Fetal Monitoring
What should the baseline HR be?
110-160
When do you do a contraction stress test
assess utero-placental function and see if the fetus will tolerate labor, + --> do c-section. the test is + if there are late decels at least half of the contractions
On which cycle day does fertizaltion occur
cycle day 14
WHen is the baby term
37 weeks
Tell me how Lochia changes after delivery
red at first then becomes paler and white by 10th day
Definition of Moderate Variability
6-24 beats per min
what causes early decels
heard compression and you don't worry about these
what happens to BP and how much
Decreases by 5019 mmg HG systolic
and disatolic decreases 10-15mm Hg
Post Term
42 weeks
How long can post-partum blues typically last
up to 2 weeks after delivery
What makes something non-reassuring
brady or tachy cardia. No acels, repetitive variable decels, ANY late decels, no vairabilty
what can you do if you see a noreassuring FHR tracing?
stop oxytocin if used, give saline bolus, give o2, change position from supine to left side( keep from compressing IVC), rule out umbilical cord prolapse with vaginal exam
What happens to ALK phos in preg
increases- we don't care
When should you give the first dose of Rhogam
28 weeks to rh neg moms
If a mom does not breast feed when can she expect her period to come back
6-8 weeks after delivery
What can cause Fetal Brady (HR below 110)
maternal use of beta blockers
Local anesthetics
congenital heart block
At what Gestational age can you perfrom a non-stress test?
28 weeks or later
What happens to your TFTs
increase in T3, T4, and free T3 and Free T4 may increase slighlty or be normal
When and Who should get the Tdap vaccine
All mom between 27-36weeks gestation
What do you do after delivery to RH neg moms
find out waht the baby's blood type is and if RH+ and mom Rh-neg. Give 2nd dose of Thogam.
What can cause fetal tachy
beta agonists (albuterol)
fever
prematurity
fetal movement
Can you have early decels for a reassuring NST?
Yes, just not variables or lates
what happens to nucal transparency in Trisomy 12
increased
When to test for GBS
35-37 weeks
What antibiotics to give for Mastitis