2150 ch 7,8 test
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Created by:
mccorvey111 on February 15, 2010
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84 terms
Terms | Definitions |
|---|---|
 Technique used which (NS or lacted ringers) IV fluids are infused into the aminotic cavity through a IUPC cath/ reduces the deceleration caused by cord compression or dilute meconium stained fluid, oligohydramnois | Aminoinfusion |
| Frequent pad changes, Membranes have to ruptured in order to perform , comfort and dryness | N/I for Aminoinfusion |
| monitor maternal VS, FHR, and fetal activity, bedrest Iv fluids, TURN CLIENT TO THE SIDE,nothing inserted vaginally, CELESTONE,blood replacements ? Ultrasound confirms DX | N/I for a pt with placenta previa |
| seperation of placenta from the uterus partial or complete/ occurs in 20 wks leading cause of materal death/EMERGENCY baby needs to be delivered | Placental seperation/Abruption placentae |
| lengthy umblical cord, sudden gush of DARK red blood, vaginal bleeding with uterine tenderness, abodomen will be ROCK HARD on palpation, massive amouts of blood/ NO SHARP PAIN | s/s of placental seperation/abruption placentae |
| supine position with wedge under RIGHT hip | position for c section |
| method to locate the fetal HR/ systemic method for palpating the fetus through the maternal abdominal wall, HAVE PT VOID 1st | Leopold's maneuvers |
| 110-160 | normal fetal HR |
| ask mom assessment questions, when, how long, has membranes ruptured, 1st pregnancy, how long were last labors | priorties on admission for the nurse |
| 1st fetal HR, maternal VS, contractions, vaginal exam , nitrazine test, | data collection on admission |
| Position mom left lateral | N/I for supine hypotension |
| Rapid delivery labor lasts less than 3 hrs from the time of contractions to delivery/ STAY WITH MOM AT ALL TIMES, keep her side lying position | precipitous delivery |
| relationship between the fetus and the maternal ischial spines | Station |
| 0 station head is fully engaged | the fetal head needs to be in what station |
| dilation and enfacement, begins with regular contractions and ends with complete dilation | 1st stage of labor latent, active, transition |
| 0-3 cm irregular, mild to moderate intensity, q 5-30 min, pt is comfortable | latent phase |
| 4-7 cm more regular to strong contractions, 3-5 min lasts 40-70 sec/ fetus desends/pt has anxiety and reslessness, helplessness, longest part of 1st labor / | active phase |
| 8-10 cm/ strong to very strong contractions, 2-3 min lasts 45-90 sec/ pt will feel the urge to push, rectal pressure, mom is angry, restless and irritable | transition phase |
| Cervix is completly dilated ends with the birth of the baby/ fetus comes out 30 min -2hrs, mom is pushing contarctions are 1-2 min,push baby out/ cut and clamp the cord | 2nd stage of labor |
| begins with the delivery of the fetus and ends with the delivery of the placenta, 5-30 min after delivery | 3rd stage of labor |
| 1st hr after delivery, NBL vaginal -250-500/ c section 750-1000 | 4th stage of labor |
| ROA or LOA | What fetal presentation is ideal position for vaginal delivery |
| occiput, anterior FRONT of passage | ROA |
| occiput, tranverse dircted toward SIDEof passage shoulder arm, back, side, mom will need a C section | ROT |
| occiput posterior BACK of passage, | ROP |
| left side, occiput anterior FRONT of passage | LOA |
| left side occiput tranverse toward SIDE of passage | LOT |
| left side occiput , POSTERIOR back of passage | LOP |
| head down position | cephalic presentation |
| occiput crown of head, fetal head is complete flexion | Vertex presentation |
| MENTUM, face presenting 1st head is hyperextension | Face presentation |
| SINCIPUT forehead or brow presenting 1st, | Brow presentation |
| the time of the onset of one contraction to the onset of the next contraction | frequency |
| time between the beginning of one contraction to the end of the same contraction | duration |
| strength of contraction at its peak | intensity |
| 98% water, glucose, proteins, urea, lanugo, vernix, no foul odor, clear colorless slightly yellow | normal amiotic fluid |
| unpleasant foul odor, bloody, thick or greenish black | abnornal amiotic fluid |
| specfic body part of the fetus that is closest to the cervix determined by the fetal lie,felt by the examiner | presenting part |
| report temp 38 C or 100.4, avoid sex, orgasms, breast stimulation, activity restrictions | N/I to prevent infection |
| Suction airway, 02 if needed, breathing, dry with warm blankets, examine umblical cord | newborn post delivery care |
| passage, passenger, powers, position and psyche | 5 powers of labor |
| way the fetus travels | passage |
| way the fetus tavels, relationship , and size of fetus | passenger |
| contractions | power |
| how is the mom positioned | position |
| moms emotional status how mom responds to labor, emotions | psyche |
| artifical rupturing of fetal membranes/ check fetal HR/ access fluid should be clear and colorless-slightly yellow | Aminotomy |
| shortening and thinning of the cervix usually 35wks, becomes soft | effacement |
| hips and knees are flexed on abdomen, buttocks 1st | complete breech |
| hips flexed knees extended with the feet close to head buttocks 1st | frank breech |
| one or both hips or knees are extended with one foot or both being the presenting part | footling breech |
| babys head is station 0, presenting enters the true pelvis | Engagement |
| a surgical cutting of perinael tissue, aids in preventing tearing of the perinael and anal tissue | Episiotomy |
| long difficult abnormal labor pattern | labor dystocia |
| beginning of contraction as intensity gets increases period of high increase strength | increment |
| peak intensity of contraction | acme |
| decline of contraction intensity as the contraction ends | decrement |
| relaxation phase tone of uterine muscle in between contractions | resting tone |
| babys side called the Schultz mechanism | shiny side of placenta |
| maternal side called duncan mechanism | dull side of placenta |
| occurs after the fetal head has been delivered and the broad anterior shoulder wedged behind the mothers pubis | shoulder dystocia |
| used for preterm labor/ anidote is calcium gluconate | magnesium sulfate |
| relaxes smooth muscle s/e tachycardia | brethine |
| promotes fetal lung maturity s/e pulmonary edema /give 24-48 hrs prior to birth | celestone |
| given to promote dilation and enfacement of the cervix | cytotec, cervidil, prepidil |
| brethine | antidote for pitocin |
| stimulates smooth muscle to produce contractions/ s/e tachycardia, hypotension, n/v bradycardia | pitocin |
| umblical cord emerges through the cervix, / vaginal exam, knee chest position, trendelenburg, cover with WET towels, c- section | prolapsed umblical cord |
| usually occurs during the latent phase, cramp like, rock hard/ Lft side watch for dehydration | hypertonic contractions |
| weak , nonproductive,soft belly uterus overdistended/ Aminotomy or pitocin | hypotonic contractions |
| shoulder dystocia intervention | dr will cut and flex legs by the ears |
| babys head can be pushed away from the cervix | ballotable |
| maternal pelvis is smaller than the fetal head | CPD |
| maternal membranes have ruptured | dark blue amniotic fluid means |
| contractions are regular, increase intensity, felt in lower back, increasing anterior position, presenting part engaged, no comfort | true labor |
| irregular stop with walking, felt above the umblicius, stoped with comfort measures, posterior position, , not engaged | false labor |
| hollow organs empty themselves, bladder and sigmoid colon | overdistention theory |
| Fetal cortisol increased, progesterone decreases, estrogen and oxytocin increases | hormonal theory |
| the relationship of the fetal body parts to one another | fetal attitude |
| relationship of the long axis of the fetus to the long axis of the mom | fetal lie |
| chin is away from the chest. labor is more difficult, | fetal extension |
| given to stimulate fetal lung maturation /pre-term babies | Bethamethasone |
| possible maternal infection | mom has a foul smelling amnoitic fluid, a maternal temp 100 F, and urine output of 150 ml what does the nurse suspect |
| putting the baby to the mothers breast and letting the baby suck | what promotes uterine contractions in the mom |
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