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50 Cards in this Set
- Front
- Back
Presentation
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portion of the fetus that enters the pelvis first. It's determined by fetal lie and degree of flexion (attitude).
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Attitude
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relationship of the fetal body parts to one another
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Breech
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an example of presentation. portion of the fetus that enters the pelvis first.
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Fetal lie
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is the relationship of the long axis of the fetal spine to that of the mother
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wbc count during pregnancy
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11,000 to 15,000 mm3
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wbc during labor
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25,000 to 30,000 mm3
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hemoglobin
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11 to 13 g/dl
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therapeutic levels of mg sulfate
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4 to 8 mEq/L
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fetal posture
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attitude
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fetal position
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fetus presenting part ot the mother's pelvis
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Dinoprostone (Cerdidil)
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ripen the cervix
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prostagladin gel
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may be applied to vagina or cervix to repen an unfavorable cervix before labor induction with oxytocin pitocin
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percipitate labor
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lasts for 3 hrs and ends with delivery of neonate
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lightening
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fetal head descends into the brim of the pelvis late in pregnancy
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interval
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period between contractions. the uterus and placenta fill with bld and allow for exchange of o2, co2, and nutrients
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pt admitted to the unit in active labor. first nursing action...?
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listen to fetal heart tones
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amniotomy
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artificial ruptures of amniotic membranes
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list true labor difference from false labor
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-regular rhythmic contractions
-abd discomfort -progress descent of the fetus -bldy show -progressive effacement and dilation of the cervix |
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mechanics of delivery
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-engagement descent and flexion
-internal rotiation -extension -external rotation -restitution -explosion |
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betamethosone
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fetal lung maturity
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signs of preterm labor
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-menstrual like cramps
-dull backaches -suprapubic pain -pelvis pressure -change in amot or character of vaginal discharge -diarrhea |
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terbutaline
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smooth muscle relaxant-prevent preterm labor
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degree of fetal descent, engagement
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when the largest diameter of the presenting part has passed through the pelvic inlet.
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station –5 is at the
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pelvic inlet
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Before internal fetal monitoring can be performed
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cervix must be dilated at least 2 cm, the amniotic membranes must be ruptured, and the fetus’s presenting part (scalp or buttocks) must be at station –1 or lower
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A nonstress test is usually performed to assess fetal well-being in a pregnant patient with a
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prolonged pregnancy (42 weeks or more), diabetes, a history of poor pregnancy outcomes, or pregnancy-induced hypertension.
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Cutis marmorata
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mottling or purple discoloration of the skin. It’s a transient vasomotor response that occurs primarily in the arms and legs of infants who are exposed to cold
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The narrowest diameter of the pelvic inlet
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anteroposterior (diagonal conjugate).
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A true conjugate of 10.5 cm enables the fetal head (usually 10 cm) to pass.
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v
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Electronic fetal monitoring is used to assess fetal well-being during labor. If compromised fetal status is suspected,
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fetal blood pH may be evaluated by obtaining a scalp sample.
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After delivery, a multiparous woman is more susceptible to bleeding than a primiparous woman
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because her uterine muscles may be overstretched and may not contract efficiently.
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Neonates who are delivered by cesarean birth have a higher incidence of
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respiratory distress syndrome.
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postpartum patient who has gas pain and flatulence.
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ambulation
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The nurse should assess a breech-birth neonate for
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hydrocephalus, hematomas, fractures, and other anomalies caused by birth trauma.
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When a patient is admitted to the unit in active labor, the nurse’s first action
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is to listen for fetal heart tones.
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Tocolytic therapy is indicated in
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premature labor
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After the amniotic membranes rupture
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the initial nursing action is to assess the fetal heart rate.
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Amniocentesis increases the risk
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of spontaneous abortion, trauma to the fetus or placenta, premature labor, infection, and Rh sensitization of the fetus.
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After amniocentesis, abdominal cramping or spontaneous vaginal bleeding may indicate complications.
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g
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When informed that a patient’s amniotic membrane has broken, the nurse should check
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fetal heart tones and then maternal vital signs.
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The nurse should place the neonate in a 30-degree Trendelenburg position to facilitate mucus drainage
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cvv
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Lightening
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settling of the fetal head into the brim of the pelvis.
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tolytic agents to treat preterm labor
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terbutaline (Brethine), ritodrine (Yutopar), and magnesium sulfate.
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cephalopelvic disproportion
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An arrest of descent occurs when the fetus doesn’t descend through the pelvic cavity during labor. It’s commonly associated with cephalopelvic disproportion, and cesarean delivery may be required.
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Spontaneous rupture of the membranes
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increases the risk of a prolapsed umbilical cord.
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Methergine
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stimulates uterine contractions.
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After delivery, if the fundus is boggy and deviated to the right side, the patient should
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empty her bladder
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Dinoprostone (Cervidil)
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ripen the cervix
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The administration of oxytocin (Pitocin) is stopped if the contractions are
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90 secs or longer
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For an extramural delivery (one that takes place outside of a normal delivery center), the priorities for care of the neonate include maintaining a patent airway, supporting efforts to breathe, monitoring vital signs, and maintaining adequate body temperature.
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d
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