Prenatal Assessment
The expected fundal height for a patient at 28 weeks gestation
What is 26-30cm
This hormone helps maintain pregnancy by decreasing uterine contractility
What is progesterone
Fetal circulation consists of what
What are two umbilical arteries and one umbilical vein
The signs of the transition phase of the first stage of labor
What is nausea, vomiting, rectal pressure, or irritability
The normal fetal heart rate baseline
What is 110-160
This symptom is considered a first trimester warning sign
What is vaginal bleeding
This is a normal finding in the second trimester due to hemodilution
What is physiologic anemia
The expected fetal heart rate response to labor
What are heart rate fluctuations (Variable, early, and late decels can all happen as a response to the stress of labor)
This procedure may be done during vaginal deliveries when there is need to expedite the birth
What is an episiotomy
This contraction pattern (in minutes) indicates normal uterine activity in labor
What is every 2-3 minutes
This paternal combination would NOT require RhoGAM at 28 weeks gestation
What is Rh negative mother and Rh negative father
A fetal complication indicating maternal use of cigarettes
What is IUGR/SGA
This could be an immediate concern following amniotomy
What is prolapsed umbilical cord (what is our first action for assessment?)
This stage of labor ends with full dilation and effacement and can last up to 20 hours or more
What is the first stage of labor
This deceleration is considered a cause of cord compression
What is a variable deceleration
This test is performed around 35 to 37 weeks to decrease risk of newborn sepsis at delivery
What is Group Beta Streptococcus (GBS)
This laboratory finding may result in the contraindication of an epidural
What is thrombocytopenia
The location of the foramen ovale
What is between the right and left atria, bypassing the non-functioning lungs
This stage of labor may be indicated by a small gush of red blood, firm fundus, and globular shape of the uterus
What is the 3rd stage (delivery of the placenta)
An early deceleration is an indication of what happening
What is cerebral compression
The education you would give your patient regarding alcohol consumption in pregnancy
There is no known safe consumption; therefore, we recommend to abstain from drinking during the pregnancy
Spiral artery compression can happen as a result to what
What are uterine contractions
Explain the gas exchange function of the placenta
The placenta provides oxygen to the baby through the umbilical veins and excretes carbon dioxide into mom’s bloodstream through the umbilical arteries
The components of active management in the 3rd stage of labor
What is uterotonic administration, early cord clamping, and controlled cord traction with fundal massage
This deceleration is considered a sign of uteroplacental insufficiency
What is a late deceleration