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Intrapartum

Reveiw Questions

QuestionAnswer
four components of the birth process are? passage, passenger, psyche, and powers
Beginning of one contraction to the beginning of the next is? frequency
Regular contractions becoming more frequent and intense are signs of? true labor
dilation and effacement occur with what stage of labor? stage of dilation = first stage
Expulsion of placenta occurs in which state of labor? placental stage = third stage
early decelerations are indicative of what? head compression
late decelerations are indicative of what? uteroplacental insufficiency
variable decelerations are indicative of what? cord compression
What is the normal color of amniotic fluid? Clear
What is the major complications following delivery? hemorrhage
Amniotic fluid will turn nitrazine what color? dark blue
head in front right quadrant of mother's pelvis is what position? R A
what treatment is given to the perineum post delivery? Ice first 12-24 hrs then heat
what is the goal of child birth classes educate, exercise relaxation techniques pain control methods
pressure given to the lower back for pain relief is what technique? skin stimulation
when hyperventilation occurs, what nursing action would you initiate? breath into paper bag or cupped hands
if pain medication is given during transitional phase of labor, what must the nurse assess for respiratory depression
what drug is used for respiratory depression naloxone - Narcan
what is the first nursing action following an epidural block assess Blood pressure
blood patches relieve what problem head ache and clot spinal fluid leakage
what is the drug of choice for augmentation of labor oxytocic - oxytocin/Pitocin
syntocinon is used to stimulate what lactation (also used to treat engorgement of breast)
ergotrates are used for what condition post partum hemorrhage
what is the drug classification for dinoprostine abortifacients
yutopar (ritodrine) is used to control what condition? prevent or control preterm labor
what are two adverse effects of magnesium sulfate? decreased reflexes & oliguria
what is the drug of choice to counteract magnesium sulfate? calcium gluconate
what is an amniotomy? artificial rupture of membranes
what would you access after an amniotomy? FHR, note fluid color, odor, character, mom's temp
when receiving oxytocin if contractions occur every 90 seconds and are less than 2 minutes apart what is this called? tetanic contractions
what are the nursing actions if tetanic contractions occur? administer o2 via mask, turn on left side, discontinue pit
when contractions are weak an ineffective during active labor this is that type of labor pattern? hypotonic
what nursing care is given for women experiencing hypotonic labor pattern? amanotomy, augment with pit, increase fluids, position change, encourage walking, promote comfort
when contractions are frequent, cramp like, and poorly coordinated this is what type of labor pattern? hypertonic
What nursing care is given for a woman experiencing hypertonic labor pattern? mild sedation & tocolytics; promote comfort
external versions are done for what reason? change fetal presentation (breech to cephalic)
at what point during pregnancy are external versions performed? after 37 weeks and before labor
instruments with curved blades that fit around the fetal head are called ? forceps
what would a nurse asses for with an infant of a forceps delivery? look for lacerations and facial symmetry
most common type of incision used for a C-section is what? low transverse
when premature rupture of membranes occurs the patient will be at risk for what? chorioamnionitis - infection of the amniotic sac
when the cord slips downward in pelvis after ROM this is called? prolapsed cord
what is the treatment for uterine rupture emergency cesarean . for small tear will repair. for large tear hysterectomy
when the fetus is born with peeling skin, meconium in amniotic fluid and looks wasted this is a sign of what? prolonged pregnancy
which type of episiotomy heals easier? median. straight down from midline from vagina to anus
Created by: arogers74
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