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43 Cards in this Set
- Front
- Back
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What does oxytocin do?
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It stimulates uterine contractions.
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What does estrogen do during labor?
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It stimulates the smooth muscle of the uterus to contract.
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What does fetal cortisol do during labor?
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It decreases the relaxation effect of progesterone on uterus.
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What does prostaglandins do during labor?
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It stimulates smooth muscle contractions.
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What is the only way to know if labor is false or true?
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It is true labor if the cervix has begun to efface and dilate.
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What is the purpose of Leopold's maneuver?
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The evaluate the maternal abdomen.
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What is the fetal lie?
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The relationship of the fetal spine to the maternal spine.
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What is the presentation?
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The part of the fetus entering the pelvis.
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What are the 4 cephalic presentations?
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1.Vertex
2.Military 3.Brow 4.Face |
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What is a breech presentation?
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When the head is not leading the escape.
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What are the 3 breech positions?
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1.Frank
2.Complete 3.Footling |
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In a fetopelvic relationship what is position?
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The relationship of the fetal presenting part to the front, back or side of mom's pelvis.
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In a fetopelvic relationship, what is station?
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The depth of the presenting part in mom's pelvis.
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How do you assess uterine contractions?
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*Duration
*Frequency *Intensity |
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At what point is the FHR considered severely tachychardia?
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>180/min.
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What can cause tachycardia in a fetus?
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*Low O2 to fetus
*Fetal infections *Fetal anemia *Maternal fear/anxiety |
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What are some nursing interventions for tachycardia?
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*Administer O2
*Give fluid flush *Change position *Observer/monitor |
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What is considered severe bradycardia?
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<70/min.
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What causes bradycardia?
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*Hypoxia
*Cord compression *Arrhythmias |
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What are some nursing interventions for bradycardia?
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*Turn woman on her left side
*Apply O2 *Call for assistance |
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In FHR monitoring of the baseline variability, what is short term variability?
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The beat to beat change in the FHR.
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How is short term variability classified?
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Present or absent.
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In FHR monitoring of the baseline variability, what is long term variability?
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Rhythmic fluctuations of the FHR tracing.
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How is long term variability classified?
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Absent, minimal, moderate, marked.
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What is the cause of earl decelerations of the FHR?
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Head compression.
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What causes late decelerations of FHR?
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Uteroplacental insufficiency.
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What are some nursing interventions for late decelerations?
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*Apply O2
*Turn on left side *Call MD *IV fluids *Prep for assisted delivery |
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What is the cause for variable decelerations?
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Umbilical cord compression.
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What are the mechanisms of labor?
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*Descent
*Flexion *Internal rotation *Extension *Restitution *External rotation *Expulsion |
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What is efacement?
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The thinning of the cervical canal.
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What is dilation?
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Opening of the cervix.
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What are the 3 stages of the first phase of labor?
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1.Latent
2.Active 3.Transition |
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How long does the latent stage last?
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6-12 hours.
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How far is the dilation at the active stage?
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4-8 cm.
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What are some nursing responsibilities during the active stage?
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*Vital signs and FHT q hour
*Time contractions *Comfort measures *Periodic vaginal exams *Do not position on back |
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Where is dilation at the transitional phase?
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8-10 cm.
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What are some nursing responsibilities during the transitional phase?
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*Vital signs q hr
*FHT q 5-10 min *Time contractions *Anticipate n/v |
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What is the second stage of labor?
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The delivery of the baby.
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What are some nursing responsibilities during the second stage of labor?
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*BP and pulse q 15 min
*Temp q hr *FHT every contraction *Check for bladder distention |
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What happens during the thrid stage of labor?
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Delivery of the placenta.
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What are some nursing responsibilities during the thrid stage of labor?
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*Note time of birth
*Dry, stimulate, suction newborn *1 & 5 min apgars *Place ID bands *Cord blood obtained *Give baby to parents |
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How long does the 4th stage of labor last?
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From delivery until mom's vs are stable for 1-4 hours.
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What are some medications for PPH?
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*Pitocin
*Methergine *Cytotec *Hemabate |
