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22 Cards in this Set
- Front
- Back
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What is an amniotomy?
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Artificial rupture of the amniotic membranes (AROM)
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What station and dilation does the patient have to be in for an amniotomy? why?
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- Fetus has to be at 0 station and 2 cm dilated
- So cord doesn't prolapse |
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What are the risks of an aminotomy?
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- Prolapse of the cord
- Infection |
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Why would a doctor perform an aminotomy?
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- Used to induce labor or accelerate it
- Permits use of internal fetal monitoring |
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What is the nursing care after an aminotomy?
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- Keep them clean and dry
- Assess FHR before and after - Assess fluid for color, amt, odor - Temp every 2 hours - decrease number of vaginal exams |
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How often should a women's temp be taken after having an aminotomy?
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Every 2 hours
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What is an External Cephalic Version?
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- Manually turning the fetus from the outside from a breech or shoulder presentation to a vertex presentation
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At what weeks gestation can an external cephalic version be performed? Can it be performed during labor?
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- After 36-37 weeks
- No |
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What is the nursing care for an external cephalic version?
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- Maternal V/S throughout
- FHR throughout - Assess for ctx after procedure - Give RhoGAM if Rh neg |
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When is an episiotomy performed?
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Just before birth when about 3-4 cm of fetal head is visible
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What are the 2 types of episiotomy?
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- Median or midline
- Mediolateral |
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Of the 2 types of episiotomy which has longer healing time, more blood loss, and more complications?
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Mediolateral
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What is the nursing care for an episiotomy?
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- Assess for redness, swelling, tenderness, and hematomas
- Cold application for 1st 12 hrs - Educate on perineal hygiene - Take temp |
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True or False
For a forceps assisted birth, the fetus must be fully engaged, mother fully dilated, ROM, and bladder empty. |
True
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What would you look for on the newborn with a forceps assisted birth?
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- Facial edema
- Bruising - Caput - Cephalhematoma - Facial palsy - Subdural hematoma |
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How many "pop offs" are allowed with vacuum extraction?
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Three
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What are the 2 kinds of skin incisions for a c- section?
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- Vertical
- Pfannenstiel (just above the symphysis) |
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What are the 3 kinds of uterine incisions for a c-section?
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- Low transverse
- Low vertical - Classic |
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Does the skin incision and the uterine incision have to match?
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No
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When is the only time a classic incision is used? What can not be done for the next pregnancy when this is done?
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- Emergency- fetal distress
- VBAC |
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What is the difference between induction and augmentation of labor?
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- Induction starts contractions
- Augmentation stimulates ctx after labor has started if progression is unsatisfactory |
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Oxytocin is ALWAYS adminstered how?
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- On a pump
- IVPB |
