Obstetrics Emergency Flashcards
(112 cards)
Habitual Abortions
3 or more consecutive pregnancies that end in miscarriage
Measuring fundus
Length in centimeters corresponds to length of gestation
Measure from top of pubic bone to top of fundus
Woman’s GI tract relaxes due to progesterone causing
Decrease in moving stomach contents causing heartburn and burping
Respiratory Disorders in Mom
Usually dyspnea due to physical changes of pregnancy
Asthma, most common, may occur first time during pregnancy
Attacks render fetus and mother prone to hypoxia
Pneumonia, leading indirect causes of maternal death in USA because the immune system of Mom is already depressed
Renal Disorders
Urine increases by 25-50%
Episiotomy
Incision of the perineum
Cephalon Presentation
Face first.
If cannot deliver, support mom and baby and transport!
Valium
Eclamptic seizures when Mag Sulfate does not respond
Or anxiety in preeclampsia patients
Umbilical cord
Contains Wharton jelly which keeps umbilical cord from becoming knotted
Contains one vein and two arteries
Labor
When fetus and placenta are expelled from vagina
Pregnant Trauma
If trauma occurs and Mom is bleeding, blood will shunt from fetus and be used for Mom.
When signs of shock present, fetal mortality is 70-80%
Normal fetal heart rate is 120-180
If transported supine, elevate right hip 6 inches, if not recumbant position is necessary or elevate backboard underneath
Cytomegalovirus
Member of herpesvirus family
Newborn succeptible to lung problems, blood, liver, and poor weight problems
Heart of Mom
Displaced upward and to the left with a slight rotation in its long axis, which causes apex of the heart to shift laterally
True Labor vs Flase Labor
True: contractions regularly spaced Interval between shortens Intensity increases Analgesics don't help Progressive dilation False: Opposite of above
Blood Volume
Before about 4-5L of blood
After increases 40-50% in blood
Second Stage of Labor
Begins as head of fetus descends and enters birth canal
Then head rotates inside cervix to position properly
More intense contraction 2-3 minutes apart
Crowning begins to occur meaning delivery is imminent
Takes 30-60mins
Hyperemesis Gravidarum
Persistent nausea and vomiting during pregnancy
Leads to dehydration and malnutrition
Most common in first pregnancies, obese and multiple gestation
Primipara
Only one delivery
Abruptio Placenta Assesment
Vaginal bleeding, bright red blood, sudden abdominal pain
No longer feel fetus moving
Signs of shock
Abdominal wall tender and uterus ridged to palpation
Luteinizing Hormone
Which stimulates the process of ovulation
Amniotic fluid
Reaches about 1liter by birth
Provides weightless environment
Weight gain
Partly due to increased blood flow and increase in intra and extra cellular fluid, uterine growth, placental growth, and increased breast tissue (2-3lbs)
Corpus Luteum
What is last of follicle after egg has been released which in return secretes progesterone
Embryo to a fetus
Vagina cavity
Inside is acidic owing to the breakdown of glycogen ( in the vaginal mucosa ) which creates a low pH environment inhibiting growth of bacteria.
This acid harms sperm killing off many because sperm is alkaline in nature.