Ob quiz 2 labor and birth, care of woman w/complications during labor and delivery Flashcards Preview

Term 3 OB/PEDS/MED SURG 2 > Ob quiz 2 labor and birth, care of woman w/complications during labor and delivery > Flashcards

Flashcards in Ob quiz 2 labor and birth, care of woman w/complications during labor and delivery Deck (61)
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1

The 4 P's of the birth process

  • Powers
  • Passage
  • Passenger
  • Psyche

2

The 2 powers of labor are?

  • uterine contractions
  • maternal pushing

3

cervical effacement is expressed as ?

percentage of its original length

4

the amount of cervical dilation is expressed in ?

Centimeters

5

The nurse should promptly report contraction duration longer than?

  • 90 seconds or intervals shorter than 60 seconds and frequency closer than 2 minutes.

6

Why should the nurse report long lasting, short interval timed contractions?

  • placenta doesnt get enough oxygen carrying blood, when the uterus is tightly contracted. (fetal oxygen supply)

7

2 reasons why the sutures and fontanelles of fetal head are important in the birthing process?

 

  • allows for shaping, accomodation to size and shape of maternal pelvis.
  • Provides landmarks to determine how the fetus is oriented within the mothers pelvis.

8

RSA

Right sacrum anterior- breech

9

LMT

Left mentum transverse- face presentation

10

ROA

Right occiput anterior-most common

11

LOP

Left occiout posterior- back labor

12

key difference between real and false labor

change in cervical effacemant/dilation

13

3 phases of 1st stage of labor

  • Latent- 1-4 cm 4-6 hours
  • Active- 4-7 cm and effacement 2-6 hours
  • Transition- 7-10 cm complete effacement 2-6 hours

14

Typical maternal behaviours during 1st stage of labor

  • Latent- cooperative, alert, talkative, welcomes diversions, frequent urination, thirst.
  • Active- apprehensive, anxious, introverted, less social, focused on breathing, prespires, flushing, wants pain relief.
  • Transition- irritable, rejects support person, introverted, wants to give up, restless, leg tremors, fears losing control, want pain relief.

15

Typical maternal behaviours durng 2nd stage of labor

  • Bulging perineum
  • passage of stool
  • spontaneoud pushing or urge
  • states baby is coming
  • exausted

16

Third stage bmaternal behaviours

  • Elation
  • Relief
  • tremors
  • increased energy
  • curious about baby
  • desires to nurse baby
  • minimal pain with placental expulsion

17

Fourth thage maternal behaviours

  • time for parents and new baby to get aquainted
  • mother nurses baby

18

Nornal fetal heart rate

  • 110-120
  • 150-160

19

Characteristics of abnormal amniotic fluid

  • cloudy yellow fluid-infection
  • strong odor-infection
  • meconium-possible meconium aspiration for baby

20

Assessments reportable to MD by nurse

  • temp: 110.4>
  • blood pressure: 140/90 > or <90 for systolic
  • FHR: outside of 110-120/150-160

21

Baseline Fetal HR of 125 during labor is?

Normal for term fetus

22

When assessing duration of contraction by palpation, it is time by?

bef=ginning of one contraction, to the end of the same contraction

23

during normal labor, contraction usually become?

more frequent and longer duration

24

when the fetus is cephalic in presentation, the amniotic fluid is expected to be?

clear

25

The thinning of the cervix during labor is called?

Effacement

26

Fetal descent during labor is measured in relation to the mothers?

Ischial spines

27

When the placenta is delivered with the fetal side presenting, its called?

Schultze

28

A nurse should learn to evaluate the progress of labor by methods other than vaginal examination, primarily because vaginal examination increases?

risk of infection

29

whicj=h maternal position should be avoided during labor?

supine

30

VBAC should be observed during labor, particularily for signs of ?

uterine rupture