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8 Cards in this Set
- Front
- Back
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monozygotic or dizygotic twins
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separate placenta or fused placenta
2 chorions 2 amnions |
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monozygotic twins
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single placenta
1 chorion 2 amnions or 1 amnion |
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associated complications of twins (5)
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prematurity
malpresentation of second twin cord prolapse pph increased risk of ppd |
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management of undiagnosed twin
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clamp and cut cord
call for help palpate to ascertain lie and presentation of baby #2 external version to longitudinal lie apply gentle presure to hold presenting part over pelvic brim auscultate fetal heart tones asap V/E to assess presentation (rule out cord start IV monitor FHR as continuously as possible draw for blood group and screen document asap prep for nrp |
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when the twins have been discovered intrapartum, after the first twin has been born check the ________ and the _______of the 2nd twin
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lie & presentation
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what are three factors that should be considered when making a decision to transport form home after the birth of the first twin?
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Non- reassuring FHR
strong contractions bleeding |
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true or false: the cord of the first twin should not be clamped due to the risk of exsanguination of the second twin
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false
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list four assessments that might assist the midwife in recognizing the presence of a second baby after the birth of the first twin?
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smaller than expected baby
palpation of fetal parts fetal heart fundus remains high |
