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Talking points – Part 1

W.I.N.K.

OB TALKING POINTS

PART 1

EFM:
External monitor:
U/S
Toco
Internal monitor:
FSE
IUPC
Straight line at any rate is ______________
Wavy (~) appearance to the fetal heart tracing is called ________ and is good ☺
Contractions:
*frequency
*duration
*intensity
Normal FHTs are _________________________
FHTs found above the umbilicus most likely indicates ____________ position
FHTs are heard best thru the fetal ____________________
Leopold’s Maneuvers
Decelerations
TYPE CAUSE
Variabel Cord
Early Head
Accelerations OK
Late Placenta

ANTEPARTUM:
Fertilization
♂+♀
Fertilization occurs in _____________
Travel to _____________________ and implantation
2 cells create a human being ☺
Function of:
Uterus
Placenta
Amniotic fluid
Mucus plug
Umbilical cord
Prenatal visit schedule
Until 28 weeks = ________________________
29-36 weeks = _________________________
36 weeks-delivery = _____________________
Talking points – Part 1

Expectations of prenatal visits tests done at every visit

Naegel’s rule: _______________________________________


Backwards Naegel’s rule: __________________________________
Length of pregnancy
______ days
_____ lunar months
_____ weeks
Weeks vs. months
______ trimesters
Supplementation
GTPAL:
G=___________________________
T= ___________________________
P=____________________________
A=______________________
*spontaneous abortion = ___________________
*therapeutic abortion = ______________________________
L= ___________________________

Multiple babies (IE:TWINS, TRIPLETS) counts as __________ pregnancy


Abortions:
Spontaneous = _____________________
Threatened = _________________________________
Incomplete = ___________________________________
Induced = ____________________________________
Ectopic:
ANY pregnancy not ________________________
Most usually refers to a tubal pregnancy
Nutrition:
______________calories more for pregnancy
“eating for 2”
Protein
Sodium
Dairy
Weight gain
Factors impacting development of fetus
Maternal age
Smoking
Alcohol
Drugs
Rh factor
GYN history
Talking points – Part 1

Testing:
Amniocentesis
Chorionic villi sampling
NST
CST
U/S
Labs
Danger signs to notify care provider and why:
Bleeding
Contractions
Swelling of hands/face
Teratogens to avoid and why:
Cat liter
Smoking
Alcohol
Drugs
Environmental substances
Normal discomforts of pregnancy
Morning sickness: Vit B6 & doxylamine (Unisom) newest rec from ACOG
Fundal height r/t _______________ gestation

Fetal growth & development


All systems functioning rudimentally in _____________ trimester
Cardiac can be heard/seen sometimes @ _____ weeks, usually ______ weeks
Fetal weight gain largest during _____________ trimester

LABOR & BIRTH


Stages:
1 = ___________________
2 = ___________________
3 = ___________________
4 = ___________________
Cardinal movements

Dealing with labor:


Contractions
EFM
Distractions
Support people
Legal responsibilities for RN for c/sections
Talking points – Part 1

ROM:
PROM:
AROM:
C_______________
O_______________
A_______________
T_______________

Gestation:
Preterm = _______________
Term = ________________
Post-term = ________________…RARE!
Viability is ________________
Terminology

V/E determines:

Cultural influence on pregnancy

False labor vs. true labor


True labor defined by
Effect of walking
Baby:
Slippery
Wet
Vernix =_______________
Lanugo =___________________
Large head

This document should not be the sole source of studying. Please utilize all resources.