Labor and birth
the latent phase of stage 1 entails how many cms of dilation
0-3
external monitoring techniques
us transducer, tocotransducer, IA
indcution vs augmentation
induction: forced labor
augmentation: strengthen existing cx
earliest definitive diagnosis test
CVS
indication and contraindication for vacuum and forceps
inidcation: shorten labor mom is exhuasted
contra: emergent delivery
best birthing position for medical staff
lithotomy
what variability is desired in a healthy baby,what is the range for that variability, and what does that mean for baby
moderate, 6-25 bpm, intact CNS
when is mom tested for GBS
prenatal & wk 36
when is an NIPT done
in shoulder dystocia, retraction of head against perineum OR failure of shoulder to comp. external rotation
when does posterior fontanelle close
8-12 weeks
What are the interventions for late decels
IV open, pit off, pos change, O2 via mask
neonates must weigh how much for best chance of survival
2000g or 4.4lb
when are ultrasounds done in preg
as early as possible, wk 18
side effects of duramorph
pruiritus
Contraindication for carbopost
asthma
what periodic change is being described: fall and rise in rate is abrupt
variable decel
when are steroids given for fetal lung maturity
24-34 wks
when is quad testing done
16-18 wk
maternal risks for C-section
infection, uti, thrombophlebitis, paralytic ileus
post partum assessment
VS, fundus, lochia
how can you get a fetal pulse ox?
scalp electrode
meds for induction
cytotec, cervidil
what does an amniocentesis test for
chromosomes, fetal lung maturity
interventions for prolapsed umbilical cord
dont move hand, keep presenting part off placenta, position for mom, prep for c/s