Week 1-Pregnancy
Gynecoid pelvis
What is the most favorable pelvis type?
Rapid uterine growth
Snowstorm pattern on U/S
High HCG levels
What is a hydatiform mole/molar pregnancy?
Components of the birth process (four p's)
What are powers, passage, passenger, psyche
Massage fundus
What to do for a boggy uterus?
Neural tube defects such as anecephaly and spina bifida
What can folic acid deficiency cause?
Fetal heartbeat
Fetal movement felt by examiner
Ultrasound visualization of the fetus
What are the 3 positive s/s of pregnancy?
Labetalol
What is the drug of choice for pre-eclampsia/high blood pressure in pregnancy?
Dilation and effacement, expulsion of the fetus, expulsion of the placenta, recovery
What are the stages of labor?
Stool softener used for postpartum moms
What is Colace?
infection of the breast
What is mastitis?
Protein
Calcium
Iron
Folic Acid
What are the four most important nutrients to increase during pregnancy?
a drug given to a RH negative mom
What is rhogam?
Every Darn Fool In Egypt Eats Raw Eggs
What is the acronym for the mechanisms of labor; Engage, descent, flexion, internal rotation, extension, external rotation, expulsion?
Rubra, serosa, alba
What are the names of the lochia after delivery?
110-160 bpm
What is normal newborn heart rate?
HIV screening
VDRL (syphilis screening)
Vaginal culture
Urinalysis
What are some routine labs that will be done at the first prenatal visit?
Painful, dark red bleeding, rigid abdomen
What is a placental abruption?
From the beginning of one contraction until the beginning of the next contraction
What is the frequency of contractions?
Tissue (Retained placenta)
Tone (Poor uterine tone)
Trauma
Thrombin
What are causes of a placental hemorrhage?
Two medications given to NB right after birth
What is erythromycin and vitamin K?
Done around 35-37 weeks
Vaginal/rectal swab
What is the GBS test?
Painless, bright red vaginal bleeding
What is a placenta previa?
Bloody show, rupture of membranes (increased vaginal drainage), braxton hicks contractions, energy spurt, cervical changes
What are some signs of impending labor?
Cord prolapse
Breech
Abruption
What are the reasons you may need a c/s or contraindications to an induction/vaginal delivery?
APGAR
Done at 1 and 5 min after birth
What is appearance (color), pulse (heart rate), grimace (reflex irritability), activity (muscle tone), respirations?