6-26-10 OB Mid Sess 2
Help!
|
|
||||
|---|---|---|---|---|---|
| show | ACOG 1993
🗑
|
||||
| What are the other names for "Phase 0" | show 🗑
|
||||
| show | Activation (also Acceleration)
🗑
|
||||
| What are the other names for "Phase 2" | show 🗑
|
||||
| What are the other names for "Phase 3" | show 🗑
|
||||
| How many "Phases" of labor are there | show 🗑
|
||||
| show | Between Phases 2 and 3
🗑
|
||||
| Why is the hormonal feedback mechanism (oxytocin and prostaglandins) considered positive | show 🗑
|
||||
| What happens in the "First Stage" of vaginal delivery | show 🗑
|
||||
| What happens in the "Second Stage" of vaginal delivery | show 🗑
|
||||
| show | Baby out of uterus, placenta jumps out and wows the crowd
🗑
|
||||
| show | POWERS (uterine contractions and in 2nd stage, voluntary expulsive efforts), PASSAGEWAY (bony pelvis and the soft tissues contained therein), PASSENGER (the fetus: Lie, presentation, position)
🗑
|
||||
| show | Premature rupture of membranes
🗑
|
||||
| 3 classifications (times) of PROM | show 🗑
|
||||
| show | "Shoulder Dystocia"
🗑
|
||||
| show | Dick-Reed
🗑
|
||||
| "poena magna" is from who and means what | show 🗑
|
||||
| show | Hardy and Javert
🗑
|
||||
| The McGill Pain Rating Index is scale from 0 to what number | show 🗑
|
||||
| What are the two main Components to Labor Pain | show 🗑
|
||||
| show | C-fibers
🗑
|
||||
| show | First Stage
🗑
|
||||
| show | A delta fibers
🗑
|
||||
| Somatic Component is part of what Stage | show 🗑
|
||||
| What nerve plexus innervates the ovaries | show 🗑
|
||||
| show | Sympathetic chain from T10, T11, T12, and L1
🗑
|
||||
| show | Pressure on nerve endings on body and fundus of uterus, Contraction of an ischemic myometrium and cervix, vasoconstriction, inflammatory changes, dilation of the cervix and lower uterine segment
🗑
|
||||
| Dilatation, Distention, Stretching, and Tearing of the cervix and lower uterine segment during a contraction is part of what Stage of Labor | show 🗑
|
||||
| show | TRACTION (on the pelvic peritoneum and uterine ligaments), TENSION (on bladder, rectum, ligaments, fascia, and muscles in pelvis), PRESSURE (on lumbosacral plexus)
🗑
|
||||
| show | Pain tolerance, environmental suppport and cultural factors ("refined women experience more pain than savages") -Slide 26 makes more sense than this slide 25 - common sense thing like the size of child vs birth canal
🗑
|
||||
| Known for "Natural Chilbirth" and "Childbirth without Fear" | show 🗑
|
||||
| show | Fernand Lamaze
🗑
|
||||
| Known for "Birth without Violence" | show 🗑
|
||||
| show | A directive statement wishing not to have an epidural even though they change their mind once they start having pain
🗑
|
||||
| show | Severe adverse reaction
🗑
|
||||
| Why is the timing of demerol and birth time important | show 🗑
|
||||
| BLocks given in L&D | show 🗑
|
||||
| Paracervical block stops afferent nerve transmission at the | show 🗑
|
||||
| show | Reflex bradycardia, Fetal CNS and myocardial depression, Increase uterine activity, and uterine artery vasoconstriction
🗑
|
||||
| Where is the Paracervical block | show 🗑
|
||||
| Indications for general anesthesia during vaginal delivery (7 of them) | show 🗑
|
||||
| Contraindications for neuroaxial blockade (6 of them) | show 🗑
|
||||
| show | Maternal effects, fetal effects, prolonged labor, c/s rate, motor block, bedrest, and complications
🗑
|
||||
| Direct effects of epidural analgesia on labor | show 🗑
|
||||
| Indirect effects of epidural analgesia on labor (3 of them) | show 🗑
|
||||
| show | 1)Pain relief decreases SNS output of epinephrine (which is a tocolytic), without epinephrine uterine tone increases decreasing placental blood flow causing bradycardia. 2)Pain relief and/or spinal/epidural decreases BP which causes increased uterine tone
🗑
|
||||
| Treatment for fetal bradycardia (7 things) | show 🗑
|
||||
| Anesthesia for vaginal delivery (4 of them) | show 🗑
|
||||
| Criteria for ambulation during labor with neuraxial analgesia (8 of them) | show 🗑
|
||||
| show | 20-30 minutes
🗑
|
||||
| Pre hydration starting amount for epidural/spinal should be ?ml/kg | show 🗑
|
||||
| show | A venous stick r/t engorgement
🗑
|
||||
| What should you do different on an obese pt with regards to taping an epidural | show 🗑
|
||||
| show | About 6 inches (can't wait to put this information to work)
🗑
|
||||
| When administering your 1% lido to numb for epidural, what do you add a "splash" of to decrease burning | show 🗑
|
||||
| show | J hook or dbl J hook - for slack in case it gets pulled on
🗑
|
||||
| show | Cephlad - r/t nerve roots (caudal leds to follow nerve roots and go outward)
🗑
|
||||
| show | Never good
🗑
|
||||
| What might happen if you use more than 5cc or air for loss of resistance | show 🗑
|
||||
| What is the best length for epidural catheter insertion into the epidural space | show 🗑
|
||||
| show | Check temp by dripping on gloved hand, glucose test, and thiopental-bicarb test (CSF stays clear, Local precipitates in high pH)
🗑
|
||||
| show | Numbness of tongue, light headed, visual/hearing disturbances, muscular twitching, unconciousness, convulsions, coma, respiratory arrest, CVS depression, and skid marks
🗑
|
||||
| show | Lidocaine 45mg and Epinephrine 15mcg
🗑
|
||||
| show | True
🗑
|
||||
| show | True
🗑
|
||||
| Series of T/F: #3 Before each injection of an epidural local you should wait until contraction is over | show 🗑
|
||||
| Series of T/F: #4 Before each injection of an epidural local you should dilute solutions of LA during labor | show 🗑
|
||||
| Series of T/F: #5 Injection of an epidural local, you should not give more than 5 ml at a time | show 🗑
|
||||
| Series of T/F: #6 Before each injection of an epidural local you should maintain verbal contact with your patient | show 🗑
|
||||
| T/F: Give your test dose during a uterine contraction | show 🗑
|
||||
| To treat bradycardia from LA toxicity use | show 🗑
|
||||
| To stop convulsions from LA toxicity use (3 things) | show 🗑
|
||||
| show | Fluids and vasopressors
🗑
|
||||
| T/F: Mepivicaine is used in OB epidurals | show 🗑
|
||||
| show | Mepivicaine is fastest, pka = 7.6--- bupivicaine pka = 8.1
🗑
|
||||
| T/F: Lipid solubility = potency | show 🗑
|
||||
| show | True
🗑
|
||||
| T/F: pKa = Onset speed | show 🗑
|
||||
| The #1 complication of intrathecal opioid injection | show 🗑
|
||||
| Intrathecal fentanyl dose | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
smorrissey1
Popular Midwifery sets