Lowdermilk And Perry Final Review - Nur313 (2)

Front 1

Abruptio Placentae

Back 1

Detachment of part or all or all of the placenta from its implantation site. PAINFUL bleeding. Hypertonus (firm abdomen that does not relax and stay tight) may be present.
Can be associated with: Gestational HTN, previous abruption, trauma, cocaine.

Front 2

TORCH

Back 2

T: toxoplasmosis - multisystem disease caused by protozoan toxoplasma
O: other - gonorrhea, sysphilis, varicella, Hep B, HIV
R: Rubella
C: Cytomegalovirus
H: Herpes simplex virus

Front 3

Nuclear family

Back 3

Male and female partners and their children live as an independent unit, sharing roles, responsibilities, and economic resources.

Front 4

Extended family

Back 4

Families that have other relatives, such as grandparents, aunts or uncles, or other blood relatives living in the same house.

Front 5

Married-blended family

Back 5

families formed as a result of divorce and remarriage who join together to create a new household.

Front 6

Cohabitating-parent family

Back 6

children live with two unmarried biologic parents or two adoptive parents.

Front 7

Single-parent family

Back 7

comprise an unmarried biological or adoptive parent who may or may not be living with other adults.

Front 8

5 P's of Labor and Delivery

Back 8

Passenger: Baby; determined by size of the fetal head, fetal presentation, fetal lie, fetal attitude and fetal presentation
Passageway: Birth canal; composed of bony pelvis, cerix, pelvic floor, vagina and introitus.
Powers: primary and secondary
Position
Psychological

Front 9

Fetal Presentation

Back 9

part of the fetus that enters the pelvic inlet first and leads throught the birth canal during labor. Cephalic, breech, and shoulder.

Front 10

Fetal Lie

Back 10

relation of the long axis (spine) of the fetus to the long axis (spine) of the mother.

Front 11

Fetal Attitude

Back 11

relation of the fetal body parts to each other.
General flexion is the norm.

Front 12

Fetal Position

Back 12

relation of the presenting part to the four quadrants of the mother's pelvis.
Denoted by three part abbreviation.

Front 13

Fetal Station

Back 13

relation of the presenting part of the fetus to an imaginary line drawn between the maternal ischial spines and is a measure of the degree of descent of the presenting part through the birth canal.

Front 14

Engagement

Back 14

indication that the largest diameter of the presenting part has passed through the maternal pelvis (0 station)

Front 15

4 basic types of pelvis'

Back 15

Gynecoid: classic female type
Android: resembles the male pelvis
Anthropoid: resembles the pelvis of anthropoid apes
Platypelloid: flat pelvis

Front 16

Primary powers

Back 16

involuntary uterine contractions. Responsible for effacement and dilation of the cervix.

Front 17

Secondary powers

Back 17

bearing down efforts that aid in expulsion of the fetus as the diaphragm is contracted.

Front 18

True labor

Back 18

Contractions occur regularly and become more intense with walking; usually felt in the lower back and radiating to lower abdomen.
Cervix show progressive change and moves to an increasingly anterior position.
Presenting part usually becomes engaged in the pelvis. Lightening.

Front 19

False labor

Back 19

Contractions occur irregularly and often stop with ambulation or position change. Can be felt in back or abdomen above the navel.
Cervix may be soft but no significant change in dilation or effacement.
Presenting part usually not engaged in the pelvis.

Front 20

Stage 1: Latent

Back 20

0-3cm dilation
100% effacement
Contractions q 5-30min
Lasts an average of 8-9hrs

Front 21

Stage 1: Active

Back 21

4-7cm dilation
contractions q 2-3min
change position frequently
empty bladder frequently

Front 22

Stage 1: Transition

Back 22

8-10cm dilation
contractions q 2-3min
urge to push
trembling
N/V

Front 23

Stage 2

Back 23

Latent: resting, 'laboring down'
Active: pushing, 'spontaneous/purple pushing'
Transition: delivery

Front 24

Stage 3

Back 24

Delivery of the placenta. Lasts from 5min-1hr.

Front 25

Stage 4

Back 25

Return of body to homeostasis. Parent-infant bonding begins.

Front 26

When are induction warranted?

Back 26

post term (>42 wks), scheduling, timing, convenience, Gestational HTN, diabetes, etc.

Front 27

Bishops score

Back 27

Rating system to evaluate induciility fo the cervix; a higher score increases the rate of successful induction of labor.

Front 28

Gate Control Theory

Back 28

According to this theory, pain sensations travel along sensory nerve pathways to the brain, but only a limited number of sensations, or messages, can travel through these nerve pathways at one time. Using distraction techniques such as massage or stroking, nusic, focal points, and imagery reduce or completely block the capacity of nerve pathways to transmit pain.