Podcast
Questions and Answers
Mom's systolic blood pressure is typically around ______ mmHg.
Mom's systolic blood pressure is typically around ______ mmHg.
120
Baby's systolic blood pressure ranges from ______ mmHg.
Baby's systolic blood pressure ranges from ______ mmHg.
60 - 80
A healthy adult heart rate typically lies between ______ bpm.
A healthy adult heart rate typically lies between ______ bpm.
60 – 100
A newborn's heart rate generally ranges from ______ bpm.
A newborn's heart rate generally ranges from ______ bpm.
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The breathing pattern is ______ during labor.
The breathing pattern is ______ during labor.
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The normal respiratory rate for a mother is ______ breaths/min.
The normal respiratory rate for a mother is ______ breaths/min.
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Newborns are ______ breathers.
Newborns are ______ breathers.
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A newborn's respiratory rate can be between ______ breaths/min.
A newborn's respiratory rate can be between ______ breaths/min.
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A mother's temperature is expected to be between ______ °F.
A mother's temperature is expected to be between ______ °F.
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In the 1st stage of labor, complete dilation is at ______ cm.
In the 1st stage of labor, complete dilation is at ______ cm.
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The normal oxygen saturation level for a mother is ______ percent.
The normal oxygen saturation level for a mother is ______ percent.
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Signs of respiratory distress include ______ and nasal flaring.
Signs of respiratory distress include ______ and nasal flaring.
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During the 2nd stage of labor, the baby is ______.
During the 2nd stage of labor, the baby is ______.
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The MAP during labor is ______ the number of weeks gestation or higher.
The MAP during labor is ______ the number of weeks gestation or higher.
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In the 4th stage of labor, the placenta is ______.
In the 4th stage of labor, the placenta is ______.
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Fetal monitoring helps to interpret fetal ______.
Fetal monitoring helps to interpret fetal ______.
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Early decelerations are considered ______ reassuring.
Early decelerations are considered ______ reassuring.
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Variable decelerations are identified as ______.
Variable decelerations are identified as ______.
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To count the newborn's breaths, place your hand on their ______.
To count the newborn's breaths, place your hand on their ______.
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The fetal heart rate can show signs of ______ during labor.
The fetal heart rate can show signs of ______ during labor.
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Early decelerations are typically associated with ______ compression.
Early decelerations are typically associated with ______ compression.
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The term ______ refers to short-term rises in fetal heart rate.
The term ______ refers to short-term rises in fetal heart rate.
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If fetal oxygenation is ______, the baby is likely doing well.
If fetal oxygenation is ______, the baby is likely doing well.
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Maternal ______ can have an impact on fetal heart rate patterns.
Maternal ______ can have an impact on fetal heart rate patterns.
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Variability in fetal heart rate can indicate ______ well-being.
Variability in fetal heart rate can indicate ______ well-being.
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Compression of the ______ can lead to early decelerations.
Compression of the ______ can lead to early decelerations.
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Persistent ______ decelerations may require closer monitoring.
Persistent ______ decelerations may require closer monitoring.
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______ patterns of fetal heart rate can signify complications.
______ patterns of fetal heart rate can signify complications.
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The ______ of contractions is important to assess during labor.
The ______ of contractions is important to assess during labor.
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Eclampsia occurs when a woman with preeclampsia has _____
Eclampsia occurs when a woman with preeclampsia has _____
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The primary treatment for preeclampsia includes BP control and _____
The primary treatment for preeclampsia includes BP control and _____
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Massive blood loss during postpartum hemorrhage is defined as more than _____ mL after vaginal birth.
Massive blood loss during postpartum hemorrhage is defined as more than _____ mL after vaginal birth.
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In cases of postpartum hemorrhage after cesarean birth, blood loss exceeds _____ mL.
In cases of postpartum hemorrhage after cesarean birth, blood loss exceeds _____ mL.
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Treatment for massive postpartum hemorrhage may include surgical ligation, hysterectomy, and removal of leftover _____
Treatment for massive postpartum hemorrhage may include surgical ligation, hysterectomy, and removal of leftover _____
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The Apgar score assesses five criteria including activity, pulse, _____, appearance, and respiratory effort.
The Apgar score assesses five criteria including activity, pulse, _____, appearance, and respiratory effort.
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Flexed arms and legs indicate a score of _____ on the activity section of the Apgar scale.
Flexed arms and legs indicate a score of _____ on the activity section of the Apgar scale.
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A pulse rate of _____ or higher is considered a healthy sign in the Apgar score.
A pulse rate of _____ or higher is considered a healthy sign in the Apgar score.
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The muscle tone in a newborn is assessed as absent for a score of _____ on the Apgar scale.
The muscle tone in a newborn is assessed as absent for a score of _____ on the Apgar scale.
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Postpartum hemorrhage may lead to early signs of _____ if not managed effectively.
Postpartum hemorrhage may lead to early signs of _____ if not managed effectively.
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The medication ______ stimulates uterine contractions.
The medication ______ stimulates uterine contractions.
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In cases of uterine rupture, possible ______ may be required.
In cases of uterine rupture, possible ______ may be required.
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______ is used as a cervical ripening agent.
______ is used as a cervical ripening agent.
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The drug ______ halts uterine contractions.
The drug ______ halts uterine contractions.
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A baby's skin may appear ______ in cases of acrocyanosis.
A baby's skin may appear ______ in cases of acrocyanosis.
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Magnesium sulfate is used for preventing and controlling ______.
Magnesium sulfate is used for preventing and controlling ______.
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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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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.
