Nuggets for Exam 2

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Author:
foxyt14
ID:
268834
Filename:
Nuggets for Exam 2
Updated:
2014-04-01 19:03:45
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Nuggets
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Things to remember for Exam 2
Description:
Exam 2 things to remember
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  1. After the birth how often do we check the mom's VS?
    q15min for 1 hr....then q 30 for next 2-4 hrs
  2. When do you Dc the IV after birth?
    when the bag is done infusing....unless she is having heavy bleeding
  3. What do I do if I see lots of early decels?
    vag exam cuz baby could be crowning
  4. What is "reactive"
    when there are more than 2 accelerations within 20 min.
  5. Nadir
    lowest point of the FHR
  6. Hyperstimulation
    when one contraction lasts 2 minutes or more or a woman has 5+ contractions in 10 minutes
  7. Accelerations
    an increase in BPM of 15+ for 15 seconds
  8. How long do early and late decels last?
    more than 30 seconds
  9. Describe a variable decal (2)
    • abrupt of FHR....get to NADIR in less than 30 seconds
    • decrease in BPM of 15 for 15
  10. Sinusodial variability will look like this......
    and it means this.....
    • wave
    • absent variability
  11. Shiny Shultz is....
    fetal side
  12. Dirty Duncan is....
    maternal side
  13. Placenta is the organ of....
    • nutrition
    • waste removal
    • o2
  14. Oligohydramino
    Polyhydramino
    • less than 500mL of fluid
    • more than 2000mL of fluid
  15. Anterior Fontanelle is shaped like a

    Posterior Fontanelle is shaped like a

    Which one do you want to feel on exam?
    • Anterior= diamond
    • Posterior=triangle

    posterior....triangle
  16. TPAL
    • Term births
    • Premature births
    • Abortions
    • Living Children
  17. 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
    • Pushing/Placenta
  18. 4 Stages of Labor
    • I Dilation to 10 cm
    • II Pushing
    • III Birth of baby/placenta
    • IV Recovery
  19. Nitrazine
    paper....blue = amniotic fluid
  20. Ferning
    slide....looks like a fern = amniotic fluid
  21. What sort of precautions are in place for delivery?
    Universal....goggles, shoe covers and gown
  22. Fundus by weeks....
    • 12=at pelvis
    • 16=3 in below umbilicus
    • 20=at umbilicus
    • 35wks/term= at xyphoid process
  23. Best indicator of true labor is
    progressive cervical changes
  24. During labor assess the mom's VS every
    1 hr
  25. If a patient isn't progressing...
    assess her bladder
  26. After ROM my #1 priority is to
    check FHR
  27. What's a version and when should it be done?
    switch out of breech....38 weeks

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