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42 Cards in this Set

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