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42 Cards in this Set
- Front
- Back
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Name the scoring scale for Labor Readiness
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Bishop’s Pelvic Scoring
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Premonitory Signs of Labor
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Lightening (38Wks), Braxton Hicks, Ripening of Cervix, Bloody Show, SROM, Sudden burst of energy, Wt Loss, Backache, Diarrhea, N/V
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Shorting or Effacement of Cervix is a % range of what
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0-100% or 99% according to Melzer
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True or False a Nurse can do a Pelvic Exam
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True
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Cervical Dilation is measured in millimeters, inches, cm, or yards
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0 – 10 cm
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Irregular contractions are a True or False sign of labor
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False
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Contractions that increase in duration and intensity are True or False signs of labor
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True
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Walking has no effect on or lessens contractions, is this a True or False sign of labor
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False
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Cervical dilation and effacement are progressive, this is a True or False sign of labor
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True
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This is True or False sign of labor, discomfort is usually in abdomen
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False sign
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Which fontanella resembles a triangle
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Posterior
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What is the largest s fontanella
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Anterior
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During Labor the nurse should be checking the following Fetal Status elements
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FHR Presentation Position, Fetal Activity (sleep), SROM, AROM, Meconium or bleeding.
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A normal shaped fetal head is called
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gynecoid
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Longitudinal lie, means the baby is in what position related to the mothers spine
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parallel
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Transverses lie, means the baby is in what position related to the mothers spine
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horizontal
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Oblique lie, means the baby is at what angle with relation to the mothers spine
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45 degrees
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Which part of the Fetal skull is the widest
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Biparietal 9.25 cm
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Describe normal flexion
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Head flexed, arms flexed on chest, legs flexed on abdomen
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What is generally the first part of the skull the Dr. can feel on a normal vag birth
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Occiput
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What is a Doula
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a person paid to care for the patient during labor
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Latent / early Labor 0-3cm is which phase
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Phase 1
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Phase 2 of Labor is called
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Active 4-7 cms
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Trasnition is 8-10cm and is which phase
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Phase 3
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Phase 1-3 are all present in which Stage of Labor
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Stage 1 The onset of regular contraction w/ cervical change or dilation (0-10cm)
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Complete dilation to birth the baby has occurred name this stage
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Stage 2
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Stage 3 is what
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Birth of baby to delivery of placenta
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Recovery and delivery of placenta have occurred now beings homeostasis, name this stage
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Stage 4
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2 fingers indicates that the cervix is dilated how many cm
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3 cm
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Which Labor Phase is the longest
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Stage 1 the Latent Phase
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Not pushing until the urge is felt or the fetal head is visible is advocated by EBP
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Passive Descent
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During Active Labor the Nurse should take what action
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Document 15-30 min contractions, Vag exam to assess cervical dilation & effacement, Fetal station and position, encourage to void, V/S Q1, Access Vag fluid clear or cloudy
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When does Stage 2 End
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With birth of baby
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Stage 2 begins with
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Complete dilation 10 cm
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What interventions with be used if Stage 2 last more than 3 hours
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Vacuum Extractor, Forceps, C-Section Birth
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Stage 3 beings with
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Birth of Infant 30 min or less
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Third Stage ends with
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delivery of placenta
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During Stage 2 the Nurse interventions are
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Sterile vag exam, V/S every 5 min, Support & Education, Assist with pushing, Assist the physician with birth
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During Stage 3 when is the Pitocin administered
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after the delivery of the placenta
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When does Apgar Scoring occur
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1 to 5 minutes after birth
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What is the greatest nursing concern during the Stage 4
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Hemorrhage
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During what Stage should the nurse be plapatng the fundus every 15 min for 1 hour
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Stage 4
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