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26 Cards in this Set
- Front
- Back
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List 3 beneficial reasons to artificially rupture the membranes. (AROM) |
1. Stimulating labor/ Contractions 2. Facilitating fetal descent 3. If baby is born in the caul |
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How effective is AROM? |
Not very effective |
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List 4 potential risks of performaning of amniotomy. (AROM) |
1. Cord prolapse 2. Cord compression 3. Baby's head/molding and caput 4. Increased risk of infection
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List 2 comfort measures for emotional and physical support in the Early Phase of First Stage? |
Hip circles Heat Sleep Warm bath ( if no ROM) Eating and drinking Massage Use of the ball
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2 comfort measures for emotional and physical support for the active phase of the First Stage? |
Visualization Hip and sacral pressure Hot and cold fan music sounds shower/tub walking slow dancing privacy and intimacy with partner |
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List 6 things that are often found in a typical house that can assist with the normal progress of labor. |
Food and drink pillows and chairs toilet Ball Showers and tubs Oils Lighting Family Temp of room
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List some ways to keep things normal at a birth |
Be calm and be normal Make sure support people are ok Making sure she is voiding/ drinking Be present Keep the space safe "Bouncer" Climate control, smells and temp Encourage change in positons cover the clocks Reinforce " that she is doing great" / she is safe Remind her to relax |
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When would you want to intervene in a labor? |
If a women is crying, can't find her rhythm, she has panic, fear, yelling, seems to be in more pain, holding.
eye contact Belief she can do it Remind her of her baby Change the lighting Time and intimacy with partner |
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What are 5 beneficial effects do maternal positions and position changes have upon labor? |
Alignment of the pelvis, resulting shape and cavity frequency, length and efficiency of ctx Drive angle Effect of gravity Oxygen supply to the baby
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What two positions are best for ctx intensity and efficiency is the greatest during the 1st stage of labor? |
Standing positions and side lying |
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Which positions compromises maternal cardiac output? |
Supine positions decreases blood flow and compresses the vena cava. It decreases oxygen flow |
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What are some principle for position changes in labor? |
Squatting Lunging Stairs Hands and Knees, this increases oxygen to baby because it takes the pressure off the vena cava. Dancing Upright forward tilting pelvis upright and mobilizes the sacrum Loosens the pelvis |
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What is the positon shown to have the greatest ability to reduce the length of the 2nd stage of labor? |
Up right positions, Due to the help of gravity |
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What are the risks to mothers who birth or sit for longer periods of time in a chair on a birth stool? |
Increase of a hemorrhage Increase in hemrroids Lacerations from blood loss Decrease in circulation due to pooling of blood.
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What position is proven to be most beneficial to babies during 2nd stage ? |
up right |
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What are some ways orgasm can help start or increase labor? |
Orgasm releases oxytocin Nipple stimulation increases the release of oxytocin |
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Motherwort (Leonarus Cardiaca) |
Nervous and after pains |
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St. John's wort ( hypericum perfolatum)
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Nervousness
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Skullcap ( Scuttellaria laterifolia) |
Tension |
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What are 3 herbs you can use in early labor? |
Motherwort St. John's Wort Skullcap
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Blue cohosh |
Strengthens ctx, 1/2 dropped q 30 mins every 2 hours
Cautions: Lower BP, Increase FHT's, Not good for heart disease client's |
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Black cohosh |
Strengthens ctx, 1/2 dropper q 30 mins every 2 hours
Cautions: Lowers BP, Increases FHT's, can cause chest pain and hyperglycemia |
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Cotton root bark |
Increase ctx, 15gtt, 1/2 dropped q 30 min every 2 hours
Caution: unknown |
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Birthroot/ Bethroot |
Starts and strengthens ctx, helps exhaustion, 15-20 gtt/ PRN
Caution: Increases circulation to the uterus, increases postpartum hemorrhage |
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List 5 advantages of giving an enema? |
1. Alternative to an IV for hydration or nurtition (vomiting in labor) 2. Hydration 3. Administering herbs 4. Stimulates ctx 5. Removes fecal matter/ make more room |
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List 5 possible disadvantages of giving an enema. |
Uncomfortable rectal irritation Baby' head is not engaged Allergies, anaphylactic shock |
