Ob Ati Chapters 14, 15

Front 1

CHAPTER FOURTEEN

Back 1

(Ignore this card)

Front 2

How often should VS be taken in the latent phase

Back 2

every 30-60 minutes

Front 3

How often should VS be taken in the active phase

Back 3

every 30 minutes

Front 4

How often should VS be taken in the transition phase

Back 4

every 15-30 minutes

Front 5

Assess temperature how often during labor

Back 5

every 4 hours

Front 6

How often should contractions be monitored in the latent phase

Back 6

every 30-60 minutes

Front 7

How often should contractions be monitored in the active phase

Back 7

every 15-30 minutes

Front 8

How often should contractions be monitored in the transition phase

Back 8

every 10-15 minutes

Front 9

How often should FHR be monitored in the latent phase

Back 9

every 30-60 minutes

Front 10

How often should FHR be monitored in the active phase

Back 10

every 15-30 minutes

Front 11

How often should FHR be monitored in the transition phase

Back 11

every 15-30 minutes

Front 12

Encourage voiding every ___ during labor

Back 12

2 hours

Front 13

How often should VS be taken in the second stage

Back 13

every 5-30 minutes

Front 14

How often should FHR be monitroed in the second stage

Back 14

every 15 minutes and STAT after birth

Front 15

first degree laceratoin

Back 15

extends through skin of perineum and does not involve the muscles

Front 16

second degree laceration

Back 16

extends through skin and muscles of perineum

Front 17

third degree laceration

Back 17

extends through skin, muscles, perineum, and anal sphincter

Front 18

fourth degree laceration

Back 18

extends through skin, muscles, perineum, anal sphincter, and anterior rectal wall

Front 19

During the third stage, gently cleanse the vulvar area with what

Back 19

warm water or 0.9% sodium chloride, then apply perineal pad or ice pack

Front 20

CHAPTER FIFTEEN

Back 20

(Ignore this card)

Front 21

What is ECV

Back 21

External Cephalic Version - attempt to manipulate the abdominal wall to direct a malpositioned fetus into a normal vertex cephalic presentation

Front 22

When should ECV be performed?

Back 22

after 37 weeks gestation

Front 23

ECV caries a high risk of

Back 23

prolapsed cord

Front 24

Contraindications to ECV include

Back 24

uterine anomalies, previous C-section, cephalopelvic disproportion, placenta previa, multifetal gestatoin, and/or oligohydramnios

Front 25

What mother needs to take RhoGAM at 28 weeks?

Back 25

the Rh-negative mother

Front 26

Bishop Score

Back 26

used to determine the maternal readiness for labor by evaluating if the cervix is favorable

Front 27

What is rated on the Bishop score?

Back 27

cervical dilation, effacement, consistency, position, and presenting part station

Front 28

How does the Bishop Score work

Back 28

the five factors are assigned a numerical value of 0 to 3, the total score is calculated, and a score is assigned

Front 29

ON the bishop score, what number do nulliparas need to indicate readiness for labor?

Back 29

9

Front 30

ON the bishop score, what number do multiparas need to indicate readiness for labor?

Back 30

5 or more

Front 31

What does cervical ripening do to the dosage of oxytocin needed for induction

Back 31

lowers the dosage needed

Front 32

Give three examples of prostaglandin gel used to ripen the cervix

Back 32

Cytotec, Cervidil, Prepidil

Front 33

What are prostaglandin gels used for

Back 33

Ripen the cervix

Front 34

Can balloon catheters be used to ripen the cervix

Back 34

Yes - inserted into the intracervical canal

Front 35

How do hydroscopic dilators and sponges ripen the cervix

Back 35

absorb fluid from the surroudning tissues and then enlarge

Front 36

What cervical ripening method is made from dessicated seaweed

Back 36

laminaria tents

Front 37

Synthetic dilators and sponges which ripen the cervix contain what

Back 37

Magnesium sulfate (lamicel)

Front 38

When are synthetic dilators and sponges used, and what do they do

Back 38

They ripen the cervix, used before ROM

Front 39

How do synthetic dilators and sponges ripen the cervix

Back 39

absorb fluid and expand causing cervical dilation

Front 40

When cervical ripening is performed, hyperstimulation of the uterus may occur. What is the Tx?

Back 40

administer terbutaline (Brethine) sub-Q

Front 41

If there is fetal distress and the mother is placed laterally, which side should she be on?

Back 41

left side

Front 42

Labor should be induced with what maternal medication complications?

Back 42

Rh-isoimmunization; DM; pulmonary disease; PIH

Front 43

Should labor be induced with fetal demise or with chorioamnionitis?

Back 43

With both

Front 44

When inducing labor, the nurse may initiate oxytocin how long after the administration of prostaglandin

Back 44

6-12 hours

Front 45

What must the nurse ensure has happened before the administration of oxytocin

Back 45

ensure that the fetus is engaged at a minimum station of 0

Front 46

When administering oxytocin via piggyback, which infusion port should be used

Back 46

the one closest to the client

Front 47

What should uterine resting tone be

Back 47

10-15 mm Hg

Front 48

there is a problem if uterine contraction frequency is more often than every

Back 48

2 minutes

Front 49

There is a problem if uterine contraction duration is longer than

Back 49

90 seconds

Front 50

There is a problem if uterine contraction intensity is greater than

Back 50

90 mm Hg

Front 51

If a nonreassuring FHR is noted, the IV fluid rate may be increased up to

Back 51

200 mL/hour

Front 52

When inducing labor and noting a nonreassuring FHR, describe the medicataion to be administeed

Back 52

tocolytic terbutaline (Brethine) 0.25 mg Sub-Q to diminish uterine activity

Front 53

Augmentation of labor

Back 53

the stimulation of hypotonic contractions once labor has spontaneously begun, but progress is inadequate

Front 54

What instrument is used to perform an Amniotomy

Back 54

Amnihook

Front 55

Labor typically begins within how many hours of ROM?

Back 55

12 hours

Front 56

There is an increased risk of what with ROM?

Back 56

cord prolapse

Front 57

In order to reduce the risk of infection or malposition of fetus following AROM, what should be limited?

Back 57

maternal activity

Front 58

When an amnioinfusion is performed, what is instilled and how?

Back 58

0.9% sodium chloride or LR solution thorugh a transcervical catheter

Front 59

In a vacuum-assisted delivery, when is the vacuum released and removed?

Back 59

preceding delivery of the fetal body but after the delivery of the head

Front 60

What position is the mother in during a vacuum-assisted delivery

Back 60

lithotomy

Front 61

What neonatal S/S is a normal occurrence with a vacuum-assisted delivery?

Back 61

caput succedaneum

Front 62

How long does it take for caput to resolve?

Back 62

24 hours

Front 63

Is an episiotomy used to prevent cerebral hemorrhage?

Back 63

Yes, in a fragile preterm infant

Front 64

Which type of episiotomy is easier to repair?

Back 64

midline (Median)

Front 65

Which type of episiotomy is associated with lower blood loss

Back 65

midline (Median)

Front 66

Which type of episiotomy is associated with a higher incidence of 3rd and 4th degree lacerations

Back 66

midline (Median)

Front 67

Which type of episitiomy is sometimes associted with 3rd degree lacerations

Back 67

mediolateral

Front 68

A tender uterus and foul-smelling lochia may indicate

Back 68

endometritis