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Birthing Process

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show toxoplasmosis  
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show hand to mouth  
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show raw meat of sheep/cattle  
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show hepatitis B  
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show Gonorrhea  
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show Hep B  
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show treat with erythromycin ointment to prevent blindness  
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show erythromycin syrup  
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with hep B infants are most commonly infected at birth w/mom secretions but fetuses can also be infected thru what   show
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show congenital syphilis  
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show 1st 20 weeks - if not treated can lead to abortion or stillborn  
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show placenta, liver, spleen, kidney, adrenal glands, bone covering and marrow, CNS, teeth, cornea (congenital cataracts)  
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if mom was treated and newborn is born how often do we need to ck antibody level   show
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show pcn  
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which infection is usually treated with pyrimethamine (teratogenic) and sulfonamindes (which may cause kernicterus and need for exchange)   show
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how is toxoplasmosis usually dx   show
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show toxoplasmosis  
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show Gonorrhea  
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show >1:8  
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show it may not be seen at birth but later on  
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show hearing loss-congenital cataracts, CV and IUGR  
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an intracellular bacterium causes neonatal conjunctivitis and pneumonia   show
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show erythromycin ointment  
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if the chlamydia is chronic how do we tx   show
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infants who are at further risk - how are they treated for chlamydia   show
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show Group B Strep  
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how soon before delivery if mom is + on culture for group B strep should we tx   show
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if a baby is infected with HIV at birth do we usually see s/s   show
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what may we seen in the 1st year   show
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show CMV  
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show hearing and learning disabilities  
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how is CMV transmitted   show
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if mom is HIV + and is treated with meds this can reduce incidence of Nbn developing to what %   show
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show yes-also thru placenta and maternal blood and secretion (20-35% of transmission)  
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which infection is transmitted thru placenta or ascends by way of birth canal; direct contamination from personnel, significant other, family etc   show
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show at ROM  
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show prior to ROM  
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what do we treat herpes with   show
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if mom has hepatitis B when should the nbn be treated and with what   show
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what else is nbn usually treated with   show
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show in a different spot than the HBIG  
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show @1 month  
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when is the 3rd dose due of the hep vaccine   show
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show Hepatitis B  
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show Power, Passage, Passenger, and Psyche  
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Powers   show
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show bony pelvis, soft tissue  
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Passenger   show
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Psyche   show
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effacement   show
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dilation   show
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show increment, peak, decrement  
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show period of increasing strength  
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Peak   show
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decrement   show
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10cm   show
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frequency   show
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show beginning of a contraction until the end of the same contraction. <90sec  
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show >90sec (slowing blood flow to the fetus, baby lacks oxygen and become stressed)  
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Intensity   show
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show amount of time uterus relaxes between contractions  
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TRUE LABOR   show
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maternal pushing   show
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molding   show
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show determine a vaginal delivery or not. how the baby lays inside the mothers uterus.  
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longitudinal lie   show
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transverse Lie   show
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Oblique Lie   show
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show BUTT first  
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Vertex   show
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show niether flexed or extended  
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brow   show
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show head is fully extended 9head all the way back)  
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Frank breech   show
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show butt first with flexion of head and extremities. baby sitting cross legged  
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footling Breech   show
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Double footling Breech   show
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Attitude   show
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show largest diameter of baby is at both the ischial spines  
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Early deceleration of FHR   show
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show BAD---looks like early deceleration, dip doesn't stop until contraction is over. uterol-plcental diffiency due to baby being stressed.  
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Variable deceleration of FHR   show
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show GOOD viable baby  
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show onset of contraction, ends with complete cervical dilation  
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show dilation of cervix 0-3cm  
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Active Phase   show
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transition   show
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show 10cm (complete) --to-- birth. voluntary contractions, mom is able to push baby out  
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show Birth --to-- Delivery of the placenta (norm 20-30min)  
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Stage 4   show
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epidural block   show
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show spinal anesthetic, just below the breasts on down for a C-section, cannot move legs or toes until it wears off, may have decreased sensation to bladder.  
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Intrathecal block   show
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show episiotomy--used to stitch up, relieve pain  
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show anesthetic on both sides of the cervix-makes pain and contractions go away, able to push tho  
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show Used for crash c-section, baby's heart tones go down drastically (60's) baby is out immediately. <1min. medicine relaxes uterus, can reach in and pull placenta out  
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show given to reverse respiatory depression caused from an opiate  
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show stimulation of uterine contractions before they begin spontaneously  
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Augmentation   show
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Induction via Amniotomy   show
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Oxytocin (Pitocin)   show
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show the umbilical cord drops (prolapses) through the open cervix into the vagina ahead of the baby.  
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Care of the infant   show
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show 1.mother's B/P before admin of oxytocic med 2 .fundus firm, midline, below umbilicus 3. maternity/vaginal pads are applied 4. mother and infant allowed to bond  
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show Power, Passage, Passenger, and Psyche  
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Powers   show
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show bony pelvis, soft tissue  
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show fetus, fetal head  
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show expectations of birthing process tend to have longer labors if anxious or high anxiety  
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effacement   show
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show opening of the cervix in cm  
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Phases of contractions   show
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Increment   show
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show period of greatest strength  
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show period of decreasing strength  
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10cm   show
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show beginning of one contraction, to the beginning of another  
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Duration   show
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tetonic contraction   show
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Intensity   show
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show amount of time uterus relaxes between contractions  
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TRUE LABOR   show
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maternal pushing   show
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show bones overlapping in the head during the birth process  
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show determine a vaginal delivery or not. how the baby lays inside the mothers uterus.  
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longitudinal lie   show
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show the baby lies crosswise in the uterus-shoulder tries to come out first  
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Oblique Lie   show
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Breech   show
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show head fully flexed  
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show niether flexed or extended  
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show partially extended- head partially back  
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face   show
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Frank breech   show
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show butt first with flexion of head and extremities. baby sitting cross legged  
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show one foot dangling  
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Double footling Breech   show
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show normal one of flexion- chin on their chest-well flexed best for birth  
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Engaged   show
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show FHR slows when contraction occurs  
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Late deceleration of FHR   show
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Variable deceleration of FHR   show
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show GOOD viable baby  
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First Stage of Labor   show
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show onset of contraction, ends with complete cervical dilation  
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Latent Phase   show
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show dilation of the cervix 4-7cm. more intent and INTENSE. too late to stop labor, able to recieve narcotic now  
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show dilation of the cervix 8-10cm. sweat on upper lip, very uncomfortable.  
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show 10cm (complete) --to-- birth. voluntary contractions, mom is able to push baby out  
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Stage 3   show
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Stage 4   show
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epidural block   show
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Spinal block   show
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show remain in a better ability to push  
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show episiotomy--used to stitch up, relieve pain  
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show anesthetic on both sides of the cervix-makes pain and contractions go away, able to push tho  
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General anesthesia   show
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Narcan   show
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Induction   show
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Augmentation   show
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Induction via Amniotomy   show
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Oxytocin (Pitocin)   show
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show the umbilical cord drops (prolapses) through the open cervix into the vagina ahead of the baby.  
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show Airway Breathing Ciculation warmth  
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show 1.mother's B/P before admin of oxytocic med 2.fundus firm, midline, below umbilicus 3.maternity/vaginal pads are applied 4.mother and infant allowed to bond  
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