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11 Cards in this Set
- Front
- Back
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What is the purpose of Friedman's curve?
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Tracks progress of labor
Usually 1.2 cm/hr for primips 1.5 cm/hr for multips |
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What do Leopold's maneuvers assess?
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Tells where the baby's heart is to be able to hear fetal heartbeat
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What are the 5 Ps of labor?
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Passenger (fetus)
Passageway (pelvis) Position (position of mother during labor) Powers (maternal pushing effort) Psychological response (Maternal psyche) |
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What are the positions of labor?
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Squatting
Sitting walking standing side lying all fours kneeling |
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Difference between true and false (Braxton-Hicks) contractions
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True contractions do not stop until fetus is expelled.
B-H are not regular or progressive, and may stop |
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Cardinal Movements of Labor
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Engagement/descent
Flexion (flex chin) Internal rotation (face to mom's spine) extension (extends head) external rotation (turns head sideways) Expulsion |
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Labor room nurse responsibilities (triage)
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obtain history
EFM vag exam venipuncture initiate IV sign consents documentation |
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Normal fetal heart rate
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110-160bpm
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characteristics of contractions
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Resting tone - baseline uterine tone at rest between contractions
frequency - how often - from beg of 1 ctx to beg of next intensity - strength of cts - measured internally by IUPC in mmHG (actual number) Duration - how long a ctx lasts from beg to end (measured in min or sec) |
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what is dilatation?
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opening of the cervix
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what is effacement?
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thinning of cervix
(cervix is approx 1" thick on either side) Measured in percentage - 0-100% 0-25 1/4" thick 50-75% 1/2-3/4" thick 100% completely effaced - paper thin |
