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29 Cards in this Set
- Front
- Back
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Infusion of warm sterile normal saline into uterus
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amniofusion
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When do you use amniofusion?
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meconium staining
cord compression |
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What do you check for after an amniotomy?
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fluid characteristics (odorless, clear, amount), check FHR to rule out prolapse cord
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When do you use external cephalic version (external rotation of fetus)?
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for breech or transverse presentation after 37 weeks
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When do you NOT do external fetal rotation?
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multiple pregnancy, uteroplacental insufficiency, bleeding, IUGR, placenta previa, PIH, non reassuring FHR
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> 5 for multi, >9 primigravida
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bishop score to induce labor
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Prostaglandins
IV pitocin amniotomy nipple stimulation |
induction of labor to deliberately stimulate uterine contractions before spontaneous onset of labor to accomplish birth
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augmentation of labor
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increase frequency, duration, strength of contractions.
IV pitocin supports and strengthens contractions, effect effacement and dilation of cervix |
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thiopental, nitrous oxide, and succinylcholine
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Light general anesthesia for c-section
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a new baseline is established if the baseline does not return in how many minutes?
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2 minutes
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interventions for nonreassuring FHR
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assist to lateral position
elevate legs to correct maternal hypotension increase maintenance iv Administer 8-10L/min O2 |
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Interventions for late decelerations (placental insuff)
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turn to left-side lying position
Oxygen 8-10L/min turn off pitocin |
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Variable decelerations interventions (cord compression)
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change position
DC pitocin 8-10L/min O2 Amniofusion c-section |
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What are the prerequisites for fetal scalp electrode?
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ROM
Vertex presentation Engaged |
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What does the fetal scalp blood sampling assess for?
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degree of hypoxia
pH of blood (should be >7.2 pH) |
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What are nursing assessments for cervical ripening?
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urinary retention
ROM uterine tenderness or pain contractions vag bleeding fetal distress |
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What are chemical and mechanical agents for cervical ripening?
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Chemical: Prostaglandin gel (cervadil, cytotec, prepidil) to soften and thin cervix
Mechanical: balloon, dilators |
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What stage engagement should fetus be before using oxytocin?
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station 0
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IUPC (intrauterine pressure catheter) is used for
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monitoring frequency, duration, intensity of contraction
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What is the max amount of time to use a vacuum assisted suction on fetus?
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25 minutes
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When do you start pitocin after using prepidil (cervical ripening?)
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1 hour after
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What are side effects of Cervidil and Prepidil?
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back pain, diarrhea
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fetal fibronectin
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found at 16-20 weeks and term
if positive, early labor |
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Goals for preterm labor
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identify women who may deliver early
delay birth with tocolytics (terbutaline) Steroids (betamethasone) for lung maturity 2 doses within 12 hours |
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What are some tocolytics?
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indocin
terbutaline mag sulfate nifedipine |
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risk factors for PROM
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infection (chorioamnionitis)
incompetent cervix polyhydramnios malpresentation |
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What is the standard tx for PPROM?
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Dexamethasone for lung maturity
Antibx prevent amniotic fluid infx Amniocentesis checks for infx in utero, lung maturity |
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Risk factors for precipitate labor
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hypertonic uterine dysfxn
oxytocin stimulation |
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risks for LGA
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shoulder dystocia, erb duchenne paralysis, hypoglycemia
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