• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/74

Click to flip

74 Cards in this Set

  • Front
  • Back
Theories on the onset of labor

1
Estrogen/v Progesterone
Oxytocin
Prostaglandins
Uterine Distension
Relaxin
Fetal Cortisol
Higher oxytocin

2
contraction, cervical efacement
Highter Prostaglandins

3
Vasodilator (potent) smooth muscle contractility
Uterine Distension

4
Irritable/contraction causes cervical pressure
Lower Relaxin

5
Relaxes intervertebral joints and higher contracting
Fetal Cortisol

6
For fetal long surity
Passage

7
Maternal pelvis and soft tissue that the baby must pass through
True Pelvis


8
Pelvic inlet/mid pelvis/pelvic outlet
False Pelvis


9
Supports weight/directs presenting part into true pelvis
Pelvis Type

10
Gynecoid: Common NSVD
Android: Heart Shape
Platypelliod: C-section 20%
Anthropoid: Common OP position/NSVD
Gynecoid:Common NSVD

11
50% of women, common for vaginal delivery
Android: Heart Shape

12
Men have vacume or forceps to help with delivery
Anthropoid: Common OP positino/NSVD

13
5% baby spine is same position with mom spine
Station

14
-3
-2
-1
0
+1
+2
+3
Once Head reaches 0 the head is in pelvic inlet. Engagment to pelvic brim. 0 is the ischial spine of pelvis
Fetal Head

15
Largest Part
Fetal Attitude

16
State of flexion knees to chest
Normal state of flexion of arms legs and neck = knee to chest
Fetal Lie

17
Vertex/breech/transverse
Transverse

18
Baby lies horizontal in uterus- no vaginal delivery
Vertex

19
Head is first (cephalic)
Breech

20
Butt is first
Fetal Presentation

21
What part of fetus enters the pelvis
What examiner feels first
Fetal Posistion

22
Fetal presenting part to the maternal pelvis (three letter notation)
Fetal Position 3 Letters

23
1. Baby spine on right or left side
2. Fetus presenting part 0-oxyput head M-mentum chin S-sacrum SC-scapula
3. Land mark of presenting part of the front or back side of pelvis to babys back.
EX: LOT= left side, head down, transverse to mother pelvis.
Frequency

24
begining of one contractino to the begining of the next contraction
Duration

25
The length of the contraction
Intestity

26
Strenght of contraction at acme 100 highest
Effacement

27
Thinning and shortening of cervix measured from 0-100%
Dilation

28
Opening of the cervix/measured from 0-10cm
Primary forces

29
Involuntary contractions
Secondary forces

30
Voluntary use of abdominal muscles
Time Contractions

31
Second or min duration from beginging to end lasting how long.
Common emotions during the L&D process

32
Excitement
Fear
Perceived loss of control
Anxiety
Support system, trust person at bedside.
Increase BP, Increase Pulse.
External Monitoring

33
Ultra sound
transducer
Tocodynamomoeter
Computer assisted auditory and visual
Try to know fetal well being, fetal heartones
Internal montering

34
FSE-Fetal Scalp Electrode
IUPC- Intrauterine Pressure Catheter
If laboring for to long, deceleration more acurate fetal heart tones. Contraction , no on soft spot, Dialate 2 cm intrafuterine.
Long term variablity

35
Rhythmic fluctuations in H/R occuring 2-6 times per minutes 6-25 bpm
Short Term Variablility

36
Change in H/R between one fetal heart beat and the next 2-3 bpm
Tachycardia

37
160 bpm
Bradycardia

38
120 bpm
Acceleration

39
Increase FHR
Deceleration

40
Decrease FHR
Early

41
Begins at onset of ctx and returns to baseline by end of contraction
Variable

42
Occurs suddenly, varies in duration and intensity, resolves abruptly
Late

43
Begins with or after the acme of the contraction and does not return to baseline until after contraction is over
First stage

44
Dilation of cervix
Phase 1- latent, 0-3cm
Phase 2- Active, 4-7cm, give meds here.
Phase 3- Transition, 8-10cm, if give meds here, could have resp distress.
Second Stage

45
Complete dilation of cervix, delivery of fetus
Starts to push
Third Stage

46
Birth of newborn to delivery of placenta
Delivery of placenta
Forth Stage

47
Immediate recovery phase
postpartum 1-4 hours after delivery
Cervical Change

48
0-100%
ROM

49
Rupture of Membrane- Intact, bulging, artifical rupture or spontaneous
Bloody Show

50
Absence of baginal exam, slight show, mucous with streaks of blood.
Contractions

51
true contract start from lower back, radiate to front of abdomen.
Lightening

52
Dropping of graivida uterus into pelvis
Nesting Instinct

53
Burst of energy to due things, usually 24 hours before labor. Increase back discomfort thinks got flu.
Second Stage of Labor

54
Complete Dilation- Birth of Infant
Crowning- Outward bulging and thinning of perineum
Full bladder- straight cath her if cant go on own decent of fetal head.
Cardinal Movements

55
Adaption that the fetus has to do to manuever through pelvis during birth.
Engagement
Descent
Flexion
Internal Rotation
Extension
Restitution
External Rotation
Expulsion
Third Stage of Labor

56
Birth of newborn to delivery of the placenta.
B/P
Pulse
RR every 5 min.
Assess fundus for tone, for contractin pattern. Cant be boggy massage it. Need empty bladder.
Episotomy

57
Cut a bit so baby come out.
Midline

58
Less blood loss less painful. Heals quicker .
Medial lateral

59
4-5 cm bigger, turn oblique towards buttock. Get more room. More painful, more blood loss, longer to heal.
Forth Stage

60
From delivery of placenta to 1-4 hours after birth
Vital Signs

61
Every 15 min 1st hour
Every 30 min 2nd hour
Every hour for 4 hours
Fundus Check

62
1-2 fingers below umbilicus for every postpartum day.
Involution process takes to get to normal. Time 2 weeks uterus is back to prepreg state. Uterus cant be felt back in pubic.
Massage uterus to bring back. 1-2 finger breaths eery day, postpartum, midline firm, write 2FB lower u firm, midline.
Lochia Check

63
Red-Rubra-1st 48 hours. 1-2 days. Lot of blood, al in pad, take care 3-4 hours when take care of baby, take care of self. Pad dry, cahnge pad.
3-4 day it is serousa-pink
Up to 3-6 weeks Alba yellowish to white
Perineum Incsision check

64
Episiotomy, hemmhoids, sututures, ice, edema present give some ice.
Intake Output

65
Monitor
Emotional assessment

66
Family support.
Effleurage

67
Gentle stroking down middle of abdomen and around sides
Focal Point
Lamaze breathing techniques
Comfort suggestion for labor

68
Position change
Cool or warm washcloths
Therapeutic touch
Words of Encouragement
Lip Balm
Soft Music.
Ice Chips if allowed
Analgesics used in labor

69
Demerol, Statdol, Nubain
Angalgesic Side effects

70
Maternal Side effects- Respiratory depression
Fetal Side effects- Respiratory depression
Contraindications

71
Poor FHR, Maternal respiratory depression, known allergy
Nursing implications

72
Monitor Fertal Maternal Response
Administer narcan(anidote) reverse respiratory depression.
Anesthisa in labor

73
Epidural
Given first stage, Phase #2, Active labor 4-7cm
Advantage- Excellent pain relief redosing of medication, no neonatal respiratory depression. May provide few hours of postpartum relief
Disadvantage. Inserted by anesthsia, causes numbness to lower extremities, and little to no urge to push
Nursing interveention Monitory urinary output, retention.
Pitocin

74
Indication- Induce labor
Contraindication- CPD
Malpresentation (breech)
Fetal Distress
Preterm Infant
Side Effects- Fetal Hypoxia/abruption placenta/ hx. of rapid labor/ Uterine rupture.