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Pregnancy: Epidural: Injected in The Area Between The Dura Matter and The Ligamentum
Pregnancy: Epidural: Injected in The Area Between The Dura Matter and The Ligamentum
Fundal height: Pt supine, measure from symphysis pubis to top of fundus, if patients is
18+ wks pregnant the height in cm will be same as weeks pregnant give or take 2 cm
Biophysical Profile (BPP)
identification of a compromised fetus and consists of 5 components:
-fetal breathing movement
-fetal movement of the body or limbs
-fetal tone (extension or flexion of the limbs)
-amniotic fluid volume index (AFI) visualized as of fluid around the fetus
-reactive non-stress test
each component 0-2, 8-10-desirable.
Estrogen stimulates uterine development to provide a environment for the
fetus, and stimulates the breasts to prepare for lactation.
If the baby is a posterior presentation, the sounds are heard at the sides.
If the baby is anterior, the sounds are heard closer to midline, between the umbilicus and
where you would listen to a posterior presentation.
If the baby is breech, the sounds are high up in the fundus near the umbilicus. If the baby
is vertex, they are a little bit above the symphysis pubis
Menstrual period -- woman loses about 40 mL of blood.
Montgomerys tubercles are sebaceous glands in the areola.
Epidural: injected in the area between the dura matter and the ligamentum
flavum
Nagele's Rule: First date of last menstrual period + 7 days - 3 months + 1 year.
Anemia of pregnancy: is common in the 2nd trimester due to rapid expanding blood
volume and is not a cause for concern
Pregnant woman with "Charley horse" pain (pain in the "gastrocnemius muscle" =>the
muscle in the back part of the leg that forms the greater part of the calf; responsible
for the plantar flexion of the foot) is relieved by dorsiflexing the foot, which reduces
the muscle spasm
Posterior presentation, the sounds are heard at the sides.
Anterior: the sounds are heard closer to midline, between teh umbilicus and where you
would listen to a posterior pr esentation.
Breech: the sounds are high up in the fundus near the umbilicus. If the baby is vertex,
they are a little bit above the symphysis pubis.
Stop pitocin if contractions longer than 90 seconds and closer than 2 minutes.
Android Pelvis is wedge shaped, narrow and unfavorable for birth
hemophilia is x-linked. Mother passes disease to son.