-
what is the life line of the fetus
umbilicus
-
umbilicus vein carries oxygenated/deoxygenated blood from the placenta
oxygenated
-
umbilicus arteries carries oxygenated/deoxygenated blood from the placenta
deoxygenated
-
amniotic sag contain how many mL of fluid?
500-1000mL
-
why does mom respiratory rate increase?
as baby grows it pushes against diaphram decreasing tidal volume, to maintain minute volume mom has to breath faster
TVxRR=MV
-
pregnant patient blood volume increases
true/false
true
-
pregnant patients HR increases up to ___%
20%
-
what should you use to treat any heart or lung disease in a pregnant patient
oxygen
-
pregnant women can get diabetes
true/false
- true
- gestational diabetes
- goes away after birth
-
what is a pregnancy induced hypertension
preclampsia
-
preclampsia occurs after what week?
20th week
-
hallmark symptoms for preclampsia are what?
- severe headache
- high blood pressure
- swelling of hands and feet
-
what occurs when patient with preclampsia hypertension
-
what is Caused by compression of the descending aorta and the inferior vena cava by the pregnant uterus when the patient lies supine
supine hypotensive syndrome
-
when the placenta separates prematurely from the wall of the uterus, most commonly caused by hypertension or trauma.
what is this called?
- abruptio placenta
- -severe pain
- -may not have heavy bleeding
-
when the placenta develops over and covers the cervix
what is this called?
- placenta previa
- -heavy bleeding
- -almost painless
-
removal of a fetus before 20wks old
abortion
-
what is a spontaneous abortion also known as
miscarrage
-
what is the leading cause of abruptio placneta?
tauma
-
if delivery is iminent where should you deliver the baby?
deliver at scene
-
if baby is not iminent what should you do?
transport
-
to find how far into pregnancy the patient is ask when the last menstrual period was and subtract how many weeks?
2weeks
-
consider how often patients contractions are from each other
true/false
- true
- the closer the contractions are the sooner the baby will come out
-
what is the most important thing you should tell the hospital?
- weeks of gestation
- -how long the patient has been pregnant
-
what is surfactant?
fluid that helps keep alveoli open
-
what is atelectasis
collapse of the alveoli in the lungs
-
first stage of labor is what
dilation of cervix
-
2nd stage of labor is what
delivery of fetus
-
3rd stage of labor is what?
delivery of placenta
-
primigravida means what?
first pregnancy
-
braxton hicks is what?
false labor
-
2nd stage of labor also known as
crowning
-
how long does it take for the placenta separate from the uterine wall
30mins
-
what questions should you ask to determine if the baby is imminent
- -how long you have been pregnant?
- -is this your first baby?
-
when do you cut the placenta
when the pulse has stopped
-
percipitous labor means what?
fast labor
-
what should you do if the amniotic sac has not ruptured
rupture it
-
what is nuchal cord?
when the umbilicus is around the babies neck
-
how high should you hold the baby once the baby is out of the vagina
at the level of the umbilical cord
-
how to you how the baby to prevent aspiration?
hold head slightly downward
-
once the baby is out of vagina what should you obtain
- an a 1 min apgar score
- and 5 min apgar
-
what do you do to help stop bleeding after delivery
fundal massage
-
it is an emergency if the ____ doesnt deliver after 30mins
placenta
-
neonate HR will be how many beats per min
-
begin CPR on neonate under what HR?
under 60HR
-
what happens when you stimulate the baby?(touching feet, rubbing back)
respirations increase
-
normal delivery what will come out first?
the head
-
in a breech delivery what postion will the baby be in
legs will come put first
-
a normal and breech babys can be delivered in the field
true/false
true
-
if the baby limb comes out first, you can still deliver the baby
true/false
false
-
with the prolapse of umbilical cord around the baby head, what should you do?
separate the umbilical cord from head and neck
-
para means what?
- how many times have you been a parent?
- (2 kids para two times)
- (pregnant 4 times 2 kids, mom is para 2)
-
gravida means what?
- how many times the mom has been pregnant
- (2 kids pregnant 4 times, gravida 4 times)
-
how much does a normal baby weigh?
7 lbs
-
babies born before 8 months or weighs less than 5lbs is considered what?
premature
-
after delivery mom is at risk of what?
pulmonary edema
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