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LABOR & DELIVERY
CH 26
| Question | Answer |
|---|---|
| 3 PRIMARY OPTIONS TO CONSIDER FOR BIRTH | HOSPITAL, BIRTHING CENTER, OR HOME |
| LDRP | LABOR, DELIVERY, RECOVERY, POSTPARTUM |
| ALLOWS FOR LABOR, DELIVERY, AND IRTH TO TAKE PLACE IN A SINGLE LOCATION | LDRP UNIT |
| LDR | LABOR, DELIVERY, RECOVERY |
| MOTHER IS ADMITTED TO AN LABOR SUITE AND REMAINS THERE UNTIL LDR UNIT A SPECIFIC TIME AFTER BIRTH, THEN TRANSFERED TO POSTPARTUM CARE UNIT | LDR UNIT |
| WHEN FETUS SEEMS TO HAVE SETTLED OR "DROPPED" INTO PELVIS | LIGHTENING |
| DELIVERY SHOULD OCCUR WITHIN HOW MANY HOURS AFTER MEMBRANES RUPTURE | 24 |
| BLOOD-TINGED MUCUS | BLOODY SHOW |
| EFFACE | THIN |
| OPEN | DILATE |
| IRREGULAR TIGHTENING OF THE PREGNANT UTERUS BUT DOESN'T DILATE CERVIX | BRAXTON HICKS CONTRACTIONS |
| THINNING AND SHORTENING OR OBLITERATION OF THE CERVIX THAT OCCURS DURING LATE PREGNANCY, LABOR, OR BOTH | EFFACEMENT |
| FOLLOW REG PATTERN, COME CLOSER AND TEND TO LAST LONG, STRONGER W/AMBULATION, START IN LOWER BACK TRAVEL TO ABD, NOT STOPPED W/CONTROLLED BREATHING, CERVIX SOFTENS-EFFACES-DILATES, FETUS DESCENT INTO PELVIS | TRUE LABOR |
| RARELY FOLLOW PATTERN, VARY IN LENGTH-INTENSITY, STOPS W/AMBULATION OR POSITION CHANGE, MOST NOTICED IN FUNDUS, STOPS W/RELAXATION INTERVENTIONS, CERVIX MAY SOFTEN BUT LITTLE OR NO CHANGE IN EFFACEMENT, DILATION, & FETAL POSITION | FALSE LABOR |
| PELVIS AND SOFT TISSUES | PASSAGEWAY |
| FETUS | PASSENGER |
| CONTRACTIONS | POWERS |
| STANDING, WALKING, SIDE LYING, SQUATTING, ON HANDS AND KNEES | POSITION OF MOTHER |
| PSYCHOLOGICAL RESPONSE | PSYCHE |
| LOWER PORTION OF PELVIS | INFERIOR |
| ILIAC SEGMENT OF THE INNOMINATE BONES OF PELVIS | SUPERIOR |
| INFERIOR PORTION OF PELVIS | TRUE PELVIS |
| SUPERIOR AND INFERIOR ARE DIVIDED INTO 2 SECTIONS BY AN IMAGINARY LINE | LINEA TERMINALIS OR PELVIC INLET |
| TRUE PELVIS IS DIVIDED INTO 3 SEGMENTS | INLET, CAVITY/MIDPELVIS, OUTLET |
| INCREASED BLOOD SUPPLY | VASCULARITY |
| ENLARGEMENT | HYPERTROPHY |
| RELATIONSHIP OF FETAL PARTS TO ANOTHER | ATTITUDE |
| IDEAL ATTITUDE FOR THE FETAL BODY | FLEXION |
| BACK IS BOWED OUTWARD, CHIN IS TOUCHING STERNUM, ARMS CROSSED CHEST, THIGHS ARE FLEXED ON ABD | FETAL POSITION |
| The nurse is assigned to care for a client who is in early labor. When collecting data from the client, which should the nurse check first? | baseline fetal heart rate |
| Leopold's maneuvers will be performed on a pregnant client. The client asks the nurse about the procedure. Which information should the nurse provide to the client about Leopold's maneuvers? | The maneuvers are a systematic method for palpating the fetus through the maternal abdominal wall. |
| The nurse is caring for a client who is in labor. The nurse rechecks the client's blood pressure and notes that it has dropped. To decrease the incidence of supine hypotension, the nurse should encourage the client to remain in which position? | side-lying |
| After a precipitous delivery, the nurse notes that the new mother is passive and only touches her newborn briefly with her fingertips. The nurse should do which to help the woman process what has happened? | Support the mother in her reaction to the newborn. |
| A primigravida's membranes rupture spontaneously. Which action should the nurse take first? | Determine the fetal heart rate. |
| Which findings indicate to the nurse that placental separation has occurred? | Lengthening of umbilical cord; Sudden trickle or spurt of blood; Change from globular to discoid shape; Fetal membranes are seen at the introitus |
| The nurse is assigned to assist with caring for a client who has been admitted to the labor unit. The client is 9 cm dilated and is experiencing precipitous labor. Which is the priority nursing action? | Keep the client in a side-lying position. |
| The client is admitted to the labor suite complaining of painless vaginal bleeding. The nurse assists with the examination of the client, knowing that which routine labor procedure is contraindicated? | A manual pelvic examination |