Labor complications, FHR
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| What are the preliminary signs of labor? | show 🗑
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| What are the signs of true labor? | show 🗑
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| What are the signs of false labor? | show 🗑
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| What are the 4 components of labor? | show 🗑
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| show | Android pelvis
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| “ape-like” narrow, transverse and the fetal head will not fit | show 🗑
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| “normal” well rounded all around, pubic arch is wide. | show 🗑
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| “flattened” oval, if posterior presentation, might not allow head to rotate | show 🗑
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| Change in the shape of the head, Bones overlap, Not a permanent condition Common after birth | show 🗑
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| show | fetal attitude
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| show | complete flexion, baby is chin is tucked to chest
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| military means | show 🗑
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| show | position partial extension, brow is coming through first
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| show | complete extension, face is showing, neck is completely extended, could break baby's neck, need C/S!
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| settling of the presenting part into the pelvis at the level of the ischial spine | show 🗑
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| show | fetal lie
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| the relationship of the presenting part of the fetus to the level of the ischial spines. | show 🗑
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| 0 station means | show 🗑
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| - station means | show 🗑
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| + station means | show 🗑
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| show | baby is at - station and the umbilical cord could prolapse which is an emergency
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| show | Cephalic presentation
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| show | Breech presentation
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| show | Shoulder presentation
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| Cephalic-vertex-occiput all refer to | show 🗑
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| show | Maternal pelvis (L,R,T)
Fetal landmarks (O,M,S,A)
if the baby is Ant or Posterior (A,P)
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| show | Leopold's Maneuver
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| show | stage one
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| show | stage two
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| show | stage three
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| show | stage four
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| show | effacement
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| the enlargement of the cervix from 0-10 cm | show 🗑
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| This accompanies dilation | show 🗑
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| show | Respect contraction time
Promote changes in position
Promote voiding,Offer support, Amniotomy
Early labor the patient can eat, drink and rest, Active labor only ice chips or clear liquids
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| Why would you not want to perform an amniotomy if the baby is in negative station? | show 🗑
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| What are the nursing measures for a woman in the latent phase? | show 🗑
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| show | Sedatives for brief sleep/rest periods
Ambien: Use only when birth is 12-24 hours away
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| show | then be prepared to resuscitate a sleepy baby
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| What are the nursing measures for the active phase? | show 🗑
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| show | Must check fetal heart rate immediately after rupture, Temperature every 2 hours, Chart, date, time and color
Nitrazine paper, Alkaline >6.5, Fern test, COAT (color, odor, amount, time)
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| show | clear, yellow=blood incompatibility, green= meconium stained
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| show | Maintain temperature/prevents heat loss
Source of oral fluids, Barrier to infection, Permits normal fetal lung development and symmetrical growth
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| What are the nursing measures in the transition phase? | show 🗑
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| show | Complete dilatation to birth of the baby
Changes in the contraction patterns
Uncontrollable urge to push
Baby putting pressure on the rectum
Presenting part descends with pushing
Perineum begins to bulge
Crowning
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| What is the care of the woman in the second stage of labor? | show 🗑
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| show | Delivery of the placenta
5-30 minutes
Contractions are mild which aids in separating the placenta from the uterus.
Stitching may occur.
Shiny schultze on the left and dirty duncan on the right.
Patient bears down and the placenta delivers.
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| What are the signs of placental separation | show 🗑
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| show | Start oxytocin after delivery of the placenta
Perineal repair if needed
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| show | Assessment of mom’s fundus, lochia, etc
Encourage bonding with the baby
Increase fluids, offer regular diet
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| What are the advantages of an epidural? | show 🗑
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| What are the disadvantages of an epidural? | show 🗑
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| What is the nursing care for a mother getting an epidural? | show 🗑
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| show | spinal headache, so apply a blood patch
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| What are the indications of a C section | show 🗑
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| show | Assessment of mom and baby
Pre-op Teaching
Foley Catheter
Abdominal Shave Prep
IV #18 and a 1000ml bolus
Obtain consent
NPO at least 4-8 hours prior
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| show | Transverse or Pfannensteil “bikini cut” and
Vertical
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| What are the two types of uterine incision? | show 🗑
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| Always have to have a cesarean and risk uterine rupture if go into labor if they get a | show 🗑
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Created by:
taylor_rhoades