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27 Cards in this Set
- Front
- Back
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why do we place an external tocometer when a patient enters labor? |
to measure FHR and look at frequency of contractions |
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what is a normal fetal heart rate? |
110 to 160 |
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what is a normal acceleration? |
if the HR goes above baseline of 15 bpm for at least 15 to 20 seconds |
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What does an early deceleration mean? |
head compression
nothing to do here really |
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What about variable decels? |
umbilical cord compression- shows no relation to contractions really |
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Late decels? |
fetal hypoxia
this is the most serious and dangerous. shows a clear decrease in HR after the contraction has peaked and then the HR never normalizes until the contraction is complete |
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What is lightening? |
it's the fetal descent into the pelvic brim |
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What are Braxton hicks? |
benign random contractions with no cervical dilation
become more frequent toward the end of pregnancy |
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what is a bloody show? |
sign of cervical effacement
blood tinged mucous from the vagina |
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so there are these annoying stages of labor to |
remember to |
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What is Stage 1? |
onset of labor to full dilation of cervix |
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What is the latent phase? |
it's a subset of stage 1: onset of labor to 4 cm dilation |
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active phase? |
another subset of stage 1: 4 cm dilated--> full dilation |
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What is Stage 2? |
full dilation--> delivery of the neonate |
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Stage 3? |
delivery--> delivery of placenta |
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What is the difference between primipara and multipara mothers? |
multipara mothers have much shorter stages of labor |
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What is the station? |
this where the fetal head is located in relation the pelvic brim |
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When does the mother push? |
during stage 2 when the cervix is fully dilated |
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all the different steps in delivery may or |
may not be important |
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What is the order? |
EDFIEEDD |
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engagement is |
when the fetal head enters the pelvis occiput first |
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descent is |
uterine contractions combined with maternal pushing |
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flexion |
is when the fetus flexes the neck back |
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internal rotation |
fetus's head reaches the ischial spine and they rotate |
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whatever it's on pg 473 |
ok |
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When should we repair lacs? |
during stage 3 when awaiting placental delivery |
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steps for induction |
PGE2 is used for cervical ripening
Oxytocin exaggerates uterine contractions
amniotomy- have to look for a prolapsed umbilical cord before doing this |
