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takes how long for follicle selection and development
3 months
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Grathian follice
Follice that completely matures
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Chorion frondosum
shaggy chorion; goes away
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Chorion leave
Smoothe side
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Decidus basalis
True decidus
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Chadwicks sign
Blue/purple coloration
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Hegars sign
softening of lower uterine segment (6-8 gestational weeks)
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Uterine souffle
soft, blowing sound. Same as maternal pulse. Its the blood going thru the uterine vascularization & blood going through the placenta
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Funic souffle
blood going through the fetal arteries
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Preembryonic phase of fetal develop
1st 14 days of human development following fertilization
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Embryonic phase of fetal develop
Day 15-week 8 after conception
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Fetal phase of fetal develop
From 8 weeks until delivery.
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On day 23
the neural tube closes; need a lot of folic acid
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Linea nigra
Darker skin that'll go away
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Stria gravia
Stretch marks
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Calasma
mask of pregnancy
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Montgomerys tubicules
become more prominent in pregnancy & secrete stuff. Little white things on nipples.
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Physiologic anemia
RBC count increases, but plasma vol increases MORE
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McDonald's rule
Size of the bellyfundul height should be +/- 2 weeks of the gestational weeks
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Leopold's manuevers
Point to feel around for baby parts to figure out where to listen to fetal HR
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Weeks when most succeptible to teranagens
weeks 3-8
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Tetracycline can lead to
discolered teeth
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Ideal weight gain
25-35 lbs
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If gain more than _/wk then worried about _
5lbs; preeclampsia b/c it's edema
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For Pica pts we need to check
H&H and possibly rx supplemental iron
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Negel's rule
From date of LMP: take month and - 3; take date and add 7
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Early amnio
genetic defects, gender. 15-20 weeks
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Late amnio
Assess lung maturity
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Drug to help lungs mature
Betamethasone
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Drug to prevent Rh issues
Rogam
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Reactive nonstress test
Qbaby movement, fetal HR increases
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Nonreactive nonstress test
Qbaby movement, fetal HR does not increase
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Nonreactive nonstress test is (bad or good)
Bad
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Positive stress test is (bad or good)
Bad
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Negative stress test is (bad or good)
Good
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Decels mean that:
Fetal HR dropped
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Early decels are (bad or good)
Okay
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Variable decels are (bad or good)
Iffy. Can turm mom on side in case baby on her vena cava
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Late decels are (bad or good)
Bad. Turn mom on side and apply O2
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pH test on vagina after "water breaks"
Blue means basic and blue means baby. B/c urine is acidic, but amnio is basic.
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Best fetal attitude
Want the head tucked
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Best fetal lie
Vertical w/mother. Not transverse
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What does breach mean
Baby's butt is down, instead of his head
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Transverse lie is (bad or good)
Not good to deliver
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How much will pt dilate
up to 10 cms
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How much will pt efface
100%
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What is effacement
When the internal and external os widen
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Stage 1 of labor is defined as
dilated <10cms.
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Stage 1 latent phase is defined as
Dilated 1-4 cms. Mom very talkative and happy.
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Stage 1 active phase is defined as
4-8 cms dilated
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Stage 1 transition phase is defined as
Dilated 8-10 cms. Mom is pissed.
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Stage 2 of labor is called the
Expulsive phase
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Stage 2 is defined as
Dilated 10+ cms - delivery of baby
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Stage 3 is defined as
Delivery of baby to deliv of placenta
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When are epidurals given
WHen pt dilated 4-6 cms
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Bishop's score indicates
Cervical readiness
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Go to hospital when contractions aer q__mins
5
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What is preeclampsia
Pt at risk for seizures
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What is eclampsia
Pt had a seizure
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Nonpharm tx for preeclampsia
Bedrest
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Pharm tx for preeclampsia
RL with Mag Sulf PB
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General postpartum assessment
BUBBLEHEN: breasts, uterus, bladder, bowel, lochia, epistiostomy, homan's, emotions, nutrition
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Tx for boggy uterus
Massage it
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When does lochia stop
4-6 PP weeks
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Assessment for epistiostomy site
REEDA: redness, edema, ecchymosis, discharge, approximation
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Assessment immed after birth
V/S esp pulse and BP
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How often to do BUBBLE HEN
q15 mins for 1st hr PP. Then normally q12hrs
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Fetal circulation
Arteries take blood TO heart. Backwards.
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Newborn care
Suction, admin O2, APGAR score
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Required shot for newborn
Vit K
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Optional shot for newborn
Hep B
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Nursery assesses newborn for
weight, length, chest, abd, put in warmer, vitals
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Newborn temps
1st is rectal, then apical. 97-99 is good
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Tx if baby jaundiced
Put under lights. Drink more and pee more to get exess billirub out
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Blood tests for newborm
DM, PKU, thyroid
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