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answers
What are the 5 P's of pregnancy? - CORRECT ANSWERS
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✔✔Passenger
Passageway
Powers
Position
Psychological considerations |\
How to determine if it's true labor? - CORRECT ANSWERS ✔✔-
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regular contractions
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-increase in intensity and frequency
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-unrelieved with rest |\ |\
How to determine if it's false labor? - CORRECT ANSWERS ✔✔-
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irregular contractions |\
-no change in duration/ frequency
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-contractions relieved with rest |\ |\ |\
What signifies the first stage of labor? - CORRECT ANSWERS
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✔✔onset of contractions to complete cervical dilation (latent,
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active, transitional)
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,What signifies the second stage of labor? - CORRECT ANSWERS
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✔✔complete cervical dilation to birth |\ |\ |\ |\
What signifies the third stage of labor? - CORRECT ANSWERS
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✔✔birth to placental delivery
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What signifies the fourth stage of labor? - CORRECT ANSWERS
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✔✔initial recovery |\
What are the VS changes during the 4th stage of labor? -
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CORRECT ANSWERS ✔✔BP v |\ |\ |\
HR ^
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*uterus midline & firm*
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What is the most common form of pain control in labor? -
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CORRECT ANSWERS ✔✔epidural |\ |\
(regional pain control) |\ |\
-spinal block |\
-epidural space |\
-combination (CSE) |\
Types of fetal monitors - CORRECT ANSWERS ✔✔External:
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transducer, tocodynamometer |\
Internal: fetal scalp electrode, intrauterine pressure catheter
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Baseline FHR - CORRECT ANSWERS ✔✔110-160
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,Variations in FHR - CORRECT ANSWERS ✔✔-variability (normal
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irregularities)
-accelerations (good) |\
-Early decelerations (*head compression*, ok)
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-Variable decelerations (*cord compression*, change position)
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-Late decelerations: BAD (*uteroplacental insufficiency*) -
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requires intervention |\
Actions with Early deceleration - CORRECT ANSWERS ✔✔none
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caused by head compression |\ |\ |\
actions with Variable deceleration - CORRECT ANSWERS ✔✔-turn
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mom onto side |\ |\
caused by cord compression |\ |\ |\
Late deceleration - CORRECT ANSWERS ✔✔caused by placental
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insufficiency
*requires intervention* |\
-left-lateral position |\
-increase IV fluids |\ |\
-d/c oxytocin
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-admin oxygen |\
-notify PCP |\
-prepare for c-section |\ |\
, What is the difference between PIH & the eclampsias? - CORRECT
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ANSWERS ✔✔proteinuria
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What does HELLP stand for? - CORRECT ANSWERS ✔✔hemolysis,
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elevated liver enzymes, low platelets|\ |\ |\ |\
What should be increased in the diet of a patient with
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preeclampsia? - CORRECT ANSWERS ✔✔protein (losing protein in |\ |\ |\ |\ |\ |\ |\ |\
the urine = needs to be increased in the diet)
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How is preeclampsia treated? - CORRECT ANSWERS ✔✔-
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magnesium sulfate |\
-delivery
What to do in case of magnesium sulfate OD? - CORRECT
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ANSWERS ✔✔calcium gluconate |\ |\
What is the difference between PROM and PPROM? - CORRECT
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ANSWERS ✔✔1) PROM (premature rupture of membranes) occurs
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after 38 weeks gestation prior to onset of labor
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2) PPROM (preterm premature rupture of membranes) occurs
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before 38 weeks gestation prior to onset of labor
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What is the most common complication with prolonged ROM? -
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CORRECT ANSWERS ✔✔infection |\ |\