1
Maternal Newborn Exam 1
100% effacement means - ANS thinnest stage of cervix
E
1st degree lacerations -
R ANS perineal skin and vaginal mucous membranes
H
2nd degree lacerations - ANS skin, mucous membranes, fascia of perinea
IG
body (most common)
H
3rd degree lacerations - ANS skin, mucous membranes, muscle of perineal
G
body and extend to retail sphincter
IN
4th degree lacerations - ANS extends into the rectal mucosa and exposes
lumen of rectum
abortion -
LY ANS termination of pregnancy before viability of 20 weeks;
F
induced or spontaneous
acrocyanosis - ANS extremities are blue in baby (common)
active phase - ANS progressive fetal descent, more painful, increase in
strength frequency and duration of contractions (3-6cm)
, 2
additional cesarean section needs - ANS position client on left side,
exercises, early ambulation, increase PO intake, avoid carbonated beverages,
avoid straws,
ER
antepartum is considered when? - ANS conception to labor
H
APGAR score includes what? - ANS heart rate (2)
G
RR effort (2)
I
muscle tone (2)
H
Reflex irritability (2)
G
Color (pink, 2)
total of 10
IN
Artificial rupture of membranes (AROM) - ANS causing water to break
Y
causes prostaglandins to be released, causing contraction with oxytocin,
L
therefore inducing labor
weeks
F
at how many weeks does the baby drop into the pelvic cavity? - ANS 36
closed glottis - ANS provider tells when to push, FHR issues
, 3
contraction stress test - ANS FHR in relation to uterine contractions.
Negative results- good thing. theres no abnormal late decelerations during
contraction
Positive results- abnormal decelerations
ER
disadvantages of spinal block - ANS intense blockade of the sympathetic
H
fibers which may result in *hypotension*
G
duration - ANS amount of time contraction lasts (60-90 secs)
HI
early deceleration intervention - ANS reassure the parents that everything is
G
fine
N
early PP hemorrhage? - ANS occurs in 24 hrs of birth
exfoliatione -
YI ANS allows for healing of placenta site and important part of
L
involution; may take up to 6 weeks
false labor -
F ANS contractions are irregular, no change in frequency,
duration, and walking has no effect. No change in dilation or effacement
fetal attitude - ANS relationship of fetal body parts to each other (should be
flexed)
, 4
Fetal hemoglobin and oxygen compared to mother? - ANS fetal hemoglobin
carries 20-30% more oxygen, 50% more hemoglobin, and higher CO per weight
R
fetal lie - ANS relationship of long axis of fetus to long axis of mother
E
(longitudinal or transverse)
H
fetal station - ANS relationship to ischial spines
I
first stage of labor -
G ANS from beginning of dilation to full dilation
H
latent= 0-3cm
G
active= 4-7cm
transition=8-10cm
footling breech -
IN ANS single or double, foot comes out
LY
fourth stage of birth - ANS first 2 hrs after birth, physiologic readjustment,
F
homeostasis is reastablished, uterus begins to contract down to smaller size,
promoting decrease in vaginal bleeding
frank breech - ANS baby holding legs and butt comes out first
frequency of contraction - ANS amount of time between contractions
Maternal Newborn Exam 1
100% effacement means - ANS thinnest stage of cervix
E
1st degree lacerations -
R ANS perineal skin and vaginal mucous membranes
H
2nd degree lacerations - ANS skin, mucous membranes, fascia of perinea
IG
body (most common)
H
3rd degree lacerations - ANS skin, mucous membranes, muscle of perineal
G
body and extend to retail sphincter
IN
4th degree lacerations - ANS extends into the rectal mucosa and exposes
lumen of rectum
abortion -
LY ANS termination of pregnancy before viability of 20 weeks;
F
induced or spontaneous
acrocyanosis - ANS extremities are blue in baby (common)
active phase - ANS progressive fetal descent, more painful, increase in
strength frequency and duration of contractions (3-6cm)
, 2
additional cesarean section needs - ANS position client on left side,
exercises, early ambulation, increase PO intake, avoid carbonated beverages,
avoid straws,
ER
antepartum is considered when? - ANS conception to labor
H
APGAR score includes what? - ANS heart rate (2)
G
RR effort (2)
I
muscle tone (2)
H
Reflex irritability (2)
G
Color (pink, 2)
total of 10
IN
Artificial rupture of membranes (AROM) - ANS causing water to break
Y
causes prostaglandins to be released, causing contraction with oxytocin,
L
therefore inducing labor
weeks
F
at how many weeks does the baby drop into the pelvic cavity? - ANS 36
closed glottis - ANS provider tells when to push, FHR issues
, 3
contraction stress test - ANS FHR in relation to uterine contractions.
Negative results- good thing. theres no abnormal late decelerations during
contraction
Positive results- abnormal decelerations
ER
disadvantages of spinal block - ANS intense blockade of the sympathetic
H
fibers which may result in *hypotension*
G
duration - ANS amount of time contraction lasts (60-90 secs)
HI
early deceleration intervention - ANS reassure the parents that everything is
G
fine
N
early PP hemorrhage? - ANS occurs in 24 hrs of birth
exfoliatione -
YI ANS allows for healing of placenta site and important part of
L
involution; may take up to 6 weeks
false labor -
F ANS contractions are irregular, no change in frequency,
duration, and walking has no effect. No change in dilation or effacement
fetal attitude - ANS relationship of fetal body parts to each other (should be
flexed)
, 4
Fetal hemoglobin and oxygen compared to mother? - ANS fetal hemoglobin
carries 20-30% more oxygen, 50% more hemoglobin, and higher CO per weight
R
fetal lie - ANS relationship of long axis of fetus to long axis of mother
E
(longitudinal or transverse)
H
fetal station - ANS relationship to ischial spines
I
first stage of labor -
G ANS from beginning of dilation to full dilation
H
latent= 0-3cm
G
active= 4-7cm
transition=8-10cm
footling breech -
IN ANS single or double, foot comes out
LY
fourth stage of birth - ANS first 2 hrs after birth, physiologic readjustment,
F
homeostasis is reastablished, uterus begins to contract down to smaller size,
promoting decrease in vaginal bleeding
frank breech - ANS baby holding legs and butt comes out first
frequency of contraction - ANS amount of time between contractions
