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22 Cards in this Set
- Front
- Back
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CHAPTER SIXTEEN
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(Ignore this card)
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transverse lie is a risk factor for
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prolapsed cord
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Oligohydramnios is defined as
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< 300 mL AFV
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For prolapsed cord, which positions should be used?
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knee-chest, Trendelenburg, or side-lying position
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If meconium in the fluid occurs before labor, is the outcome usually good or bad?
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Favorable
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There is an increased incidence of meconium-stained fluid when?/
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following 38 week gestation
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How does cord compression lead to meconium-stained fluid?
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cord compression --> hypoxia --> vagal nerve stimulation --> GI peristalsis --> meconium passed
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Meconium passage is considered an ominous sign if
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late labor with variable or late decels
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What is the Tx for meconium fluid?
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instill NS or LR into the uterus to dilute and remember to suction the infant's airway
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What pH indicates fetal distress?
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< 7.2
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If fetal distress occurs, what should you remember to do?
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elevate maternal legs
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What are risk factors for dystocia?
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short, overweight, > 40 y/o
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Hypertonic ctxs do not lead to
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labor progression
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Diarrhea is a S/S of
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precipitous labor
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What should the mother due to control the urge to push?
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pant with open mouth between contractions
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What should you NOT attempt to do during a precipitous delivery?
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stop the delivery
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ECV and ICV and forceps-assisted birth is a risk factor for
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uterine rupture
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If ctxs suddently stop and pain is relieved, this is a S/S for
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uterine rupture
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Tx for incomplete uterine rupture
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laparotomy and blood transfusion
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Tx for complete uterine rupture
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hysterectomy and blood transfusion
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Amniotic fluid embolism can lead to what serious coagulation problem?
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DIC
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Greater risk for amniotic fluid embolism with:
- nulliparous are multiparous? - oligohydramnios or hydramnios? |
multiparous, hydramnios
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