7. What is the umbilical cord and its function?
Answer
Lifeline from the mother to the growing fetus
One large vein and 2 small arteries
Wharton's jelly surrounds the vein and arteries to prevent compression
8. What are the functions of the amniotic fluid?
Answer
Maintains a constant body temperature for the fetus
Cushions the fetus from trauma
Allows umbilical cord to be free from compression
9. What are some presumptive signs of pregnancy?
Answer
Fatigue, breast tenderness, N/V, amenorrhea
Urinary frequency
Uterine and breast enlargement
10. What are some probably signs of pregnancy?
Answer
Braxton Hicks contractions Goodell's sign - blue purple cervix from increase blood supply
Chadwick's sign - softening of the cervix Positive pregnancy test
Abdominal enlargement
11. What are positive signs of pregnancy?
Answer
Ultrasound verification of embryo or fetus
, Fetal movement felt by experienced clinician Auscultation of fetal heart tones via Doppler
12. What does GTPAL stand for?
Answer
Gravida - current pregnancy Term - more than 37 weeks gestation
Preterm - 20 weeks < 37 weeks Abortions - spontaneous or planned Living
13. What is involution?
Answer
The return of the uterus to a non pregnant state after birth 1 finger breadth (cm) below the
umbilicus for every day postpartum
14. How should engorgement be relieved for the non breast feeding mother?-
Answer
Tight supportive bra, ice, and avoidance of breast stimulation
15. What are some risk factors for postpartum infection?
Answer
Prolonged rupture of membranes (more than 24 hours)
Compromised immune system
Multiple vaginal examinations during labor
16. What are the 4 T's of risk for postpartum hemorrhage?
Answer
Tone - uterine stony Trauma - during labor
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