OB Theory Final Exam Class Review
 Sentinel Event: Could have been prevented
o 4+ units of blood. transfer pt. to ICU setting, temporary or
permanent ha
o Kernicterus, Surgery (Did the wrong procedure)
o Assimilation: Have not kept any of their previous culture
practices
Acculturism: Kept something of previous culture
Goodell Sign Tip of the cervix is softened
Hegar Softening of uterus
Chadwick Bluish discoloration of the cervical mucous
Lightening Sign  Baby moving down canal
Quickening First felt fetal movements
*In supine position and feels nausea and dizziness,
Turn women on left side (Increase perfusion to fetus)
Folic Acid Intake--- Lentil soup (Beans), Liver, Leafy Greens
Why Prevent Neural tube defects
Calcium Intake w/ No dairy products--- Fortified OJ, Sardines, Breads,
Biophysical Profile Includes  Fetal Breathing Movements, Moving of
extremities, Fetal tone, Amniotic Fluid
CST--- Uterine Activity
LOA Left Occipital Anterior
Vasopressor Ephedrine Brings up BP
Before spinal block Consent, Empty bladder, Position arch on side of bed,
Non-Reassuring Heart tones Baseline fetal heart rate of 100bpm, and late
decelerations
True labor-- Cervical fingertip dilated and changed to 2 cm
Surge of energy, Bloody show, Change in discharge
1st Stage: 0-5 cm
2nd Stage: 6-10 cm, Delivery of Baby
3rd Stage: Placental Delivery
4th Stage: Recovery
Cardiac Decompensation: s/s Dyspnea. Crackles, Irregular, Weak Pulse
Avoid: Terbutaline, Methergine, No stirrups, Open glottis pushing
Let them labor down, No pushing, Decreased
Progesterone only Birth control**
+ Homan Sign-- DVT
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Involution-- 1 cm a day
Umbilicus and symphysis pubis--6 Days
Rubra, 1-3, Serosa, Alba
Acrocyanosis is normal after birth
Placenta Previa Priority: Ultrasound
Abruption--- Painful, Knifelike abdominal pain, dark red blood
Inevitable Miscarriage: Moderate vaginal bleeding with dilation of the
cervix
Complete: Cervix Closed
Unpalpable PP Bleeding: Notify the doctor, = Placental Inversion
S/S: Not palpable, Will give Uterotonics to relax
Firm uterus with heavy bleeding-- Uterus is already contracting (Repair
laceration)
Plan B: Take within 5 days****
Cervical Cap Leave in place for a minimum of 6 hrs, Multiuse
Sponge-- One time use
Cytotec is used for: Cervical Ripening Agent, PP Hemorrhage, Miscarriage
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Neonatal Abstinence Syndrome: Irritability, Disturbed sleeping, Tremors,
High pitch cry
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