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Intrapartum
Reveiw Questions
Question | Answer |
---|---|
four components of the birth process are? | passage, passenger, psyche, and powers |
Beginning of one contraction to the beginning of the next is? | frequency |
Regular contractions becoming more frequent and intense are signs of? | true labor |
dilation and effacement occur with what stage of labor? | stage of dilation = first stage |
Expulsion of placenta occurs in which state of labor? | placental stage = third stage |
early decelerations are indicative of what? | head compression |
late decelerations are indicative of what? | uteroplacental insufficiency |
variable decelerations are indicative of what? | cord compression |
What is the normal color of amniotic fluid? | Clear |
What is the major complications following delivery? | hemorrhage |
Amniotic fluid will turn nitrazine what color? | dark blue |
head in front right quadrant of mother's pelvis is what position? | R A |
what treatment is given to the perineum post delivery? | Ice first 12-24 hrs then heat |
what is the goal of child birth classes | educate, exercise relaxation techniques pain control methods |
pressure given to the lower back for pain relief is what technique? | skin stimulation |
when hyperventilation occurs, what nursing action would you initiate? | breath into paper bag or cupped hands |
if pain medication is given during transitional phase of labor, what must the nurse assess for | respiratory depression |
what drug is used for respiratory depression | naloxone - Narcan |
what is the first nursing action following an epidural block | assess Blood pressure |
blood patches relieve what problem | head ache and clot spinal fluid leakage |
what is the drug of choice for augmentation of labor | oxytocic - oxytocin/Pitocin |
syntocinon is used to stimulate what | lactation (also used to treat engorgement of breast) |
ergotrates are used for what condition | post partum hemorrhage |
what is the drug classification for dinoprostine | abortifacients |
yutopar (ritodrine) is used to control what condition? | prevent or control preterm labor |
what are two adverse effects of magnesium sulfate? | decreased reflexes & oliguria |
what is the drug of choice to counteract magnesium sulfate? | calcium gluconate |
what is an amniotomy? | artificial rupture of membranes |
what would you access after an amniotomy? | FHR, note fluid color, odor, character, mom's temp |
when receiving oxytocin if contractions occur every 90 seconds and are less than 2 minutes apart what is this called? | tetanic contractions |
what are the nursing actions if tetanic contractions occur? | administer o2 via mask, turn on left side, discontinue pit |
when contractions are weak an ineffective during active labor this is that type of labor pattern? | hypotonic |
what nursing care is given for women experiencing hypotonic labor pattern? | amanotomy, augment with pit, increase fluids, position change, encourage walking, promote comfort |
when contractions are frequent, cramp like, and poorly coordinated this is what type of labor pattern? | hypertonic |
What nursing care is given for a woman experiencing hypertonic labor pattern? | mild sedation & tocolytics; promote comfort |
external versions are done for what reason? | change fetal presentation (breech to cephalic) |
at what point during pregnancy are external versions performed? | after 37 weeks and before labor |
instruments with curved blades that fit around the fetal head are called ? | forceps |
what would a nurse asses for with an infant of a forceps delivery? | look for lacerations and facial symmetry |
most common type of incision used for a C-section is what? | low transverse |
when premature rupture of membranes occurs the patient will be at risk for what? | chorioamnionitis - infection of the amniotic sac |
when the cord slips downward in pelvis after ROM this is called? | prolapsed cord |
what is the treatment for uterine rupture | emergency cesarean . for small tear will repair. for large tear hysterectomy |
when the fetus is born with peeling skin, meconium in amniotic fluid and looks wasted this is a sign of what? | prolonged pregnancy |
which type of episiotomy heals easier? | median. straight down from midline from vagina to anus |