Intrapartum-Zuck
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| Anesthesia | show 🗑
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| show | alleviation of pain sensation or raising of pain
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| show | anesthesia that eliminates pain in vagina, vulva and perineum, used episiotomy, birth and assisted birth
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| Local anethesia | show 🗑
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| show | relief of pain from uterine contractions and birth by injection into the dura space
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| show | single dose injection into subarachnoid for pain control during birth, rather than labor
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| show | drug that reverses the effects of opiods, prompt onset lasts 1-4hrs, metabolized liver
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| show | medication used for relaxation of uterine muscles
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| Blood Patch | show 🗑
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| Glucocorticoid (Dexamethasone, Betamethasone) | show 🗑
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| Duramorph | show 🗑
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| show | Beta adrenergic agonist-IV to suppress contractions
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| show | Beta adrenergic agonist-subq using syringe or pump, SE-tachy, dyspnea, hyperglycemia
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| Nifedipine (Procardia) | show 🗑
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| Magnesium Sulfate | show 🗑
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| Indomethacin | show 🗑
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| show | used to ripen cervix or stimulate contractions
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| show | vaginal insert posterior fornix of vagina-prostaglandin
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| Dinoprostone (Prepidil) | show 🗑
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| Oxytocin (Pitocin) | show 🗑
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| Laminaria tent | show 🗑
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| show | oral tablet or intravaginal ripening agent
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| Baseline FHR | show 🗑
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| show | absence of expected irregular fluctuations in FHR
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| Bradycardia | show 🗑
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| Prolonged deceleration | show 🗑
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| Periodic changes | show 🗑
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| Tachycardia | show 🗑
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| Variability | show 🗑
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| show | FHR decrease after onset of contraction-fetal head compression-GOOD
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| Late deceleration | show 🗑
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| Variable deceleration | show 🗑
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| show | increase FHR 15/min or more, last 15 sec but shorter than 2 min
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| Episodic | show 🗑
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| show | start to finish of contraction
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| show | peak to peak or start to start of contraction
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| show | time between contractions
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| show | peak or intesity of contraction, mmHG, 35=mild, 50=mod, 75=strong
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| show | 8-15mmHG
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| show | artificial rupture of membranes, check FHR, cord compression or prolapse
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| show | External manipulation to turn fetus from unfavorable lie or presenting part, risks-cord compression, injury, placenta bleed, uterine tear/rupture, labor
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| Preterm labor | show 🗑
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| Hypotonic uterine dysfunction | show 🗑
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| show | intrauterine infusion to increase amount of fluid or flush, correct variable decels, need 30 min to increase fluid, risk of overdistention & increase tone
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| Sinusoidal FHR pattern | show 🗑
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| Cardiac changes with labor | show 🗑
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| show | decrease motility, absorption, emptyingincrease nausea, belching with dilation
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| show | Bicitra, Maalox, Reglan, Zantac
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| show | decrease tone, capacity, sensation of filling, proteinuria (affects progress & comfort)
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| Hemopoietic changes during labor | show 🗑
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| show | Increase O2 demand (stage 1=40%, stage 2=100%)hyperventilation
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| show | 7.25 and above=ok7.18 and below=deliver
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| Amniotic fluid normals | show 🗑
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| Best evaluation amniotic fluid | show 🗑
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| PURE | show 🗑
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| Nubain | show 🗑
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| Stadol | show 🗑
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| Stadol/Nubain adverse maternal effects | show 🗑
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| Stadol/Nubain adverse fetal effects | show 🗑
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| show | resp depression (1-4 hrs), apnea, cyanosis, hypotonia, bradycardia, arrhythmias (Narcan given)
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| Narcan adverse effects | show 🗑
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| show | CNS depression, hypoxia, lethargy, poor suck/swallow
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| show | NV, decrease peristalsis, urine, CNS, BP alter, increase HR, ineffective, allergy, pruritus, delerium
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| show | used cesarean/sterilization, SE=allergy, NV, aspiration, alter BP, uterine atony (hemorrhage), urine retention, hypothermia, surgical comps)
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| show | Hypotension-prevent with bolus 500-1000ml LR
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| Medication treatment of hypotension during labor | show 🗑
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| Nerve blocks | show 🗑
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| show | position of mom, monitor effects, contractions
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| Epidural dilation requirement | show 🗑
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| show | shiver, NV, hypotension, inhibit bearing, allergy, ineffective, loss sensation, cramps, hypothermia, urine retention, uterine atony, hemmorhage, pruritus
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| Specific spinal complications | show 🗑
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| Fetal distress manifestations | show 🗑
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| show | BTB, monitors compensation by babe with O2 changes, absent or present
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| Long term variability | show 🗑
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| show | early fetal hypoxia, prematurity, anemia, cardiac arrythmias, HF, mom drug use, anxiety, fever, hyperthyroid, pain mgmt meds
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| show | reposition, O2 @ 8-10L, increase mainline, antipyretics, calm, persist >1hr=deliver
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| Bradycardia causes | show 🗑
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| Recurrent decelerations | show 🗑
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| show | low point, usually occurs with peak of contraction
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| Shoulder humps | show 🗑
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| Intervention for nonreassuring | show 🗑
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| Interventions for variable | show 🗑
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| Interventions for late | show 🗑
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| Pseudosinusoidal | show 🗑
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| show | Marked variability >25bpm, unknown cause
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| 5 Ps of assessment | show 🗑
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| Position | show 🗑
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| Presentation | show 🗑
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| show | baby spine v. mom spine
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| attitude | show 🗑
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| position | show 🗑
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| show | amniotic fluid into bloodstream (10%maternal mortality, 50% fetal)
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| Cord prolapse | show 🗑
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| Cord prolapse interventions | show 🗑
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| show | cord around neck
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| Ferguson reflex | show 🗑
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| O2 to babe begins decreasing at ____mmHG | show 🗑
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| show | primary-contractions, secondary-pushing
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| show | after 20 weeks before 37 weeks
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| show | UTI- then dehydration, multifetal etc
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| Stop premature labor if | show 🗑
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| dystocia | show 🗑
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| show | abnormal contractions prevent normal progress
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| show | painful but ineffective, increase rest tone >20mmHG, duration >90 sec, intensity >75-80mmHG: decrease rest <30 sec, frequency <2 min, coupling or tripling
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| Hypertonic interventions | show 🗑
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| Hypotonic causes | show 🗑
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| Hypotonic interventions | show 🗑
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| Precipitous labor | show 🗑
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| Induction | show 🗑
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| show | stimulation or enhancement of contractions
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| show | CPD, prolapse cord, transverse lie, nonreassuring status, placenta previa or vasa previa, prior classic uterine incision, active herpes infections
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| Indications oxytocin | show 🗑
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| Bishops score | show 🗑
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| show | 3 contractions in 10 minutes or 40-60 sec with good relax and no probs
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| Oxytocin Nursing mgmt | show 🗑
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| show | hyperstimulation, BP alterations, water intoxication, ineffective
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| show | nonreassuring HR or pattern, hypoxia
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| show | reposition, o2, increase mainline, turn of Pit, Notify dr
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Created by:
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