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LABOR & DELIVERY

CH 26

QuestionAnswer
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
 

 



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