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Maternity Key Points

FHR, Variability, Contractions, Aminotic Fluid, Apgar Score, AVA

QuestionAnswer
Normal Fetal Heart Rate (FHR) FHR: 120-160 bpm
Normal Variability Variability: 6-10 bpm
Normal Contractions Contractions: Normal Frequency is 2-5 min apartNormal Duration: < 90sec with an intensity of < 100 mm/Hg (Millimeters of mercury)
Normal Amniotic Fluid Amniotic Fluid: 500-1200 ml (nitrozine urine-litmus paper will be green/ amniotic fluid lithmus paper will be blue.
APGAR Score A= Appearence, P= Pulses, G= Grimace, A= Activity, R= Reflexes; (Done twice;@ 1 min and @ 5 min after birth)~ Scoring:* 0 for absent* 1 for decreased* 2 for strongly positive
AVA: "Artery Vein Artery" -> Umbilical Cord The umbilical cord has 2 arteries and 1 vein; Arteries carry deoxygenated and The vein carries oxygenated blood.
FAB 9 AKA Folic Acid = B9 Hint: B stands for Brain (decreases the incidences of neural tube defects)The Mother should start taking B9 3 months prior to becoming pregnant.
Abnormalities in Laboring Obstetric Cleint Decelerations are abnormal findings on the fetal monitoring strip and are classified as early or late.
Early Decelerations: Caused by head compression Begin prior to the peak of the contraction and end by the end of the contraction There is no need for intervention if the variability and FHR are WNL.
Decelerations: Causes and Interventions Decelerations are caused by cord compression and the intervention is change the mothers position, stop the pitocin infusion, apply oxygen, increase rate of I.V. fluids, contact Dr. if problems persist.
Late Decelerations: Caused by utero placental insuffiency Occur after the peak of the contraction and mirror the contraction in length and intensity.Interventions: Change the mothers position, stop pitocin, apply oxtgen, increase rate of I.V. fluids, contact Dr. if problems persist.
Created by: CarrieSue89
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