OB PART 2

human placental lactogen

this will resist the insulin making it less effective; an insulin antagonist hormone

6 week

how early is HPL being produced

20 week

when does hpl peak (weeks)

24 to 28 week

when do you screen hpl

estrogen

expansion of blood; vascularization (chadwick sign); nasal congestionl softening of the gums

leukorrhea

whitish vaginal discharge

ptyalism

excessive salivation/drooling

operculum

cervical mucus plug; has a bacteriostatic effect: which seals the bacteria to the cervix to precent PROM

goodells sign= softening of the cervix

hegars sign

softening and compressibility of the lower uterine segment

50 to 60g

weight of non preg uterus

1000 to 1100

weight of pregnant fetus

progesterone

muscle relaxant; decreases peristalsis; maintains endometrial lining; fluid retention; increases BBT

progesterone

this prepares the mammary gland (4th month)

4th month

when is colustorum being produced

2nd tri

which trimester is both of the hormones are increased

presumptive

subjective; least indicative

probable

objective; can be documented; more indicative of pregnancy

positive

verifying; confirmatory signs

ambivalence

makes emotions to opposing feeligns

amenorrhea

notable presumptive signs

5th month

when is chloasma and linea nigra seen

melanocyte

hormone that is responsible for linea nigra and chloasma

braxton hicks

increased uterplacental perfusion

ballottment

fetal rebound (4

upward tap in the pubis

how to check for the ballottment

fullbladder

what should do to the patietn who will be having transabdominal examination

empty bladder

what should you do to the patient who will be having transvaginal examination

couvade syndrome

expectant father, experiences symptoms as his wife

january to march

duration of naegels rule

+9mos+7days+same year

formula fo naegels rule

naegels rule

what is used for estimating the estiamted date of birth

barthlomew rule

what is used for age of gestation

10 months

(bartholomew rule) level of 8 months due to lightening

5 months

(bartholomew rule) leve of umbilicus

20 to 36

when should you use the mcdonalds rule (weeks)

superior aspect of symphysis pubis to fundal crest

MCDONALDS RULE (HOW TO ASSESS THE FUNDIC HEIGHT)

25 to 35 lbs

average weight during pregnancy

1lb/mo

1st tri increase of weight

1lb/week

2nd and 3rd increase of weight

2200

non pregnant calories requirement per day

2200+300

pregnant calories requirment per day

+500

how much calories shall you add if you are lactating

+10 to +15

heart rate of pregnant

2nd tri

when will the BP drop; since the placenta needs more circulation so it needs peripheral resistance

hmole

there is an ncrease of BP before 20 weeks

Pregnancy induced hypertension

there is increase of Bp after 20 weeks

27 to 30mg

dose of iron

calcium

what should you avoid while having iron; this is also taken 2 hrs after since this would decrease the absorption

increase

increase or decrease of WBC, plt, fibrinogen, clotting factors

clotting factors

what does not cross at the placenta

elevate, ambulate

management of leg varicosities

place a pillow on the side

position of supine hypotension syndrome

sims/left side lying

best sleeping position

respiratory alkalosis

what happens to the respiratory system (acidosis or alkalosis)

stay upright, small, frequent meals

managment of heart burn

progestrone

which hormone is responsible for the GIT system changes; such as constipation, flatulence

witch hazel pads

management for hemorrhoids

laxative

what should you avoid when there is constipation; since it would increase contraction

++

when should you report to the HCP if the glucose is?

late preg

when does wadding gait happen

lordosis

pride of pregnancy

pelvic rocking exercises

mgnt of lordosis; since this relieves lower back strain and realigns the spine

leg cramps

this is due to low calcium and high phosphorus

1200mg/day

dose of calcium per day

uterine stretch theory

thoery: uterus is compared to a balloon of which if the point of elasticity is met, it will burst thus labor process occur

lightening

prilimary signs of labor; baby drop

buttersoft

ripe cervix=ready to dilate

nesting period

increase of energy= epinephrine release

2nd stage of labor, cervic 10cm

normla rupture of membranes (when)

knee chest, sidelying, mod. trendelenburg

best position of early rupture of membrane

14 to 20 hrs

duration of labor in PRIMIPARA

8 to 14 hr

duration of labor in MULTIPARA

<3hrs

duration of precipate labor (excessively fast labor)

3 contractions in 10 mins and regular; start at the back

signs of true labor

dilatation

widening of the cervical os

effacement

thinning of the cervix

1cm/hr

rate of dilation in primi

1.5cm to 2cm/hr

rate of dilation in multi

1cm

IE:1 finger is equal to cm?

frequency

timed from the beginning of one contraction to the next

regularity

discernible patter; better established as pregnancy progresses

intensity

strength of contraction; may be determined by depressability of the uterus during a contraction

duration

length of contraction; contraction lasting 90 sec

fetal station

relationship of presenting part of ischial spine

negative ischial spine

floating

positive ischial spine

outlet/crowning

early decelerations

head compression; mirror

late decelerations

uteroplacental insufficiency; uniform image

variable decelerations

cord compression; unpredictable image

knee chest

management for variable deceleration

left side position

management for late deceleration

latent

mild, excited, 0

active

moderate, fear of losing control, 4

transition

strong, resistance to touch, 8

15 to 30 min

duration to monitor to FHT

prolonged labor

why should you not give pain killers during latent; since there is no effect

bulging of perineum

surest sign that the baby about to be delivered

dorsal recumbent

best birthing position

double sterile gloves

what should you wear during the 2nd stage