Chapter 10
surfactant peaks at what week?
Week 34 - 36
colostrum
favorable presentation of baby in pelvic inlet first
cephalic (head first)
late decelerations (placental insufficiency)
human placental lactogen (hPL)
Recommended to be done due to increasing fetal iron reserves, however, increased risk for jaundice
delayed cord clamping (30 - 60 seconds)
folic acid (400 micrograms)
when does dilation stage end?
when the cervix is dilated about 10 centimeters
give a difference between amniocentesis versus chorionic villus sampling
CVS is earlier and allow for 1st trimester decisions
causes "morning sickness" and the hormone detected by pregnancy tests
human chorionic gonadotropin (hCG)
Umbilical arteries
avoid deli meats, unpasteurized cheeses due to
listeria poisoning
contrast between true labor and false labor
True labor: contractions strengthen and become regular; will actually cause cervical dilation regardless of rest, hydration or a change of position
False labor: irregular contractions, mild and stop with rest and hydration; and no cervical change
give 3 advantages and 3 disadvantages of bottle feeding
varies
slows GI motility and responsible for causing constipation
progesterone
essential for the alveolar development of fetal lungs
amniotic fluid
Explain the three signs of pregnancy and give 2 examples of each
Presumptive (subjective by pt, amenorrhea, fatigue, nausea and vomiting, quickening)
Probable (objective seen by provider, return of fetus, positive pregnancy test, braxton-hicks, the three signs)
Positive (diagnostic, affirming, fetal movement felt by provider, fetal heart sounds, delivery of the fetus, Doppler ultrasound)
most favorable pelvic shape for vaginal delivery
gynecoid
36 weeks to delivery should aim to visit
every week
stimulates milk-letdown (via suckling reflex)
oxytocin
Name the three layers of the embryonic phase and give 3 examples of each
Ecto (integumentary system components + central nervous system)
Meso (muscles, bones, cartilage, blood components, heart, kidneys, connective tissue)
Endo (internal organs, linings of GI tract, airways, lungs), bladder + urethra
recommended intake of iron
27 milligrams a day
if the uterus is firm but NOT midline, what could it be and what interventions may be necessary
bladder may be full/distended; encourage voiding or straight catheterization if indicated
A 30 year old female is 25 weeks pregnant with twins. She has 5 living children. Four of the 5 children were born at 39 weeks gestation and one child was born at 27 weeks gestation. Two years ago she had a miscarriage at 10 weeks gestation. What is her GTPAL?
G7 T4 P1 A1 L5
responsible for causing nasal congestion, swelling, and increased skin pigmentation
estrogen