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Seizures in a client with preeclampsia (not caused by something else)
Term
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Total number of previous pregnancies with birth occurring at greater than
or equal to 37 weeks
low lying placenta
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placenta lies within 2 cm of internal os at term
- if within 1.1cm 70% risk for intrapartum bleed
- 1.1-2cm TOL (c/s and transfusion capacity)
- >2cm vaginal delivery safe
4 phases of sex and fertilization
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- Excitement
- Plateau
- Orgasm
- Resolution
Fetal presentation, position, and lie: Leopold's Maneuver- Maneuver 2 Umbilical Grip
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, - Move hands down the lateral side of the abdomen
Notice:
- Back is hard and smooth
- Limbs are on the opposite side and feel moveable, bumpy, and irregular
Where is the back fetal?
This is also where you will listen to fetal heart rate.
When to provide IV prophylaxis for GBS at the onset of ROM to a pregnant pregnant
person?
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- Positive for GBS
- With an infant previously infected GBS
- With documented GBS bacteriuria in current pregnancy
- Any pregnant persion who is <37 weeks gestation and in labour or with
ROM with IV GBS antibiotic prophylaxis for a minimum of 48 hours unless
there has been a negative vaginal/rectal swab culture
Fetal development - embryonic period; umbilical cord
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formed by the amnion; 1 vein and 2 arteries surrounded by Wharton's jelly
TOLAC Plan
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, Trial of labour after cesarean
- Confirm intention for trial of labour or repeat CS in those with previous
CS
Tachyarrhythmia
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An irregular fetal heart rate
Accelerations = Good
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- Above baseline FHR >15 bpm, >15 sec but less than 2 min
- 2 min and <10 mins = prolonged acceleration
- >10 mins = baseline change
Tickle the head for an acceleration
Ballottement
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rebound of fetus against examiners fingers on palpation