Datc Nrsg 1022 Lifespan Test 3

Front 1

First stage of labor

Back 1

starts with onset of contractions and lasts until complete cervical dilation
(includes latent phase, active phase, and transition phase)

Front 2

Second stage of labor

Back 2

begins with complete dilation of cervix and ends with the delivery of the baby
(the pushing stage)

this time is variable depending on primips and multips

Front 3

Third stage of labor

Back 3

starts with delivery of fetus and lasts until delivery of placenta

sudden shift in volue of uterus causes shearing of the placenta away from the wall of the uterus (can take 30 min. to an hour to deliver placenta)

watch for hemorrhage

Front 4

Fourth Stage of labor

Back 4

starts with delivery of placenta and lasts for four hours
(recovery stage)

Immediate recovery period (VS and fundal check Q 15 min. X 4, Q 30 min. X 4, and hourly until stable)

Front 5

latent phase

(1st phase in 1st stage in labor)

Back 5

early labor, dilation of 0-3 cm, excitement from parent

can last a couple of hours up to 24 hours

Front 6

active phase

(2nd phase in 1st stage in labor)

Back 6

more intense labor, cervix dilation of 4-7 cm, serious and inward focus from mom

Front 7

transition phase

(3rd phase in 1st stage in labor)

Back 7

transition between first stage and second stage, cervix dilation of 8-10 cm, inward focus and irritabiltiy from mom,
(vomitting may begin, partner is blamed)

Front 8

Vaginal laceration classification
1st degree

Back 8

vaginal mucosa, no muscle

Front 9

Vaginal laceration classification
2nd degree

Back 9

vaginal mucosa and some perineal muscle

Front 10

Vaginal laceration classification
3rd degree

Back 10

vaginal mucosa, muscle but not including the rectal sphincter

Front 11

Laceration degree classification
4th degree

Back 11

laceration through all layers including sphincter

Front 12

transducer
external fetal monitor

Back 12

visualizes the opening and closing of cardiac chambers and translates it into written pattern

Front 13

tocodynamometer
external fetal monitor

Back 13

measures frequency and duration of contractions but not intensity; this must be palpated manually to determine intensity

Front 14

Fetal scalp electrode
internal fetal monitor

Back 14

picks up fetal heart rate by ECG; more accurate

goes under skin of head

Front 15

intrauterine pressue catheter (IUPC)
internal fetal monitor

Back 15

actually measures the intensity of contraction in mmHg
(this is the only way to measure intensity accurately)

Front 16

Normal Fetal heart rate range

Back 16

110-160 bpm and it is measured inbetween contractions

Front 17

considered tachycardia for Fetal heart rate

Back 17

above 160 bpm

Front 18

considered bradycardia for fetal heart rate

Back 18

below 110 bpm

Front 19

fetal malposition

passenger complication during labor

Back 19

most difficult is OP (occiput posterior)

Front 20

fetal malpresentation

passenger complication during labor

Back 20

shoulder, breech, face, or any other part besides the vertex (head) is the presenting part

Front 21

fetal distress

passenger labor complications

Back 21

persistent late decelerations, or variables

Front 22

prolapsed umbilical cord

passenger labor complications

Back 22

occurs when cord comes before the presenting part; may be very obvious; can frequently be concealed
(usually means C-section)

Front 23

multiple gestation

passenger labor complications

Back 23

is all are cephalic or head down, the vaginal birth is probable
most are doen by C-section

Front 24

passageway labor complications

Back 24

abnormal size or shape of pelvis
cephalopelvic disproportion (CPD): the head does not fit, or shoulder dystocia (shoulders do not deliver; treat with McRobert's maneuver: knees back to ears)

Front 25

risk factors for
Preeclampsia

Back 25

primagravida, age extremes (<17, >35), diabetes, preexisting HTN, multiple gestation, fetal hydrops, hydatiform mole, previous preeclampsia, family hx, obesity, immune factors, genetic disposition, envrionment, renal disease, Rh incompatibility, African-American ethnicity, donor insemination or donation

Front 26

Chronic HTN

Back 26

present before pregnancy or before 20 wks, lasts from <1st trimester and extends beyone 84th day postpartum

Front 27

Gestational HTN or Pregnancy Induced HTN or transient HTN

Back 27

blood pressure elevation detected for the first time during pregnancy, without proteinuria, preeclampsia does not develop and BP falls to a normal range by 12th wk. postpartum, dx after 20 weeks above 140/90 on 2 occasions within 6 hours

Front 28

Preeclampsia

Back 28

increase of BP after 20th week gestation (140/90), accompanied by proteinuris (300 mg in 24 hours), may have a sudden onset of edema with other symptoms

Front 29

Chronic HTN with superimposed preeclampsia

Back 29

pt. has HTN and proteinuria prior to 20th week gestation, then has a subsequent new onset of proteinuria (sudden increase of protein), has no evidence of UTIs, a sudden increase of BP, thrombocytopenia (<100,000 platelet count), and an increase in liver enzymes

Front 30

HELLP syndrome

Back 30

Hemolysis, Elevated Liver Enzymes, Low Platelets

Tx: improve platlet count, transfuse of plasma and platelets, deliver baby and placenta

Front 31

Presumptive signs of pregnancy

Back 31

menstrual suppression, N/V, frequent urination, tender breast changes, Quickening, linea negra, chloasma, striae, darkening areola, fatigue and drowsiness

Front 32

Probable signs of pregnancy

Back 32

Pos. Chadwick, Hegar, and Goodell signs, enlarged abdomen, fetal outline, ballottement, Braxton Hicks, Pos. HCG test

Front 33

Positive signs of pregnancy

Back 33

fetal heart rate heard, fetal movement observed by examiner, ultrasound

Front 34

Nagele's Rule

Back 34

add 7 days to first day of LMP and then subtract 3 months and add one year

Front 35

MSAFP (maternal serum alpha fetal protein)

Back 35

tested between 14-22 wks, tests genetic information like Down syndrome

Front 36

Gestational Diabetes screening

Back 36

done between 24-28 weeks by glucose tolerance test

Front 37

Rh retest and screen for antibody conversion

Back 37

done at 24-28 weeks prior to receiving Rhogam shot
if antibodies are neg. pt get a shot then another by 72 hours postpartum

Front 38

GBS screen

Back 38

tested at 34-37 weeks
if pos. get 2 doses of antibiotics 2 hours apart at delivery

Front 39

normal weight gain

Back 39

20-25 pounds

Front 40

under weight weight gain

Back 40

25-35 pounds

Front 41

over weight weight gain

Back 41

15 - 20 pounds

Front 42

Threatened spontaneous abortion/miscarriage

Back 42

intrauterine bleeding before 20 weeks, w/o dilation of cervix or expulsion of any POC

Front 43

Inevitable spontaneous abortion/miscarriage

Back 43

no expulsion of POC, bleeding and dilation of cervix, incompatible for pregnancy

Front 44

incomplete spontaneous abortion/miscarriage

Back 44

partial expulsion of some but not all POC, before 20 weeks and retained something (bleeding present) pt must get POC out

Front 45

complete spontaneous abortion/miscarriage

Back 45

complete expulsion of all POC, before 20 weeks

Front 46

septic spontaneous abortion/miscarriage

Back 46

an infection of the POC and the endometrial lining, resulting in abortion

Front 47

missed spontaneous abortion/miscarriage

Back 47

death of the embryo or fetus before 20 weeks and complete retention of POC

Front 48

recurrent or habitual spontaneous abortion/miscarriage

Back 48

pt has had 3 or more consecutive spontaneous abortions