Okay, so you're pregnant
The optimal time in a 28 day cycle to conceive
What is day 14?
Three Hormones responsible for lactation
What are Estrogen, Progesterone, and Prolactin
Long-term potential consequence to mother from gestational diabetes
What is type II diabetes
Vaginal discharge following delivery for up to 3 days following
What is Rubra flow
When an infant is place on a cool surface their body looses heat through...
What is conduction?
A Labor measurement
4 measurements to determine position of head, bum, back, and arms?
When a placenta is imbedded in the lower uterine segment or over the os.
What is placenta previa
Three contraindications to breastfeeding
What are
1. Galactosemia
2. Active TB in Mother
3. Maternal Substance Abuse
4. Active HIV in mother
The meaning behind the acronym HELLP
What is...
H: Hemolysis
E: Elevated
L: Liver Enzymes
L: Low
P: Platelet Count
Fetal heart shunts that close after birth
What are the foramen ovale, ductus arteriosus, and ductus venosus
The weight of a Large for gestational age infant
What is 90% above average for that gender
Calculation used to predict EDC
What is Naegele's Rule
Four Infant Feeding Cues
What are:
1. lip smacking
2. Sucking on hands
3. Hand to mouth
4. Rooting
5. Hands fisted
6. Crying (late)
Five General Danger Signs in Pregnancy
What is
1. Bright red bleeding
2. Decreased Fetal Movement
3. Abdominal Pain
4. Foul smelling discharge
5. Gush of fluid
6. Fall/MVA
7. Suicidal thoughts/negative thoughts
8. Dysuria
9. Any physical or emotional or financial abuse
Maximum tolerable weight loss of newborns
What is 10%
Symptoms of an infant in respiratory distress
What is
1. nasal flaring
2. retractions
3. Tachypnea
4. Grunting
5. rate > 60 or <30
6. Apnea
7.Cyanosis/mottled
Enlarged Uterus; Goodell's sign; + pregnancy test
What are probable signs of pregnancy
Evidence of Effective Milk Transfer
What are
1.Strong tugging (not painful)
2. Uterine contractions (first 3-5 days)
3. Milk leaking from other breast
4. Relaxation, thirst
5. Breast softer after feed (once milk in)
⦿Elongated nipple- no pain/ moulding
Symptomatic changes that occur with Preeclampsia
What are
1. Hypertension
2. Edema
3. Uteroplacental insufficiency
4. Proteinuria
5. Blurred Vision
6. Oliguria
7. Scotoma (blind spots)
Three ways to support parent-infant attachment
What are
1. dim lights
2. minimize interruptions
3. facilitate skin to skin
4. provide privacy
5. Encourage talking and eye to eye contact
5 medical Indications for C-Section
What are
1. Cephalo-pelvic disproportion (CPD)
2. Breech presentation
3. Fetal or maternal distress
4. Placenta Previa
5. Multiple fetuses
6. Failed induction/non progressing labor
7. Eclampsia/hypertension
8. Previous Section
The position of the fundus at 20-22 weeks of pregnancy
What is at the umbilicus?
3 different preparations of artificial milk
What are...
1. Ready made
2. Powder/reconstitute
3. Concentrate/reconstitute
Head trauma following delivery with swelling crossing the suture lines
What is Caput Succedaneum
Five signs of postpartum hemorrhage
What are
1. Excessive or bright red bleeding
2. A boggy fundus that does not respond to massage
3. Abnormal clots
4. Any unusual pelvic discomfort or backache
5. Persistent bleeding in the presence of a firmly contracted uterus
6. Increased pulse or decreased blood pressure
7. Hematoma formation or bulging/shiny skin in the perineal area: rectal pressure
8. Decreased level of consciousness
Three causes of PPH
What are
1. Tone: Atony, precipitous delivery, long labor, multiples, uterine infection, anemia
2. Tissue: Placenta tear/problem; retained placenta
3. Trauma: laceration; hematoma
4. Thrombin: Coagulation problem
5. History: history of previous pph
6. Anemia: decrease in clotting factors