Birthing Process
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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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SGT.MOSS
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