MCN 273 FINAL STUDY GUIDE
Birth Trends - Answer -3 year decline
Mean age at first birth is 26.8 (record high)
15-29 birth rate decreasing
35-49 birth rate increasing
How much does it cost to give birth? - Answer -Uncomplicated vaginal birth - $10,212
Uncomplicated C/S - $16,848
How much does it cost to raise a child? - Answer -A sh*t ton
$234,900
CAM examples in pregnancy - Answer -Acupressure
Moxibustion
Massage
Hydrotherapy
Hypnosis
Herbal therapy
Aromatherapy
Visualization/guided imagery
GPTPAL - Answer -Gravida = # of pregnancies
Para = # of births
T = # of term babies
P = # of preterm babies
A = # of abortions
L = # of living children
Anatomy: Uterus - Answer -Fundus
Body
Cervix (dilation, effacement, station)
SVE - Answer -Charted with 3 numbers
Dilation, effacement, and station
Dilation - Answer -How open the cervix is (0-10)
Effacement - Answer -Thickness/thinness of the cervix (0%-100%)
Station - Answer -Where the baby's head is in relation to mom's pelvis
Higher into the abdomen = -1,-2,-3, etc
Lower into the pelvis = +1,+2,+3, etc
TACO - Answer -Describes the BOW
,T = time
A = amount
C = color
O = odor
Fetal doppler or US - Answer -Measures fetal HR/tones
Normal is 110-160
Will have variability
Accelerations are a good thing (15 beats x 15 seconds)
Decelerations are not
Stage One of Labor - Answer -Dilation
Stage Two of Labor - Answer -Pushing/Delivery
10cm-birth
~1hr to primips
~1/2hr for multips
Contractions q 2-3min, lasts 60-90sec
Stage Three of Labor - Answer -Placental Delivery
Placental separation 5-30mins after delivery
Stage Four of Labor - Answer -Recovery
1-4hrs
Monitor blood loss (hemodynamic changes)
Uterus must remain contracted
Phases of Dilation: One - Answer -Early/latent
0-3cm
UCs q 5-10m
Lasts 30-40sec
~6-9hrs
Phases of Dilation: Two - Answer -Active
4-7cm
UCs q 2-5min
Lasts 45-60sec
~4.5-6hrs
Phases of Dilation: Three - Answer -Transition
8-10cm
UCs q 1-2min
Lasts 60-90sec
~30min-1hr
Average blood loss for vaginal delivery - Answer -500ccs
,Average blood loss for C/S - Answer -1000 ccs
Post-Partum Assessment: BBUBBLE-EE - Answer -Brain
Breast
Uterus
Bladder
Bowel
Lochia
Episiotomy/Perineum/Hemorrhoids
Extremities
Emotional
Breastfeeding Tips - Answer -Baby alert and rooting
Mom and baby comfortable
Grasp breast in "c-hold"
Observe latch
Watch for suck/swallow
Nose to nipple
Breastfeeding positions - Answer -Cradle
Football/clutch
Cross-cradle
Side-lying
Assessment of Newborn - Answer -Done in the first 2hrs of life and then continuously
until discharge
H2T assessment (included mom's physical health, health hx, and birth hx)
Immediate Newborn Assessment - Answer -Within the first 2hrs of life
Assess need for resuscitation
Place with parents if stable
Gestational age assessment
Vital signs q 30min x2hrs in the immediate newborn period
APGAR Scoring System - Answer -How much resuscitation the baby needs at birth
Five criteria scored from 0-1
Done at 1min, 5mins, and 10mins after birth
APGAR Scoring Categories - Answer -Appearance
Pulse (auscultate apical HR for 1 full minute)
Grimace (reflex irritability)
Activity (muscle tone, extent of flexion, resistance when extremities pulled away from
body)
Respiratory
, APGAR: Appearance: 0 points - Answer -Cyanotic or pale
APGAR: Appearance: 1 point - Answer -Appropriate body color
Blue extremities (acrocyanosis)
APGAR: Appearance: 2 points - Answer -Completely appropriate color (pink on both
trunk and extremities)
APGAR: Pulse: 0 points - Answer -Absent
APGAR: Pulse: 1 point - Answer -Slow (<100bpm)
APGAR: Pulse: 2 points - Answer ->100bpm
APGAR: Grimace: 0 points - Answer -No response
APGAR: Grimace: 1 point - Answer -Grimace or frown when irritated
APGAR: Grimace: 2 points - Answer -Sneeze, cough, or vigorous cry
APGAR: Activity: 0 points - Answer -Limp, flaccid
APGAR: Activity: 1 point - Answer -Some flexion
Limited resistance to extension
APGAR: Activity: 2 points - Answer -Tight flexion
Good resistance to extension with quick return to flexed position after extension
APGAR: Respiratory: 0 points - Answer -Apneic
APGAR: Respiratory: 1 point - Answer -Slow, regular, shallow breaths
APGAR: Respiratory: 2 points - Answer -Regular respirations (30-60 breaths/minute)
Strong, good cry
Normal Newborn Weight - Answer -5lbs 8 oz - 8lbs 14oz
2500-4000gms
Normal Newborn Length - Answer -17-22in
44-55cm
Normal Newborn HC - Answer -13-15in
32-38cm
Estimation of Gestational Age - Answer -May be inaccurate
Dubowitz tool or Ballard Assessment
Birth Trends - Answer -3 year decline
Mean age at first birth is 26.8 (record high)
15-29 birth rate decreasing
35-49 birth rate increasing
How much does it cost to give birth? - Answer -Uncomplicated vaginal birth - $10,212
Uncomplicated C/S - $16,848
How much does it cost to raise a child? - Answer -A sh*t ton
$234,900
CAM examples in pregnancy - Answer -Acupressure
Moxibustion
Massage
Hydrotherapy
Hypnosis
Herbal therapy
Aromatherapy
Visualization/guided imagery
GPTPAL - Answer -Gravida = # of pregnancies
Para = # of births
T = # of term babies
P = # of preterm babies
A = # of abortions
L = # of living children
Anatomy: Uterus - Answer -Fundus
Body
Cervix (dilation, effacement, station)
SVE - Answer -Charted with 3 numbers
Dilation, effacement, and station
Dilation - Answer -How open the cervix is (0-10)
Effacement - Answer -Thickness/thinness of the cervix (0%-100%)
Station - Answer -Where the baby's head is in relation to mom's pelvis
Higher into the abdomen = -1,-2,-3, etc
Lower into the pelvis = +1,+2,+3, etc
TACO - Answer -Describes the BOW
,T = time
A = amount
C = color
O = odor
Fetal doppler or US - Answer -Measures fetal HR/tones
Normal is 110-160
Will have variability
Accelerations are a good thing (15 beats x 15 seconds)
Decelerations are not
Stage One of Labor - Answer -Dilation
Stage Two of Labor - Answer -Pushing/Delivery
10cm-birth
~1hr to primips
~1/2hr for multips
Contractions q 2-3min, lasts 60-90sec
Stage Three of Labor - Answer -Placental Delivery
Placental separation 5-30mins after delivery
Stage Four of Labor - Answer -Recovery
1-4hrs
Monitor blood loss (hemodynamic changes)
Uterus must remain contracted
Phases of Dilation: One - Answer -Early/latent
0-3cm
UCs q 5-10m
Lasts 30-40sec
~6-9hrs
Phases of Dilation: Two - Answer -Active
4-7cm
UCs q 2-5min
Lasts 45-60sec
~4.5-6hrs
Phases of Dilation: Three - Answer -Transition
8-10cm
UCs q 1-2min
Lasts 60-90sec
~30min-1hr
Average blood loss for vaginal delivery - Answer -500ccs
,Average blood loss for C/S - Answer -1000 ccs
Post-Partum Assessment: BBUBBLE-EE - Answer -Brain
Breast
Uterus
Bladder
Bowel
Lochia
Episiotomy/Perineum/Hemorrhoids
Extremities
Emotional
Breastfeeding Tips - Answer -Baby alert and rooting
Mom and baby comfortable
Grasp breast in "c-hold"
Observe latch
Watch for suck/swallow
Nose to nipple
Breastfeeding positions - Answer -Cradle
Football/clutch
Cross-cradle
Side-lying
Assessment of Newborn - Answer -Done in the first 2hrs of life and then continuously
until discharge
H2T assessment (included mom's physical health, health hx, and birth hx)
Immediate Newborn Assessment - Answer -Within the first 2hrs of life
Assess need for resuscitation
Place with parents if stable
Gestational age assessment
Vital signs q 30min x2hrs in the immediate newborn period
APGAR Scoring System - Answer -How much resuscitation the baby needs at birth
Five criteria scored from 0-1
Done at 1min, 5mins, and 10mins after birth
APGAR Scoring Categories - Answer -Appearance
Pulse (auscultate apical HR for 1 full minute)
Grimace (reflex irritability)
Activity (muscle tone, extent of flexion, resistance when extremities pulled away from
body)
Respiratory
, APGAR: Appearance: 0 points - Answer -Cyanotic or pale
APGAR: Appearance: 1 point - Answer -Appropriate body color
Blue extremities (acrocyanosis)
APGAR: Appearance: 2 points - Answer -Completely appropriate color (pink on both
trunk and extremities)
APGAR: Pulse: 0 points - Answer -Absent
APGAR: Pulse: 1 point - Answer -Slow (<100bpm)
APGAR: Pulse: 2 points - Answer ->100bpm
APGAR: Grimace: 0 points - Answer -No response
APGAR: Grimace: 1 point - Answer -Grimace or frown when irritated
APGAR: Grimace: 2 points - Answer -Sneeze, cough, or vigorous cry
APGAR: Activity: 0 points - Answer -Limp, flaccid
APGAR: Activity: 1 point - Answer -Some flexion
Limited resistance to extension
APGAR: Activity: 2 points - Answer -Tight flexion
Good resistance to extension with quick return to flexed position after extension
APGAR: Respiratory: 0 points - Answer -Apneic
APGAR: Respiratory: 1 point - Answer -Slow, regular, shallow breaths
APGAR: Respiratory: 2 points - Answer -Regular respirations (30-60 breaths/minute)
Strong, good cry
Normal Newborn Weight - Answer -5lbs 8 oz - 8lbs 14oz
2500-4000gms
Normal Newborn Length - Answer -17-22in
44-55cm
Normal Newborn HC - Answer -13-15in
32-38cm
Estimation of Gestational Age - Answer -May be inaccurate
Dubowitz tool or Ballard Assessment
