxns 2-5 min apart lasting 40-60 seconds |
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definition of transition
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8-10cm
cxns 1 1/2 - 2 min apart lasting 60-90 seconds |
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what is first stage of labor
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onset of contractions until complete dilation
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what is second stage of labor
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complete dilation until delivery of baby
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what are the cardinal movements of labor
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descent, flexion, internal rotation, extension, restitution, external rotation, expulsion
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what is third stage of labor
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delivery of placenta
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Name some non-pharmacologic methods of pain relief
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gate control theory
distraction cutaneous stimulation positioning hydrotherapy breathing |
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disadvantages of epidural
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maternal hypotension
bladder distension pyrexia decreased control of motor function of legs |
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3 hr gtt values
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<95mg/dl
<180mg/dl <155mg/dl <140mg/dl |
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assessment parameters for preeclampsia
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2 BP elevations at least 4-6 hrs apart
proteinuria 300+mg in a 24 hr edema (hands, face, lower extremities) weight gain 2 kg/wk or 5 lb/wk |
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assessment parameters for severe preeclampsia
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systolic > 160mm/Hg
diastolic > 110 mm/Hg proteinuria >5gin 24 hr or 3+ oliguria < 400-500mL/24 hrs or < 30mL / hr cerebral and visual disturbances hyperreflexive DTRs epigastric pain |
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what is a purse string procedure
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cervical cerclage
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