Pregnancy and normal birth

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  • Created by: Louisa
  • Created on: 24-02-20 16:34
What should always be assumed
Any woman of child bearing age should be suspected to be pregnant
1 of 60
who should be prioritsed in resus
the mother should always be priorised
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Manual uterine displacement must be employed when to support resus
20 weeks of gestation
3 of 60
Hypotension is a late sign of what
shock
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Any sign of hypovalemia in pregancy is likely to indicate
35% blood loss and must be treated aggressively
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When do trimeters start from
from the last oeriod and may last up to 42 weeks plus
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what is the date for the first trimester
1 to 12 weeks + 6 days
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the 2nd trimester
13 to 25 weeks + 6days
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the 3rd trimester
26 weeks onwards
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when is birth viable
20 weeks or more
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when would we take a ot to a+e or maternity
pre 20 weeks and post 20 weeks
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what is gravity
total number of preganancies expereineced by woman regardless oft he outcome
12 of 60
parity
number of infant birthed by the woman (regardless of gestation)
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define gestation
the number of completed weeks of the preganacy, calculated from the first day of the last menstrual period
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A pregnancy is full term between what weeks
37 to 42 gestation
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what is the perinatal period
duration of labour
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what is the neonatal period
0 to 28 days
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resusitation for a newborn
from the time the baby was born
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resusitation for a child
from day 1 ro around 8
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resusitation adult
puberty onwards
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What changes are there is cardiac outoput
20 to 30% in the first 10 weeks
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what is the increase in the materal heart
10 to 15 beats per minutes
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what changes are there to blood pressure
systolic and distolic reduces by 10 to 15 mmHg
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what changes in weight of uterus, which may lead to
increase, can compress the vena cava
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what changes in blood volume
increase to 45% predominately plasma volume
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what are the changes in brearhing rate
increase in breathing rate and effort but less vital capacity
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Oedema of the larynx may cause
compromise airway management
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what are the c hanges in aciditty of the stomach contents
increases in acidity
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relaxation of the cardiac sphincter makes what
regurtiation of the stomach contents is more likely
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What does the placenta
transport of nutrients to the fetus and transport of waste products away from the fetus
30 of 60
The placenta produces what
hormones
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the placenta protects the fetus against what
pollunants, infective agent and switches off the maternal immune response to foreign genetic material in the uterius
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what are the stages of labour
onset, flexion, internal rotation of head, extension, external roation of head
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how to assess for heamorrage
clothing soaked, blood on floor or blood soaked pads
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airway
open and sign of obstruction
35 of 60
breathing
resp rate, O2 stats, auscultation for addedd sound
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circulation
cap refill, and BP
37 of 60
diability
AVPU and dcoment position
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Exposure
bleeding, baby presen, cord prolaspe, waters broken, perineum bulge with each contraction
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Asessment of fundus or fetal activity
assess fundus height and when did mum last feel her baby move
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what are the signs of imminent birth
contraction interval of less than 2 minutes, urge to push, crowning (babys head is visible)
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what should you consider during the birth for mum, partner and baby
reassure her and partner and ensure the environment is safe and secure for the birth
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what should you request is the birth is imminent
P1 back up and midwife
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how do you put the cord
wait until its stopped pulsating, appply two clamps 3 cm apart, and 15 cm from the umblilicus, cut the cord between the 2 clamps
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what postion should the mother be in birth
which ever she finds most comfotable, but preferablly not on her back
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what pain relief should be given
entonox
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how should a slow birth be encouraged
mum to pant and breathe out during birth. breathe during 3to4 contractions before pushing
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what happens if the umbilical cor dis around babys head
leave it until after birth
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during delivery of the placenta, what should we look for
significant bleeding and delay in delivery
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why should we encourage the mum to urinate after birth
to facilitate urine contractions
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why should we not pull on the cord to get the placenta out
it could rupture the cord
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what should the placenta be born into
a bowl or plastic bag
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what happens if the placenta hasnt been born within 20 minutes
insert a large bore cannula 16g
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when does a birth become preterm
pre 37 weeks
54 of 60
what is given in maternal convulsions
diazapam and prioritise mum
55 of 60
what should be done with aprolasped umbilical cord
put it back in
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what is an example of malpresentation
breech or shoulder dystocia, where the shoulder gets stuck on the pubic bone
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what are other problems
post-partum haemorrhage, multiple births, continuous or severe backpain
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how do we assessthe care of a new born
the apgar scale
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on what occasions would mother and baby need to go to hosiptal
resus required, prolonged perinatal hypoxia, meconium staining or aspiration, mum is diabetic, small or premature, congenital abnormalities, neaonatial baterial infection, or safe guarding concerns
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Other cards in this set

Card 2

Front

who should be prioritsed in resus

Back

the mother should always be priorised

Card 3

Front

Manual uterine displacement must be employed when to support resus

Back

Preview of the front of card 3

Card 4

Front

Hypotension is a late sign of what

Back

Preview of the front of card 4

Card 5

Front

Any sign of hypovalemia in pregancy is likely to indicate

Back

Preview of the front of card 5
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