Term
| what do you use to tx GBS, what if their allergic |
|
Definition
pen G tx, if minor allergy get ceph
if major allergy send it to culture and see what it is susceptable to |
|
|
Term
| when should mom come to the hospital for labor |
|
Definition
contractions <5 minutes apart
sudden gush of fluid
bleeding
decrease in fetal movement |
|
|
Term
| what are the first things you do when mom gets to the hospital to deliver |
|
Definition
review chart and prenatal record (GBS!)
ascultation of fetal heart
evaluation of contractions (freq/intensity)
determine lie (leopold maneuver)
determine presentation
determine position |
|
|
Term
|
Definition
| determine fetal like, presentation and position felt with hand |
|
|
Term
|
Definition
| relation of long axis of fetus with maternal long axis |
|
|
Term
| what are the 3 types of lie, which is most common |
|
Definition
99% longitudinal
transverse
oblique |
|
|
Term
|
Definition
| portion of fetus lowest in birth canal |
|
|
Term
| what are the 2 types of presentation |
|
Definition
|
|
Term
|
Definition
| relation of fetal presentation to right or left maternal pelvis |
|
|
Term
| what is left occiput posterior |
|
Definition
| baby is face up with occiput on left inominate |
|
|
Term
| what is left occiput transverse |
|
Definition
| baby is sideways with occiput in center of left inominate |
|
|
Term
| what is left occiput anterior |
|
Definition
| baby is face down with occiput on left pubic area of inominate |
|
|
Term
| what are the parts to the vaginal exam |
|
Definition
membranes in tact
cervical effacement
cervical position (posterior, midpoint, anterionr)
cervical dilation
station |
|
|
Term
| what are the parts of labor management |
|
Definition
lab info
NPO: popsicle/ice if no C section expected
IV line
external monitors or FRH Q15min
amniotomu
internal monitors
bladder emptying
maternal temps q4hr
BPs, pulses, urine output |
|
|
Term
| where can GBS colonize, statistics in mom and body |
|
Definition
cervix, vagina, rectum
30% of mom positive
50% of exposed babies colonized |
|
|
Term
|
Definition
| results only intermittently positive |
|
|
Term
|
Definition
usually inconsequential
3/1000 will get infection
early: septicemia, septic shick, pneumonia, meningitis (probablly premature)
late: (up to 4wk post partum) meningitis most common, less common are bone and joint infections |
|
|
Term
| how is GBS colonization in mom managed |
|
Definition
culture at 35-37wks for all women
GBS culture positive (or other indications)...
IV antimicrobials for >48h during tocolysis
intrapartumm antimicrobials at delivery |
|
|
Term
| when is intrapartum prophylaxis to GBS indicated |
|
Definition
previous infant with invasive GBS disease
GBS bacteriuira during current pregnancy +GBS screening culture during current pregnancy
unknown GBS status if delivery <37 wks, membrane rupture >18h, intrapartum temp >100.4F |
|
|
Term
| when is intrapartum prophylaxis not indicated |
|
Definition
previous pregnancy with positive GBS screening culture, without positive this pregnency
planned C section (before membrane rupture)
negative vaginal and rectal GBS screen |
|
|
Term
| pain management technuques in childbirth |
|
Definition
prepared childbirth
breathing techniques
systemic analgesia
regional analgesia
epidural block
analgesia for labor
anesthesia for delivery
maintain sense of touch and allows movement
penedal nerve block
paracervical block
local block
spinal and general |
|
|
Term
| what is used for systemic analgesia in labor (3) |
|
Definition
|
|
Term
| what is used for regional analgesia in labor, how is it administred |
|
Definition
pain sensation from uterus, cervix, upper vag T10-L1 1st stage
pain sensation from lower vagina and perineum S2-S4 (2nd stage) |
|
|
