Maternity test 2 prep – Summary Maternal-Child Nursing Maternal-Child Nursing (Chamberlain College of Nursing) Alpha fetal protein- done for all pregnant women at 16-18 weeks, if the results come back negative, then there will be other tests like amniocentesis. Amniocentesis- who is it done for? Iron supplements- take with orange juice and do not take with milk. Ampicillin is given for woman who tests positive for (GBS) (GROUP STREP B. If she is allergic to penicillin then give erythromycin. Coordinated Frequency (beginning of one uterine contraction to the beginning of the next) Duration (beginning of a uterine contraction to the end of the same contraction) Intensity (strength of a contraction) Involuntary- can’t control Intermittent- on and off contractions Increment (period of increasing strength) Acme (period during which the contraction is most intense)- Peak, strongest Decrement (period of decreasing intensity as the uterus relaxes) Effacement (thinning and shortening) Dilation (opening) and removal of the mucus plug. Nullipara Woman who has not completed a pregnancy to at least 20 weeks of gestation Para Woman who has given birth after a pregnancy of at least 20 weeks gestation Cervix is usually thicker than that of a nullipara at any point during labor. Supine hypotension- turn mum on the side to relieve pressure 500 mL normal blood loss for vaginal delivery 1000ml for C section Note that Levels of several clotting factors, especially fibrinogen, are elevated during pregnancy and continue to be higher during labor and after delivery. Advantage- Provides protection from hemorrhage. Disadvantage: Increases the mother’s risk for a venous thrombosis during pregnancy and after birth. Normal fetal Heart rate ranges from 110 to 160 beats per minute (BPM). Four major factors interact during normal childbirth: 4 Ps Powers Passage Passenger Psyche STAGES OF LABOR First stage of labor Latent phase- Active phase Transition Second stage of labor- Birth Third stage of labor- Placenta Fourth stage of labor- recovery EARLY DECELERATIONS in contractions- Happens at the same time as contractions. It mirrors contractions of mum. Not good. Late DECELERATION- After contractions. Prolonged Deceleration- after the contraction but longer. Acme- highest point. NADIR- Lowest point of fetal heart rate dropping during contractions. Characteristics of Contractions Coordinated Frequency (beginning of one uterine contraction to the beginning of the next) Duration (beginning of a uterine contraction to the end of the same contraction) Intensity (strength of a contraction)
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