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98 Cards in this Set

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NAME 5 TERMS USED WHEN REFERRING TO THE "CLIMAX" OF PREGNANCY.
LABOR & DELIVERY; INTRAPARTEM; ACCOUCHMENT; PARTUITION; CONFINEMENT
CONFINEMENT
WOMEN USED TO BE CONFINED TO BED DURING L&D.
WHY DID CONFINEMENT OF WOMEN DURING L&D CHANGE?
RISK FOR BLOOD CLOTS
WHAT DOES EDC STAND FOR?
ESTIMATED DATE OF CONFINEMENT
EXPECTED DELIVERY DATE
DOULA DEFINITION
SUPPORTIVE COMPANION, LABOR COACH, ADVOCATE FOR PT. DURING LABOR.
LABOR DEFINITION
RHYTHMIC UTERINE MUSCLE CONTRACTIONS THAT LEAD TO:
PROGRESSIVE EFFACEMENT (THINNING) AND DILITATION OF THE CERVIX; THE DECENT OF THE PRESENTING BABY PART; EVENTUAL EXPULSION OF THE BABY AND OTHER PRODUCTS OF CONCEPTION.
DELIVERY DEFINITION
OCCURS DURING THE 2ND STAGE OF LABOR AND IS THE ACTUAL BIRTH OF THE BABY.
HOW MANY STAGES OF LABOR ARE THERE?
4
WHAT IS STAGE 1? HOW MANY PHASES ARE THERE?
DILATATION PHASE; THERE ARE 3 PHASES
WHAT IS THE 1ST PHASE OF STAGE 1?
PHASE I: CERVIX 0-4 CM; SOMETIMES CALLED EARLY PHASE, LATENT PHASE; EFFACEMENT PHASE.
WHAT IS THE 2ND PHASE OF STAGE 1?
PHASE II: CERVIX 4-8 CM; ACTIVE PHASE OR DILATATION PHASE.
WHAT IS THE 3RD PHASE OF STAGE 1?
PHASE 3: CERVIX 8-10 SM. TRANSITION PHASE OR ACTIVE DECELERATION.
WHICH PHASE OF STAGE 1 OF L&D IS THE LONGEST?
WHICH HAS THE STRONGEST CONTRACTIONS LASTING THE LONGEST AND IS THE MOST EFFECTIVE PHASE?
LONGEST - PHASE 1
STRONGEST - PHASE 3
WHAT IS STAGE II OF L&D?
EXPULSION STAGE: STAGE OF DELIVERY OF BABY. BEGINS WHEN CERVIX IS 10 CM AND ENDS WITH BIRTH OF BABY.
WHAT IS STAGE III OF L&D?
PLACENTAL STAGE; FROM BIRTH OF BABY THROUGH DELIVERY OF PLACENTA. BEGINS AFTER BIRTH OF BABY AND ENDS WITH DELIVERY OF PLACENTA
WHAT IS STAGE IV OF L&D?
RECOVERY STAGE: IST HOUR AFTER DELIVERY OF PLACENTA OR UNTIL MOTHER IS PHYSIOLOGICALLY SAFE; ENDS WHEN SHE IS STABLE.
WHAT IS A PRIMIP (PRIMIPARA)AND WHAT IS THE AVERAGE TIME LENGTH OF L&D?
1ST BABY
13-14 HOURS
SECUNDA?
A WOMAN HAVING HER 2ND BABY.
MULTIP?(MULTIPARA)
A WOMAN HAVING HER 3RD OR GREATER BABY.
ELDERLY GRAVIDA
OVER AGE 35; MORE CAREFUL, EXTRA TESTS
AT TERM
GESTATIONAL AGE FROM 37-42 WEEKS
PREMATURE
FROM THE PERIOD OF VIABILITY TO 37 WEEKS.
ABORTION
REFERRING TO SPONTANEOUS MISCARRIAGE. BEFORE 20 WEEKS GESTATION. AFTER 20 WEEEKS - STILLBORN, PREEMIE
POSTMATURE
42 WEEKS AND GREATER.
AGA
AVERAGE FOR GESTATIONAL AGE OF THAT BABY, NOT NECESSARILY FULL TERM
SGA
SMALL FOR GESTATIONAL AGE OF THAT BABY. POSSIBLE CAUSES: MOM SMOKED, SMALL PARENTS, POOR NUTRITION.
LGA
LARGE FOR GESTATIONAL AGE OF THAT BABY. POSSIBLE CAUSES: DIABETES, LARGE PARENTS.
ATTITUDE
THE RELATIONSHIP OF FETAL PARTS TO FETAL PARTS. FLEXION AND EXTENSION IS HOW YOU ACCOMPLISH ATTITUDE.
LIE
THE RELATIONSHIP OF THE LONG AXIS (SPINE) OF THE FETUS TO THE LONG AXIS OF MOTHER.
LONGITUDINAL LIE
CONSIDERED NORMAL- 99% LONG AXIS OF FETUS SAME DIRECTION AS MOTHER'S.
TRANSVERSE LIE
CONSIDERED ABNORMAL - BABY WILL NOT DELIVER AS IS. MOTHER IS PERPENDICULAR TO BABY (BABY SIDEWAYS)
PRESENTATION
THE PART OF THE FETUS WHICH IS LOWERMOST, WHICH CAN BE FELT BY VAGINAL EXAM.
WHAT ARE THE 3 PRESENTATIONS?
CEPHALIC: HEAD IS LOWERMOST - NORMAL, 95%.
BREECH: BUTTOCKS ARE LOWERMOST - 3-4%
SHOULDER: PRESENTS WITH TRANSVERSE LIE - 1%
WHAT DETERMINES THE CEPHALIC ATTITUDES?
THE DEGREE OF FLEXION OR EXTENSION OF THE HEAD
WHAT ARE THE CEPHALIC ATTITUDES?
VERTEX - 95%
FACE - 5%
BROW - WILL NOT DELIVER AS IS
BREECH ATTITUDES
3.5%
FULL OR COMPLETE BREECH: HIPS AND KNEES FLEXED LIKE AN INDIAN.
INCOMPLETE OR FOOTING: ONE OR BOTH (FOOT AND LEG) DROPS DOWN. SINGLE OR DOUBLE FOOTING.
FRANK BREECH: HIPS FLEXED AND LEGS EXTENDED TO SHOULDERS.
POINT OF REFERENCE:
AN ARBITRARY PLACE ON THE PRESENTING PART USED TO DETERMINE POSITION. EACH ATTITUDE HAS A POR.
CEPHALIC PRESENTATION
VERTEX - WITH POINT OF REFERENCE - OCCIPUT:BABY'S HEAD FLEXED TO CHEST
FACE - WITH POINT OF REFERENCE - MENTUM: HYPEREXTENSION, WOULD FEEL FACE.
BROW - NO FLEXION OR EXTENSION. WILL NOT DELIVER VAGINALLY UNLESS PUSHED FACE OR VERTEX
WHAT ARE THE POSSIBLE ATTITUDES AND POINT OF REFERENCES WITH A BREECH PRESENTATION
COMPLETE - FULL
INCOMPLETE
FRANK
POINT OF REFERENCE FOR ALL 3 IS SACRUM
wHAT IS THE ATTITUDE AND POINT OF REFERENCE FOR A SHOULDER PRESENTATION?
SCAPULA - Sc - OLD METHOD
ACROMION PROCESS - A - NEW METHOD
WHAT ARE THE 3 PRESENTATION POSSIBILITIES?
CEPHALIC
BREECH
SHOULDER
WHAT ARE THE POSSIBLE ATTITUDES?
VERTEX, BROW, FACE, COMPLETE, INCOMPLETE, FRANK
WHAT ARE THE POINT OF REFERENCE POSSIBILITIES?
OCCIPUT, MENTUM, SACRUM, SCAPULA, ACROMION PROCESS
WHICH ATTITUDE WILL NOT DELIVER VAGINALLY?
BROW
WHICH BREECH PRESENTATION IS THE SAFEST TO DELIVER? LEAST SAFE?
SAFEST - FRANK
LEAST SAFE - INCOMPLETE - 1 LEG UP ONE LEG DOWN.
POSITION
THE RELATIONSHIP OF THE POINT OF REFERENCE OF THE PRESENTING PART TO THE FOUR QUADRANTS OF THE MATERNAL PELVIS.
LIGHTENING
THE DESCENT DOWNWARD AND FORWARD OF THE UTERUS. - "THE BABT HAS DROPPED?
ENGAGEMENT
WHEN THE LARGEST TRANSVERSE DIAMETER OF THE FETAL HEAD (BIPARIETAL DIAMETER) HAS DESCENDED INTO THE TRUE PELVIS OR IS AT THE LEVEL OF LINEA TERMINALUS
WHEN DOES ENGAGEMENT USUALLY OCCUR IN THE PRIMIPARA? MULTIPARA?
PRIMIPARA - OFTEN 2 WEEKS BEFORE LABOR
MULTIPARA - COMMON DURING LABOR
STATION
A MEASURE OF DESCENT OF THE LOWERMOST PART OF THE FETUS IN RELATION TO THE ISCHIAL SPINES - ALSO AN ESTIMATE OF ENGAGEMENT
ZERO STATION
AT THE LEVEL OF THE ISCHIAL SPINES
MINUS STATIONS
ABOVE THE SPINES
PLUS STATIONS
BELOW THE SPINES
STATIONS ARE MEASURED IN
CENTIMETERS
-1 STATION
PRESENTING PART IS MOVEABLE
-2 STATION
BOBBING OR DIPPING
-3 STATION
FLOATING
0 STATION
AT THE LEVEL OF SPINES
+4 STATION
ON THE PERINEUM - ON THE PELVIC FLOOR, BUT CAN'T SEE FROM OUTSIDE WHEN NOT PUSHING
+5 STATION
CROWNING - YOU CAN SEE IT BETWEEN CONTRACTIONS
EFFACEMENT
PROCESS IN WHICH THE CERVICAL CANAL IS PROGRESSIVELY SHORTENED AND THINNED UNTIL IT BECOMES A PART OF LOWER UTERINE SEGMENT.
WHEN DOES EFFACEMENT OCCUR IN THE PRIMIP? MULTIP?
PRIMIP - EFFACEMENT PRECEDES DILATATION
MULTIPS - EFFACE AND DILATE AT SAME TIME.
STATIONS ARE MEASURED IN
CENTIMETERS
-1 STATION
PRESENTING PART IS MOVEABLE
-2 STATION
BOBBING OR DIPPING
-3 STATION
FLOATING
0 STATION
AT THE LEVEL OF SPINES
+4 STATION
ON THE PERINEUM - ON THE PELVIC FLOOR, BUT CAN'T SEE FROM OUTSIDE WHEN NOT PUSHING
+5 STATION
CROWNING - YOU CAN SEE IT BETWEEN CONTRACTIONS
EFFACEMENT
PROCESS IN WHICH THE CERVICAL CANAL IS PROGRESSIVELY SHORTENED AND THINNED UNTIL IT BECOMES A PART OF LOWER UTERINE SEGMENT.
WHEN DOES EFFACEMENT OCCUR IN THE PRIMIP? MULTIP?
PRIMIP - EFFACEMENT PRECEDES DILATATION
MULTIPS - EFFACE AND DILATE AT SAME TIME.
DILATATION
PROCESS BY WHICH THE EXTERNAL OS OF CERVIX ENLARGES FROM APPROX 0-10CM (COMPLETE DILATATION)
WHAT FACTORS AFFECT THE RATE OF DILATATION
UTERINE CONTRACTIONS, PRESENTING PARTS (AREA OF HEAD-VERTEX IS BEST FORCE), AMNIOTIC FLUID-FOREWATER - HYDROSTATIC PRESSURE WITH INTACT MEMBRANES ACTING AS DILATOR.
AMNIOTOMY
ARTIFICIAL RUPTURE OF MEMBRABANES
WHAT ARE NURSES RESPONSIBILITY REGARDING AMNIOTOMY?
RECORD FHR BEFORE & AFTER PROCEDURE; RECORD AMT AND COLOR OF FLUID; RECORD PROCEDURE TIME;ASSESS FOR PROLAPSED CORD; ASSESS FOR PROGRESS OF LABOR.
WHAT ARE SOME POSSIBLE COLORS OF THE AMNIOTIC FLUID AND THE CAUSES?
SLIGHTLY YELLOW-MECONIUM: HYPOXIA CAUSES ANAL SPHINCTER TO RELAX. WINE COLOR-BLOOD;COCA COLA COLOR -FETAL DEMISE. WATCH FOR PROLAPSED CORD. CAN BE OVERT - OUT OF VAGINA OR COMPRESSED WITH CONTRACTIONS
RIPE CERVIX
SOFT, SHORT, MOVES TO ANTERIOR POSITION (READY FOR LABOR)
GREEN CERVIX
LONG, FIRM AND POSTERIOR
STRIP THE MEMBRANES
PULL THE MEMBRANE AWAY FROM CERVIX-CAUSES CHANGE-PERSON WILL GO INTO LABOR WITHIN 48 HOURS.
BOW
BAG OF WATER (AMNIOTIC FLUID), MEMBRANES - RUPTURED OR INTACT?
PROM
PREMATURE RUPTURE OF MEMBRANES
PROLONGED RUPTURE OF MEMBRANES LEADS TO WHAT RISK?
RUPTURED FOR 24 HOURS - INCREASED RISK FOR INFECTION.
WHAT ARE THE CHARACTERISTICS OF TRUE LABOR?
-PROGRESSIVE CERVICAL CHANGES
-CONTRACTIONS ARE REGULAR, GRADUALLY GET STRONGER, LAST LONGER, BECOME MORE FREQUENT
-DISCOMFORT BEGINS IN BACK AND RADIATES DOWN OVER BODY OF UTERUS
-WALKING USUALLY INCREASES FREQ. INTENSITY, AND DURATION
WHAT ARE THE CHARACTERISTICS OF FALSE LABOR?
-NO SIGNIFICANT CERVICAL CHANGES
-MIMIC REGULAR CONTRACTIONS BUT DO NOT GRADUALLY INCR. IN FREQ., INTENSITY, AND DURATION.
-DISCOMFORT IS USUALLY FELT IN LOWER ABDOMEN AND GROIN
-WALKING HAS NO EFFECT ON. MAY DECREASE CONTRACTIONS
CPD - CEPHALOPELVIC DISPROPORTION
DISPARITY IN SIZE BETWEEN THE BIRTH CANAL AND FETUS
FUNIS
UMBILICAL CORD
SHOW
BLOOD FROM THE RUPTURE OF TINY CAPILLARIES IN THE CERVIX AS IT DILATES
PRECIPITOUS - RAPID - DYSFUNCTIONAL
-LABOR LASTING 3 HOURS OR LESS
- MAY BE REFERRED TO AS PRECIPITOUS WHEN THERE IS NO PHYSICIAN IN ATTENDANCE OR PATIENT "PRECIPITATES" IN BED
SPONTANEOUS
OCCURRING NATURALLY, WITHOUT ASSISTANCE.
SVD
SPONTANEOUS VAGINAL DELIVERY WITHOUT FORCEPS.
SROM
SPONTANEOUS RUPTURE OF MEMBRANES
INDUCED
CAUSING OR INITIATING LABOR
STIMULATE OR AUGMENT
TO INCREASE THE RATE OF LABOR
ELECTED OR ELECTIVE
PERFORMED BY CHOICE. IS NOT ESSENTIAL -DECISION BETWEEN PT. AND DR.
DYSTOCIA
DIFFICULT AND/OR PROLONGED LABOR - 60-90 SECONDS CONTRACTIONS
TETANIC CONTRACTION
A CONTRACTION IN WHICH DURATION LASTS TWO MINUTES OR MORE - MORE RISK FOR BABY, MORE TIME WITHOUT O2
CROWNING
SIGHT OF THE PRESENTING PART AT THE VAGINAL ORIFICE BETWEEN CONTRACTIONS.
VBAC
VAGINAL BIRTH AFTER CESAREAN