G/TPAL (G/P):
Pt is 7 wks pregnant. 2 previous AB (10wk & 6wk),stillborn birth @ 39weeks.
G 4/P 1020
What are some of the risk factors associated with a premature infant admitted to the NICU
SGA, maternal infection, fetal asphyxia
Labor Pt. suddenly says, "I can't breathe" has dyspnea with restlessness
Amniotic Fluid Embolism
Newborn presents with tachypnea, grunting, retractions & nasal flaring
RDS in Newborn
Measures FHR (NST), muscle tone, movement, breathing, and the amount of AFL via ultrasound. 2 pt. each for a total score of 10. Score of 8-10 = reassuring. Score of 4 or less = might need to deliver the baby early or immediately.
(BPP) Biophysical Profile
Internal monitor, measures beat to beat variability.
FSE (Fetal Scalp Electrode)
Uterine Ctx, cramping, lower back pain, pelvic pressure, nausea, vomiting, diarrhea
Signs of Pre Term Labor
Jaundice in a newborn who is 29 hours old
Physiologic Jaundice
Cravings of non-food substance causing iron deficiency anemia
PICA
Goodell's sign, Chadwick and Hegar's sign:
B. Probable signs of pregnancy "objective"
Shoulder Dystocia
McRobert's maneuver
Apical pulse 101, R 28, Pink body-blue extremities, crying after stimulation, well flexed extremities.
Apgar score:_____
8
G1P0 presents to ED with bleeding and cramping. LMP 7 wks ago. On speculum exam cervix is closed.
Threatened Spontaneous Abortion
+1 DTR, RR7, UO 80ml in 4 hrs
A. side effects of Magnesium Sulfate
7cm/0/80%
1st stage of labor - Active phase
Small for gestational age, small eyes, thin upper lip, microcephalic
Fetal Alcohol Syndrome
Amenorrhea, Nausea, Breast enlargement
Presumptive Signs of Pregnancy "subjective'
During a prenatal visit a Pt. tells you her LMP was May 21, 2022. When is her EDD?
Feb 28, 2023
G1P1 Pt. 1hr Postpartum with heavy flow and boggy uterus. Meds to reduce amount of bld loss are:
Pitocin, Cytotec, Methergine, Hemabate
Fetal Position