問題一覧
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7 Mechanism of Labor
Engagement decent flexion internal rotation extension external rotation expulsion
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Cervix opens
dilatation
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Total number of confirmed pregnancies
gravidity
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Less than 26 weeks
abortion
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Signs of placenta separation
lengthing of cord sudden gushing of blood firm globular uterine fundus
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First stool of baby
meconium
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Soft fine Hair coveringa fetus whie inside uterus
Lanugo
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Cheeselike form dont remove
vertix Caseosa
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First drop of milk in mother
colostrum
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Intentional cutting of perineum
episiotomy
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Unintentional tearing of the perineal area
laceration
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Perineal laceration stages
skin tear skin & perineal sq muscle tearing firstula pf anus and vagina
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Repairingsuturing of perineal tear
episiorrhaphy
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Should be inside full in the babys mouth during BF to prevent nipple sore
areola
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Harmless condition that causes swelling and bruising of an infants scalp due to pressure during delivery
caput succedaneum
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What are the 3 roles of nurses in the DR
handle assist cord care
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Given after fetal delivery / contract and milk production
oxytocin
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Used to stop uterine bleeding after childbirth
methergine
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Induce clotting to prevent bleeding and nourish the organs especially the liver
Vit. K (konakion)
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Normal apical heart rate
120/140-160
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Normal rr for infants
40-60
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Normal temperature of infants
36-38.3 C - (10-15mins)
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How many vitamin K needed
.1 mL
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How many hepaB needed
.5 mL
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Ointment place in the babies eyes from inner to outer
erythromycin
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What to put in the babies name tag
mothers surname gender weight date & time
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Where to place bp if there is IV
sa place nga wala ang iv
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Cardinal sign of infection
redness swelling puss formation itchng
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4ps of pregnancy
power passage (pelvis) passenger (baby) psyche (emotion)
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Meaning of BUBBLES
breast (palpate) uterus (palpate) bladder (inspect&palpate) bowel (inspect&ask) lochia (inspect &ask) episiotomy (inspect&instruct) support system!(ask&imspect) homan’s sign (instruct)
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Vitamin K in ADNPH
phytonadione
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3 types of suture
absorbable suture non absorbable suture surgical stapler
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Classifications of suture
monofilament suture multifilament suture
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Methods of suturing
everting sutures inverting sutures
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Types of anesthesia
general anesthesia regional anesthesia local anesthesia sedation
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Types of presentations for baby delivery
cephalic breech shoulder
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Three phases of contraction
increment peak decrement
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Characteristics of contraction
frequent duration intensity
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Shortening and thinning of cervix
effacement
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Enlargement of the cervix (fully dilated cm is?)
dilation 10cm
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Placenta is attached to the myometrium
increta
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Placenta is attached in the perimetrium
precreta
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Types of episiotomy
midline or median midiolateral
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Types of placenta
schultz duncan
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Normal female pelvis
gynecoid
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Normal male pelvis
android
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Oval type of pelvis
anthropoid
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Flattened transverse oval type of pelvis
platypelloid
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Strand consisting of a single threadlike structure
monofilament
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Strand made of more than one treadlike structured held by braiding or twisting
multifilament
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Interrupted or continuous suure are used for skin edges
everting
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These suture are commonly used for two layers anastomosis of hollow internal orders
inverting organs
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Are sterile strands prepared from collagen derived from healthy mammals or from a synthetic polymer
absorbable suture
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Are strands pf natural or synthetic materials that effectively resists enzymatic digestion or absorption in living tissues
non absorbable suture
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Involves inserting stainless steel or titanium staple through tissues woth a stapler
surgical stapler
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Medication given through IV
sedation
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AKA
above knee amputation
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AOG
age of gestation
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AP
appendectomy
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BKA
Below knee amputation
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BOW
bag of water
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BPH
benign prostatic hypertrophy/hyperplasia
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CBD
common bile duct
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CPD
cephalopelvic disproportion
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CSF
cerebro spinal fluid
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CTT
closed tube thoracostomy
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D&C
Dilatation&Curettage
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ECCE
extra capsular cataract extraction
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FDU
fetal death in uteru
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Fx
fracture
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IM
intramedullary nailing
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IOC
intra operative cholanguogram
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IOL
intra ocular lens
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LLCC
long leg circular cast
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LLPM
long leg posterior mold
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LSCS
low segment cesarean section
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LSTCS
low segment transverse cesarean section
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MTC
mayo tray cover
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NIL
not in labor
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NSD
normal spontaneous delivery
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OD
right eye
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OS
operating sponge/ left eye
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OU
both eye
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PROM
Premature rapture of membrane
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PUFT
pregnancy uterine full term
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Layers of skin
epidermis dermis hypodermis
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Cutting scissors
suture scissor mayo scissor stitch scissor bandage scissor iris scissor scalpel
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Clamping instrument
mosquito kelly peans crile
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Used for any strand of materiaused for ligating or approximately tissue
suture
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A physiological and mechanical process in which the baby placenta and fetal membranes are propelled thru the pelvis are expelled from the birth canal
labor
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The actual event of birth
delivery
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Theories of Labor onset
uterine stretch theory oxytocin theory progesterone deprivation theory prostagladin theory theory of aging placenta
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Amy hollow organ that strenched the capacity will necessarily contract and empty
uterine stretch theory
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Stimulates the hypophysis to produce oxytocin from the posterior pituitary gland
oxytocin theory
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Designed to promote pregnancy
progesterone deprivation theory
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Factors affecting labor
passageway passenger power placental factors psyche
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Classifications or types of pelvis
gynecoid android anthropoid platypeloid
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Widest diameter
anterior posterior diameter
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Narrowest diameter
transverse intertuberous diameter
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Measured from upper margin of symphysis pubis to sacral promontory
true conjugate