Exam 3 - OB Survival Skills
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Name the stages of labor
- Stage 1:
- · latent phase
- · active phase
- · transition phase
- Stage 2: birth
- Stage 3: placenta delivery
- Stage 4: Recovery
latent stage of labor - what is happening?
- considered the "hidden" stage
- the body working to get ready without mom knowing
The active stage is what?
When a woman knows labor is present
the transition stage - what is happening?
- 7-10cm dilation
- the difficult phase
The birth phase (stage 2) what is happening?
crowning to delivery
In the recovery stage what is happening?
- clean mom up
- feed mom
- breastfeeding starts
When the cervix thins this is called?
Stations (presenting) above the ischial spine are numbered?
-1 to -5
Stations (presenting) below the ischial spine are numbered?
0 to +5
A woman who has given birth to one or more children who reached the age of viability (20 weeks of gestation), regardless of the number of fetuses and regardless of whether those children are now living
GTPAL stands for?
- gravida (pregnancies, including this one)
- term (anything over 37 weeks)
- preemie (20-37 weeks)
- abortion (below 20 weeks)
- living children
In fetal monitoring what is considered bad and closely monitored?
What is the normal fetal HR?
What does BUBBLE HE mean?
what is the first thing you do if you suspect post partum hemorrhage?
massage the fundus
what is Homan's sign used for?
- clonus - hyperreflex foot will beat
- to determine pre-eclampsia or eclampsia
what would cause the fundus to be displaced?
a full bladder
How long will Lochia last?
- Rubra (1-3 days)
- Serosa (4-10 days)
- Alba (10-30 days)
How often is breast feeding encouraged?
Every 2 hours
Breastfeeding Pearls of Wisdom?
- belly to belly
- "C" presentation
- fish lips (rolled lips)
- nipple up
What position are babies placed for sleeping?
back or side
What is the normal RR of a newborn?
What is the normal temp of a newborn?
- over 98 to 99.2
- anything above or below recheck in 30 min
what are the reflexes checked on a newborn?
- morrow (startle)
- babinski (foot)
This complication during pregnancy includes gestational hypertension with renal involvement leading to proteinuria
This complication during pregnancy includes gestational hypertension, renal involvement leading to proteinuria, CNS involvement causing seizures, liver and coagulation abnormalities
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