Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove ads
Don't know
Know
remaining cards
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards




share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Intrapartum:

Fetal assessment and nursing care during labor

QuestionAnswer
What is true? There is a decrease in fetal circulation and O2 during contractions.
What is a normal, reassuring FHR? - 110-160 BPM - moderate variability - acceleration: at least 15 BMP/15 sec - no deceleration
What are advantages of internal fetal monitoring? early detection of abnormal heart patterns, better accuracy of contraction intensity and FHR variability
What are disadvantages of internal fetal monitoring? ROM must occur, risk of infection, cervix need to be dilated >2 cm, presenting part must descend far enough for electrode
What is nonreassuring FHR patterns associated with? fetal hypoxia
What is early deceleration associated with? - head compression from contraction - fundal pressure
What is late deceleration associated with? - uteroplacental insufficiency - maternal HTN
What are nursing intervention to late decelerations? Change pt to side-lying position, D/C oxytocin, give 8-10L O2, notify MD, increase IV fluid
What is variable deceleration associated with? - cord compression - oligohydramnios
What is point of maximal impulse (PMI)? location where fetal heart tones are best heard on a woman's abdomen; best head over fetal back.
What are the steps to performing Leopold's maneuvers? 1. ID fetal part occupying fundus. 2. Locate smooth contour of fetal back. 3. ID fetal presenting part over pelvis 4. Outline fetal head 4.
What does ultrasound imaging provide? noninvasive visualization of fetus and placenta.
What does doppler ultrasound provide? info about blood flow in maternal-fetal circulation
What does fetal scalp blood sampling assess? assesses for fetal blood gases: pH, PO2, PCO2
What is normal uterine activity during labor? Contractions q 2-5 min, <90 sec. duration, mod-strong intensity
With vaginal bleeding, vaginal exam should be avoided until what are ruled out? placenta previa and placenta abrutptio
What is the most important indicator of labor progress? cervical dilation
What are 2 tests to confirm ROM? - Ferning test - Nitrazine paper (+ is blue)
What are characteristics of normal amniotic fluid? clear, straw color, and odorless
The RN should prepare for what when pt feels an urge to have a bowel movement during the transition phase? Prepare for impending delivery.
How does a full bladder affect labor? Distended bladder reduces pelvic space needed for birth.
Created by: odbal24