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50 Cards in this Set

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