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Fact Sheet MIN PDF
Fact Sheet MIN PDF
Cardinal Moves-
Decent Flexion Internal Rotation Extension External Rotation
0 Station is ENGAGEMENT
CROWNING is seen at +5 station.
Fetal heart rate can be monitored w/ mom in any position. Fetal electrode MUST
be placed to do so.
Just like our Hearts when Fetal activity increases so should the fetal HR.
The Uterus rising and feeling globular is a sign of placental separation.
During Contractions-
-Cardiac output
-BP Roughly 35mmhg systolic
Talking means mom is relaxed and not in late stages of labor. Sign of LATENT
labor. Think LAX for LATENT.
Phenergan may be given as antiemetic and as a analgesic potentiator.
Before regional anesthesia
1. Assess fetal heart rate
2. Give fluid bolus to keep BP up (e.g 1000ml LR)
3. Empty bladder cause she wont know when she needs to pee
Most common SE of epidural is hypotension and Headache
Mom supine? Hypotension due to fetus lying on inferior vena cava.
4% or more weight loss in newborn is SIGNIFICANT
MULTIP Labor 10 hours PRIMIP Labor 20 hours
Blood screening is done for
1. Hypothyroid
2. Sickle cell anemia
3. galactosemia
NIPS Assesses
1. Breathing
2. Facial expressions
3. Crying
4. Movement of extremities
5. State of arousal
NO POWDER FOR BABIES
IF APPLICABLE ALWAYS go with ABCs, Resp issue w/ child, probably the answer.
>5 Bilirubin is significant for child, phototherapy will be done
6 weeks ovary will be enlarged and assessable due to corpeus luteum(preplacenta)
Couvade Syndrome
1. Dad has same S/S as mom ex. Heartburn
Important fetal landmarks in order-
1. Vernix Caseosa Present
2. Blastocyst development complete
3. Four chambered heart formed
4. Testes descend into scrotum
MAGNESIUM SULFATE
1. Given for Pre-Eclampsia(Risk of Seizures)
2. Decreases neuro excitability
3. 4-6G loading dose then drip
4. Mom and baby assessed Q15 for 1 Q30 for 2 then QHr
5. Should have DTR. Lack of DTR and RESP Depression is significant
Pre-Eclamptics will see Proteinuria Generalized Edema
BUBBLE-HE
1. Breast
2. Uterus
3. Bladder
4. Bowel
5. Lochia **Can be present for 6 weeks
Rubra(Dark Red) Day 1-3
Serosa(Pink/Brown) Day 3-10
Alba(Creamy/yellow) Day 10-28
6. Episiotomy**REEDA(redness,edema,ecchymosis,D/C,approximation)
7. Homens
8. Emotions
HGB & HCT in mom <11.5 and <30% Significant
TACHY in postpartum could be sign of HEMMORHAGE
Fibrinogen (CLOTTING FACTORS) leading up to and at birth.
Prolonged Hypotension HEMMORHAGE
Menstrual Cycle
1. Menstrual Phase
Day 1 Woman Bleeds due to sloughing of endometrium
Day 6
2. Proliferative Phase
Day 7 Estrogen at exponential rate. Endometrium Thickens
Day 13 Luteinizing Hormone
Day 14 OVULATION- Egg goes on a trip to fallopian tubes.
3. **Secretary Phase**
Day 15 Progesterone Estrogen no fertilization occur?? Ischemic
Day 28
**At some point between Day 15-28 the body will-
Fertilize an egg Progesterone Estrogen
Go ischemic. Progesterone Estrogen
In the meantime the body will be in the secretory phase with a Progesterone
Estrogen
Important Hormones
1. **Estrogen- stimulates the uterine development and ductal
development of the breast
2. **Progesterone- Sole hormone that maintains the pregnancy
3. Prostaglandins maintain the placenta and initiate labor
4. HPL- Helps the fetus grow, like steroids for the fetus.
5. HCG- Stimulates the continuous production of Estrogen and
Progesterone.
1st Trimester 1-13- Heart Beats, Organs in place, Sex is known
2nd Trimester 14-26.6 - Fetal movement is felt, Brown Fat, Surfactant
starts
3rd Trimester 27-term - NVS regulation, Rapid Brain Growth, Lungs 02 ex,
BORN