NATS 1675 Lecture Notes - Lecture 7: Western Canon, Adrenocorticotropic Hormone, Multiple Choice

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11 Nov 2016
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Labor and Delivery Nov. 8, 4
Housekeeping
Marks for the take-home exams will be available by next Tuesday
No reading for Onset of Labor very little research/insufficient amount of information in the
text
Test in December multiple choice and short answer (similar to take-home test)
December 17th, 9:00am in LASC and another across the hall (organized by last name); grades will
not be given until after winter break
o Covers class material from October 23rd to December 4th
o 4-6 short answer questions like on take-home test
o 40 multiple choice questions
o BRING: pencil, eraser, student ID (or photo ID)
Snow Days
o Check online homepage weather bulletin
o Listen to CP24
o Put emails/phone numbers of profs onto phone**
Multiple choice testing
o Put correct student number on the score card
o Practice e-connect
o View the multiple choice as a game use your answer sheet to cover the choices, if the
uestio sas lighteig efes to, efoe ou look at the ases, thik about what
you know about lightening, mark the one that matches with the one that you know
o Reading all of the possible answers confuses and bores you
Normal Anatomy at 40 weeks (full term)
Position of the baby at full term
40 weeks illustration used for medical students
The baby is head down
Pelvis forms a bowl, women have shallower
Placenta is in upper 1/3 of uterus
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We do’t at the plaeta detahed duig delie, supplig utiets, eetig aste
products
Baby is flexed up to take the smallest size
Uterus has enlarged to just under breast bone, cervix has mucus plug
White line is amniotic membrane
Initiation of Labor
We do’t full udestad ho it’s iitiated
If e did, e’d hae a ette hae of peetig C-section and premature births
Pio to the stat of lao seeal hages ou i the oa’s od:
o Lightening (or engagement)
Occurs within 2 weeks of delivery
Varies depending upon how many children the women has had
Whe the a’s head dops do ito pelis
o Show
o Braxton Hicks contractions
Lightening (or engagement)
Moeet of the a’s head ito the pelis
Can be seen more clearly with maternity clothes that emphasize the bump rather than hide it
A women would never wear clothes like this, the bump was something to be hidden
Left: baby appears to be floating
Right: head is right down in the pelvis
Braxton Hicks Contractions
Spontaneous contractions of the uterus
The uterus is smooth muscle, gets twitchy as it stretches
Beginning in 3rd trimester the women may feel contractions, usually short and usually not
painful
Also not organized; no pattern
Sometimes termed false labor
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