CH. 34: Obstetrics and Neonatal Care

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17 Terms

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obstetrics

Assessment of pregnant patient, during and after pregnancy

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Umbilical Cord

lifetime of the fetus

  • umbilical vein carries oxygenated blood from placenta to fetus

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Gestational Hypertension

presence of high blood pressure in absence of other systemic effects

  • 140/90

  • 160/110 considered severe

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Preeclampsia

pregnancy induced hypertension, develop at 20th week of gestation

  • s/s include hypertension, persistent headache, visual abnormalities, swelling in hands and feet, and anxiety

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Eclampsia

seizures that occur as a result of hypertension

  • treat seizures caused by eclampsia:

    • lie the patient on her left side

    • maintain airway

    • administer O2 if nec.

    • if vomitting,

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Supine hypotensive syndrome

caused by compression of the descending aorta and the inferior vena cava by the pregnant uterus when the patient lies supine

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abruptio placenta

placenta separates prematurely from the wall of the uterus, usually results from trauma

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placenta previa

placenta develops over and covers the cervix

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Braxton hicks contractions

False contractions

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Normal contractions

40 weeks, closer to each other

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crowning

the baby’s head is seen, the baby is coming

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Stages of labor

  1. dilation of cervix (10 cm)

  2. delivery of fetus

  3. delivery of placenta

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First stage of labor

begins with the onset of contractions and ends when the cervix is fully dilated

  • usually the longest stage, lasting an average 16 hrs

  • uterine contractions become more regular about 30 to 60 s apart

  • labor longer in primigravida than multigravida

Some women experience a premature rupture of amnotic sac

lightening: head of fetus will come out fast

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Second Stage of labor

begins when the fetus begins to encounter the birth canal:

  • ends when newborn is born

  • uterine contractions are usually never

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Third stage of labor

ends with delivery of placenta

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Apgar score

within 1 minute of their birth, neurological assessment. 5 areas:

  • Appearance

  • Pulse

  • Grimace or irritability

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Breech Delivery

Feet or buttocks come first