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Maternity exam 1
Mechanism of Labor
External Rotation (Restitution)
Expulsion of Infant
Supine Hypotension (Vena Cava Syndrome)
Compression of the Vena Cava and Descending Aorta
Signs and Symptoms
Decreased Renal Perfusion
Decreased Uteroplacental Perfusion
Positive Signs of Pregnancy
Fetus on Ultrasound
Fetal Heart Rate by Doppler or Fetoscope
Probable Signs of Pregnancy
Positive Serum and Urine Sample
Braxton Hicks Contractions
Hematocrit (Hct) Lab Values
Women: 36% - 46%
Men: 41% - 53%
Red Blood Cell Count (RBC) Lab Values
Women: 3.5-5.5 million cells/ MuL
Men: 4.3-5.9 million cells/ MuL
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
Vital Signs, FHR
> 14 weeks gestation
Genetic and Congenital Anomalies
Fetal Hemolytic Disease
Fetal Lung Maturity
RhoGAM (Rh Immune Globulin)
Mechanism of Action
Increase Uterine Contractions
Control Postpartum Hemorrhage
Fetal Lung Immaturity
Cervix Not Ripened
Active Genital Herpes Infection
Use Lowest Dose
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