Labor & Delivery Clinical
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Questions and Answers

Mom's systolic blood pressure is typically around ______ mmHg.

120

Baby's systolic blood pressure ranges from ______ mmHg.

60 - 80

A healthy adult heart rate typically lies between ______ bpm.

60 – 100

A newborn's heart rate generally ranges from ______ bpm.

<p>110 - 160</p> Signup and view all the answers

The breathing pattern is ______ during labor.

<p>irregular</p> Signup and view all the answers

The normal respiratory rate for a mother is ______ breaths/min.

<p>12 – 20</p> Signup and view all the answers

Newborns are ______ breathers.

<p>abdominal</p> Signup and view all the answers

A newborn's respiratory rate can be between ______ breaths/min.

<p>30 - 60</p> Signup and view all the answers

A mother's temperature is expected to be between ______ °F.

<p>97.8 – 99</p> Signup and view all the answers

In the 1st stage of labor, complete dilation is at ______ cm.

<p>10</p> Signup and view all the answers

The normal oxygen saturation level for a mother is ______ percent.

<p>95 – 100</p> Signup and view all the answers

Signs of respiratory distress include ______ and nasal flaring.

<p>retractions</p> Signup and view all the answers

During the 2nd stage of labor, the baby is ______.

<p>delivered</p> Signup and view all the answers

The MAP during labor is ______ the number of weeks gestation or higher.

<p>Equal to</p> Signup and view all the answers

In the 4th stage of labor, the placenta is ______.

<p>delivered</p> Signup and view all the answers

Fetal monitoring helps to interpret fetal ______.

<p>strips</p> Signup and view all the answers

Early decelerations are considered ______ reassuring.

<p>normal</p> Signup and view all the answers

Variable decelerations are identified as ______.

<p>variable</p> Signup and view all the answers

To count the newborn's breaths, place your hand on their ______.

<p>abdomen</p> Signup and view all the answers

The fetal heart rate can show signs of ______ during labor.

<p>decelerations</p> Signup and view all the answers

Early decelerations are typically associated with ______ compression.

<p>head</p> Signup and view all the answers

The term ______ refers to short-term rises in fetal heart rate.

<p>accelerations</p> Signup and view all the answers

If fetal oxygenation is ______, the baby is likely doing well.

<p>OK</p> Signup and view all the answers

Maternal ______ can have an impact on fetal heart rate patterns.

<p>contractions</p> Signup and view all the answers

Variability in fetal heart rate can indicate ______ well-being.

<p>fetal</p> Signup and view all the answers

Compression of the ______ can lead to early decelerations.

<p>head</p> Signup and view all the answers

Persistent ______ decelerations may require closer monitoring.

<p>late</p> Signup and view all the answers

______ patterns of fetal heart rate can signify complications.

<p>abnormal</p> Signup and view all the answers

The ______ of contractions is important to assess during labor.

<p>frequency</p> Signup and view all the answers

Eclampsia occurs when a woman with preeclampsia has _____

<p>seizures</p> Signup and view all the answers

The primary treatment for preeclampsia includes BP control and _____

<p>MgSO4</p> Signup and view all the answers

Massive blood loss during postpartum hemorrhage is defined as more than _____ mL after vaginal birth.

<p>500</p> Signup and view all the answers

In cases of postpartum hemorrhage after cesarean birth, blood loss exceeds _____ mL.

<p>1000</p> Signup and view all the answers

Treatment for massive postpartum hemorrhage may include surgical ligation, hysterectomy, and removal of leftover _____

<p>placenta</p> Signup and view all the answers

The Apgar score assesses five criteria including activity, pulse, _____, appearance, and respiratory effort.

<p>grimace</p> Signup and view all the answers

Flexed arms and legs indicate a score of _____ on the activity section of the Apgar scale.

<p>1</p> Signup and view all the answers

A pulse rate of _____ or higher is considered a healthy sign in the Apgar score.

<blockquote> <p>100</p> </blockquote> Signup and view all the answers

The muscle tone in a newborn is assessed as absent for a score of _____ on the Apgar scale.

<p>0</p> Signup and view all the answers

Postpartum hemorrhage may lead to early signs of _____ if not managed effectively.

<p>shock</p> Signup and view all the answers

The medication ______ stimulates uterine contractions.

<p>oxytocin</p> Signup and view all the answers

In cases of uterine rupture, possible ______ may be required.

<p>hysterectomy</p> Signup and view all the answers

______ is used as a cervical ripening agent.

<p>misoprostol</p> Signup and view all the answers

The drug ______ halts uterine contractions.

<p>terbutaline</p> Signup and view all the answers

A baby's skin may appear ______ in cases of acrocyanosis.

<p>blue/pale</p> Signup and view all the answers

Magnesium sulfate is used for preventing and controlling ______.

<p>seizures</p> Signup and view all the answers

Study Notes

Mom's Vital Signs

  • Blood Pressure (BP): Systolic 120 mmHg, Diastolic 80 mmHg
  • Heart Rate (HR): 60-100 bpm
  • Respiratory Rate (RR): 12-20 breaths/minute
  • Temperature (T): 97.8-99°F (36.5-37.2°C)
  • Oxygen (O2): 95-100%

Baby's Vital Signs

  • Blood Pressure (BP): Systolic 60-80 mmHg, Diastolic 40-50 mmHg
  • Heart Rate (HR): 110-160 bpm (can be 180 if crying, can be 100 if sleeping)
  • Respiratory Rate (RR): 30-60 breaths/minute
  • Temperature (T): 97.7-99.5°F (36.5-37.5°C)(axillary)

Stages of Labor

  • 1st Stage: Regular contractions to complete dilation (10 cm)
  • 2nd Stage: Complete dilation to baby delivered
  • 3rd Stage: Baby delivered to placenta delivered
  • 4th Stage: Placenta delivered to recovery (4 hours postpartum)

Fetal Monitoring

  • Normal: Early decelerations
  • Non-reassuring: Late decelerations, Variable decelerations

Obstetrical Emergencies

  • Preeclampsia/Eclampsia: Hypertension in pregnancy, potential seizures. Treatment includes BP control and magnesium sulfate.
  • Postpartum Hemorrhage (PPH): Massive blood loss after delivery. Treatment includes surgical ligation, hysterectomy, and medication.
  • Uterine Rupture: Uterus wall breaks open, requiring immediate delivery and potentially hysterectomy.

Medications

  • Oxytocin (Pitocin): Stimulates uterine contractions.
  • Misoprostol (Cytotec): Cervical ripening agent.
  • Terbutaline (Brethine): Halts uterine contractions.
  • Nifedipine (Procardia): Halts uterine contractions.
  • Magnesium Sulfate: Prevents and controls seizures in mothers with preeclampsia/eclampsia.

APGAR Score

  • Activity (muscle tone): 0-absent, 1-flexed arms and legs, 2-active
  • Pulse: 0-<100, 1-<100, 2->100
  • Grimace (reflex irritability): 0-minimal response, 1-floppy, 2-prompt response
  • Appearance (skin color): 0-blue/pale all over, 1-blue extremities, 2-pink
  • Respiration (effort): 0-no, 1-slow/weak cry, 2-vigorous cry

Scoring & Interventions (APGAR)

  • 7-10: No interventions
  • 4-6: Resuscitation possible; oxygen, suction, stimulate the baby, rub baby's back
  • 0-3: Needs full resuscitation

Signs of Respiratory Distress in the Newborn

  • Retractions
  • Nasal flaring
  • Grunting

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Related Documents

Labor & Delivery Clinical Cheat Sheet PDF

Description

This quiz covers the critical vital signs for mothers and babies, the stages of labor, fetal monitoring, and obstetrical emergencies such as preeclampsia and eclampsia. Test your knowledge on normal ranges and emergency signs in obstetrics.

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