Save
Busy. Please wait.
Log in using Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


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.
Your email address is only used to allow you to reset your password. See 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.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
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
 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards