Nuggets for Exam 2
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After the birth how often do we check the mom's VS?
q15min for 1 hr....then q 30 for next 2-4 hrs
When do you Dc the IV after birth?
when the bag is done infusing....unless she is having heavy bleeding
What do I do if I see lots of early decels?
vag exam cuz baby could be crowning
What is "reactive"
when there are more than 2 accelerations within 20 min.
lowest point of the FHR
when one contraction lasts 2 minutes or more or a woman has 5+ contractions in 10 minutes
an increase in BPM of 15+ for 15 seconds
How long do early and late decels last?
more than 30 seconds
Describe a variable decal (2)
- abrupt of FHR....get to NADIR in less than 30 seconds
- decrease in BPM of 15 for 15
Sinusodial variability will look like this......
and it means this.....
Shiny Shultz is....
Dirty Duncan is....
Placenta is the organ of....
- less than 500mL of fluid
- more than 2000mL of fluid
Anterior Fontanelle is shaped like a
Posterior Fontanelle is shaped like a
Which one do you want to feel on exam?
- Anterior= diamond
- Term births
- Premature births
- Living Children
Phases of Labor
- Latent 0-4 cm lasting 7-8 hrs
- Active 4-7 cm lasting 3-5 hrs
- Transition 7-10 cm lasting 1/2 to 2 1/2 hrs
4 Stages of Labor
- I Dilation to 10 cm
- II Pushing
- III Birth of baby/placenta
- IV Recovery
paper....blue = amniotic fluid
slide....looks like a fern = amniotic fluid
What sort of precautions are in place for delivery?
Universal....goggles, shoe covers and gown
Fundus by weeks....
- 12=at pelvis
- 16=3 in below umbilicus
- 20=at umbilicus
- 35wks/term= at xyphoid process
Best indicator of true labor is
progressive cervical changes
During labor assess the mom's VS every
If a patient isn't progressing...
assess her bladder
After ROM my #1 priority is to
What's a version and when should it be done?
switch out of breech....38 weeks
What would you like to do?
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