MCN 273 FINAL Exam Study Guide with Complete Solutions Birth Trends - Correct 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? - Correct Answer Uncomplicated vaginal birth - $10,212 Uncomplicated C/S - $16,848 How much does it cost to raise a child? - Correct Answer A sh*t ton
$234,900
CAM examples in pregnancy - Correct Answer Acupressure Moxibustion Massage Hydrotherapy Hypnosis Herbal therapy Aromatherapy Visualization/guided imagery GPTPAL - Correct Answer Gravida = # of pregnancies Para = # of births T = # of term babies P = # of preterm babies A = # of abortions L = # of living children
Anatomy: Uterus - Correct Answer Fundus
Body 1 / 4
Cervix (dilation, effacement, station) SVE - Correct Answer Charted with 3 numbers Dilation, effacement, and station Dilation - Correct Answer How open the cervix is (0-10) Effacement - Correct Answer Thickness/thinness of the cervix (0%-100%) Station - Correct 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 - Correct Answer Describes the BOW T = time A = amount C = color O = odor Fetal doppler or US - Correct 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 - Correct Answer Dilation Stage Two of Labor - Correct Answer Pushing/Delivery 10cm-birth ~1hr to primips ~1/2hr for multips 2 / 4
Contractions q 2-3min, lasts 60-90sec Stage Three of Labor - Correct Answer Placental Delivery Placental separation 5-30mins after delivery Stage Four of Labor - Correct Answer Recovery 1-4hrs Monitor blood loss (hemodynamic changes) Uterus must remain contracted
Phases of Dilation: One - Correct Answer Early/latent
0-3cm UCs q 5-10m Lasts 30-40sec ~6-9hrs
Phases of Dilation: Two - Correct Answer Active
4-7cm UCs q 2-5min Lasts 45-60sec ~4.5-6hrs
Phases of Dilation: Three - Correct Answer Transition
8-10cm UCs q 1-2min Lasts 60-90sec ~30min-1hr Average blood loss for vaginal delivery - Correct Answer 500ccs Average blood loss for C/S - Correct Answer 1000 ccs 3 / 4
Post-Partum Assessment: BBUBBLE-EE - Correct Answer Brain
Breast Uterus Bladder Bowel Lochia Episiotomy/Perineum/Hemorrhoids Extremities Emotional Breastfeeding Tips - Correct 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 - Correct Answer Cradle Football/clutch Cross-cradle Side-lying Assessment of Newborn - Correct 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 - Correct Answer Within the first 2hrs of life Assess need for resuscitation Place with parents if stable Gestational age assessment
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