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23 Cards in this Set
- Front
- Back
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What is the single most important factor women identify as helping them through labor?
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The nurse's presence
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What does dystocia mean?
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Difficult labor
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What is caput succedaneum?
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When the fetus's head is misshaped due to pressure from the cervix
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When would oxytocin infusion be AVOIDED?
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When there is CPD, large fetus, or malpresentation
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What positions help hypertonic labor patterns?
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High Fowler's, rocking in a rocking chair, sitting up, walking, on her knees in the bed with arms up around the bed in high Fowler's
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What is precipitous labor and what risks are there?
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Labor less than 3 hrs
Bleeding/laceration Fetal distress/hypoxia/cerbral trauma |
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What risks are associated with oligohydramnios?
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Cord compression
Meconium aspiration |
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What would nonperiod variable decelerations indicate?
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Cord compression
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What is the normal amount of contractions?
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2-4 in 10 min in the early labor and 4-5/10min in later labor
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What is the ideal position of the fetus during labor?
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Occiput anterior
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What is the ideal position for the fetus's face during labor?
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Towards his chest
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What are the s/s of persistant occiput posterior?
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Intense back pain due to compression of sacral nerves
Large diamond shaped anterior fontanel in the anterior depression of maternal abdomen above the symphasis pubis FHR heard far laterally on the abdomen |
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What is evidence of hypoxia in the fetus?
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Late decelerations and bradycardia
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What are the implications of brow presentation?
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Damage to fetus larnyx/trachea
Facial edema hypoxia |
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What is the mentum?
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The chin
In face presentation, if the mentum is anterior, a vaginal birth may be possible |
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Where do you listen for the baby's heartbeat?
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On their upper back
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How many cm is equal to how many wks?
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1cm=1wk
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What are s/s of breech presentation?
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FHR auscultated above umbilicus
Ballotment causes entire fetal body to move Anal sphincter palpated on vaginal assessment |
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What is the major risk of breech presentation?
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PROLAPSED UMBILICAL CORD
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What is the McRoberts maneuvar?
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Sharp flexion of the thighs toward the hips and abdomen for macrosomia
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What do early decelerations indicate?
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Fetal head compression. Report to CNM immediately
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How many calories does a woman with multiple gestation need?
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>4,000/day
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What is a reassuring FHR like?
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120-160bpm
Spontaneous accelerations Absent of limited early decelerations Average long-term variability |
