Chapter 11
What is a fluttering feeling a pregnant woman has and when does she feel that ?
Quickening - occurs 16-20 weeks (4-5 month)
How often do you see the doctor when you are 24 weeks pregnant
every 4 weeks until 28 weeks
then every 2 until 36 weeks
What is the thinning of the Cervix that is measured in percentage?
Effacement
Expected parameter for a fetal heart rate
110-160 bpm
Name the changes to the Uterus and Cervix post delivery
Uterus - Involution
Cervix - closure - jagged slit like opening
Name 4 Probable Signs and when they occur
Braxton Hicks (16-28 wks)
Ballottement ( 16-18 weeks )
Goodell Sign (5 weeks)
Hegar Sign (6-12 weeks)
Name 3 Assessment used in Pregnancy to assess Fetal wellbeing
Non-Stress test
Biophysical Profile
Amniocentesis
Movements made by infant to maneuver through the birth canal ?
Fetal Monitor show that newborn heart rate decreased for 2 minutes. this is what type of decel
Prolonged deceleration
Most common cause of postpartum hemorrhage is?
Uterine atony
What is the Method to measure fundus height in pregnancy ?
McDonald method - Umb to Fundus
Irregular Contractions that begin early in Pregnancy and intensify as full term approaches
Braxton hicks
What is the vaginal bleeding called after delivery and name three stages?
Lochia- Rubra Serosa and Alba
What are the 2 phases of the first stage of labor?
Latent - Cervix 0-6 cm
Active - Cervix 6 - 10 cm
A full bladder after delivery can cause what?
Deviated uterus to the right and bleeding
When the fetus settles into the true pelvis and the fundus no longer pushes on the diaphragm
Lightening
What is the method used to calculate the EDD (Estimated date of Delivery)
Naegele's Rule
Subtract 3 months
Add 7 days and 1 year
What intervention is priority when the uterus is boggy
Fundal Massage
What is difference between duration and frequency in contractions?
Duration - from beginning to end of same contraction
Frequency - From one contraction to the beginning of next contraction
Mom 3 weeks postpartum comes in expressing concerns of not bonding with her baby and finds little motivation for daily activities. What is she showing signs of ?
Postpartum depression
List three changes in a pregnant woman's skin
Linea Nigra
Melasma
Striae Gravidarum
What does GTPAL stand for ?
Gravid Term Preterm Abortions and Living
Types of fetal presentation
Cephalic, Shoulder and Breech
Name interventions you would do for a Cord prolapse
Relieve pressure on the cord
Deliver the baby
Name signs the placenta is about to be delivered
Uterus rises upward
Umbilical cord lengthens
Sudden trickle of blood from vaginal opening