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chapter 33 obstetrics and neonatal care
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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
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
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
eclampsia
-seizures
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
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
120HR
atleast 100
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
False
true
if the baby limb comes out first, you can still deliver the baby
true/false
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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Author
daniel.ramos702
ID
342959
Card Set
chapter 33 obstetrics and neonatal care
Description
chapter 33 obstetrics and neonatal care emergency care and transportation of the sick and injured 11th edition
Updated
2018-10-13T00:19:21Z
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