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15 Cards in this Set
- Front
- Back
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What important history should be obtained? |
gravidity, parity, length of gestation, estimated date of delivery, prior C-sections/complications, prenatal care, maternal medical history, and any indication of “High-Risk” classification by physician. |
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What is "gravida" |
the number of times the mother has "got pregnant" |
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What is "para" |
the number of lives births, how many the children the mother has "popped out"
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how are contractions measured? |
Measure contractions from the beginning of one to the beginning of the next |
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What history should be obtained about the current birthing process? |
Assess for presence of contractions, length of time between contractions, presence/absence of membrane rupture, and presence/absence of vaginal bleeding. |
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when should the perineum be inspected? |
Visual inspection of perineum is mandatory if contractions are present and regular in an obviously pregnant female to determine if delivery is imminent (i.e. crowning). |
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What is a prolapsed cord? |
Umbilical cord prolapse occurs when the umbilical cord comes out of the uterus with or before the presenting part of the fetus |
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How should a prolapsed cord patient be positioned? |
* Elevate patient’s hips, place in shock or knee-chest position in order to relieve pressure on the cord.
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How should the prolapsed cord be handled? |
Elevate the presenting part to relieve pressure on the cord. Do not attempt to reposition the cord. |
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Should a patient with a prolapsed cord be prompted to push? |
NO, Coach patient to breathe through contractions and NOT push |
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What is a breech presentation |
fetus with the buttocks or feet closest to the cervix. |
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How should the patient with breech presentation be transported? |
Breech Presentation * Place patient in knee-chest position* Expedite transport |
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How should the baby which fails to deliver fully be treated? |
* Hyperflex hips, apply mild suprapubic pressure
* Trial push with patient in all 4’s position * If not delivered in 1-2 min with above, Expedite transport to closest OB receiving hospital. |
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What medications should be delivered to the laboring mother? |
Initiate IV 0.9% Sodium Chloride (KVO). If systolic blood pressure is less than 100, administer 250 mL bolus and titrate to patient's hemodynamic status. |
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Should digital exams be preformed? |
Yes, but Digital vaginal exams are NOT to be performed unless providing a critical intervention during the birthing process as listed above. |
