Fl Law&Rule pertaining to intrapartum and imm PP

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What 5 things does Fl law &rule say a MW shall do upon initial intrapartum assessment?

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What 5 things does Fl law &rule say a MW shall do upon initial intrapartum assessment?

1. Determine onset of labor
2. Review pts records
3.Assess pt and baby
4.Assess delivery environment
5.perform SVE to asses dilation, effacement, presentation, position, station, and status of membranes.

True or False: The midwife shall take pts pulse q 3 hrs when membrane is intact and q when ruptured?

False.
q3 then q hr when ROM

How often should a BP be taken?

What is the schedule for monitoring FHTs?

1 q hr during latent
2. q 30mins during active
3. q 15 mins during transition
4. q 5 during second stage
5. after rupture

True or False: Premature labor is labor occurring at less than 36wks gestation

False, 37wks
and PTL for result in a transfer to a physician with hospital obstetrical privileges

PROM means rupture occurred more than how many hrs before active labor?

Pregnancy induced hypertension is defined as

140/90 or an increase of 30mm/hg systolic or 15mm/hg diastolic above baseline

What does failure to progress mean anyway?:P
Seriously though...

1st stage: lack of steady progress in dilation and descent after 24hrs in a primip and 18hrs in multip
Second: more than 2hrs without progress in descent
Third: more than 1 hr

True or False: any other than vertex presentation deems transfer to a physician with hospital privileges

AROM should only be performed if fetal head is well applied to cervix and dilation is at least 4cm. What is the risk if MW ruptures before then?

Cord prolapse and possible fetal death