Amy Shared "N425" - 18 Picmonics
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N425
Decelerations (and Accelerations) Overview
- VEAL CHOP
- Variable Deceleration
- Cord Compression
- Early Deceleration
- Head Compression
- Acceleration
- Okay
- Late Deceleration
- Placental Insufficiency
2 mins
Early Decelerations
- Cause
- Fetal Head Compression
- Occurs During
- Uterine Contractions
- Placement of Internal Mode of Monitoring
- Vaginal Examination
- Fundal Pressure
- Considerations
- Normal Pattern
1 min
Late Decelerations
- Cause
- Uteroplacental Insufficiency
- Occurs During
- Disruption of Oxygen Transfer to Fetus
- Considerations
- Abnormal Pattern
- Interventions
- Discontinue Oxytocin
- Oxygen with Non-Rebreather (8-10 L/min)
- Side-lying Position
- Elevate Legs
- Increase Rate of IV Solution
2 mins
Variable Decelerations
- Mechanism
- Umbilical Cord Compression
- Occurs During
- Abnormal Cord Position
- Considerations
- Transition Phase
- Interventions
- Oxygen with Non-Rebreather (8-10 L/min)
- Change Maternal Position
- Discontinue Oxytocin
2 mins
Mechanism of Labor
- Engagement
- Descent
- Flexion
- Internal Rotation
- Extension
- External Rotation (Restitution)
- Expulsion of Infant
2 mins
Induction of Labor
- Indications
- Premature Rupture of Membranes
- Danger to Fetus or Mother
- Prolonged Gestation
- Contraindications
- Placenta Abnormalities
- Transverse Fetal Position
- Prolapsed Umbilical Cord
- Active Genital Herpes Infection
- Transfundal Uterine Incision
- Hemorrhage
3 mins
True vs. False Labor
- Bloody Show
- True Labor
- Regular, Strong Contractions
- Progressive Effacement and Dilation
- Engagement of Presenting Part
- False Labor
- Irregular Contractions
- Cervix Soft
- No Engagement of Presenting Part
2 mins
Terbutaline (Brethine)
- Mechanism of Action
- Beta-2 Agonists
- Indications
- Asthma
- Tocolytic
- Side Effects
- Tremor
- Tachycardia
- Pulmonary Edema
- Hypokalemia
- Hyperglycemia
2 mins
Oxytocin (Pitocin)
- Mechanism of Action
- Increase Uterine Contractions
- Indications
- Labor Induction
- Control Postpartum Hemorrhage
- Side Effects
- Uterine Rupture
- Water Intoxication
- Contraindications
- Fetal Lung Immaturity
- Cervix Not Ripened
- Active Genital Herpes Infection
- Considerations
- Use Lowest Dose
- IV Pump
3 mins
Presumptive Signs of Pregnancy
- Amenorrhea
- Fatigue
- Urinary Frequency
- Nausea and Vomiting
- Breast Changes
- Quickening
1 min
Probable Signs of Pregnancy
- Goodell Sign
- Chadwick Sign
- Hegar Sign
- Positive Serum and Urine Sample
- Braxton Hicks Contractions
- Ballottement
2 mins
Positive Signs of Pregnancy
- Fetus on Ultrasound
- Fetal Heart Rate by Doppler or Fetoscope
- Fetal X-ray
- Fetal Movements
1 min
Amniocentesis
- Mechanism
- Transabdominal Puncture
- > 14 weeks gestation
- Indications
- Genetic and Congenital Anomalies
- Fetal Hemolytic Disease
- Fetal Lung Maturity
- Complications
- Miscarriage
- Hemorrhage
- Infection
- Considerations
- RhoGAM (Rh Immune Globulin)
2 mins
Lab and Diagnostic Tests During Pregnancy (1st Visit)
- Diagnosis
- Complete Blood Count (CBC)
- Blood Typing and Rh
- Rubella
- HIV
- Hepatitis B
- Tuberculosis Skin Mantoux Test (PPD)
- Sexually Transmitted Infections
- Chlamydia
- Neisseria gonorrhoeae
- Syphilis
- Pap Smears
- Urinalysis
- Sickle Cell Screening (If Indicated)
2 mins
Lab and Diagnostic Tests During Pregnancy (Other Visits)
- Diagnosis
- 10-13 Weeks
- Offer Chorionic Villus Sampling (CVS)
- 15-18 Weeks
- Quad Screen
- 18-20 Weeks
- Ultrasound
- Anatomic Screening
- 24-28 Weeks
- One-Hour Glucose Challenge Test
- 35-37 Weeks
- Streptococcus Agalactiae
3 mins
Quad Screen Results Interpretation
- Markers
- AFP
- Estriol
- hCG
- Inhibin A
- Associations
- Increased hCG + Inhibin A (HIgh)
- Down Syndrome
- Decreased hCG + Estriol + AFP (Low HEAp)
- Edward Syndrome
- Increased AFP
- Neural Tube Defects
- Abdominal Wall Defects
2 mins
Prenatal Nutrition
- Prenatal Vitamins
- Iron Supplement 30 mg Daily
- Folate/Folic Acid 400 mcg Daily
- Appropriate Weight Gain Recommendations
- 340 Calorie Increase
- 25 gram Protein Increase
- Foods and Substances to Avoid
- Coffee, Alcohol, Tobacco
- Fish Containing High Mercury Levels
3 mins
Postpartum Hemorrhage
- Mechanism
- Uterine Atony
- Lacerations
- Retained Placenta
- Signs and Symptoms
- Bleeding
- Hypotension
- Boggy Uterus
- Considerations
- Oxytocin
- Bimanual Compression of Uterus
- Surgery
- Blood Transfusion
2 mins
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