Boces/LPN
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| What is the first stage of labor? | Dialtion phase (early labor)
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| What takes place during the second stage of labor? | Birth of infant
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| What are the three parts of the first stage of labor? | 1)latent 2)active 3)transitional
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| Describe each part of early labor. | Latent: dialtion from 0-3cm. Contractions q5-8 minutes, last 20-35 seconds.mild. Active: dilation 4-7cm. Contractions q3-5 min/40-60sec. Moderate Transition: 7-10cm. Contractions q2-3 min/80 seconds. strong.
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| What is the longest stage of labor? | Latent
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| What happens during third stage of labor? | Starts after birth of infant and ends with delivery of placenta.
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| What is the greatest risk to mother after delivery of the placenta? | Hemorrhage
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| During which stage of labor may the pt become easily frustrated, have difficulty communicating and following directions? | Transitional stage
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| When does pt get moved to delivery room? | With full dilation of cervix.
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| What may be caused by meconium in amniotic fluid? | Infant may aspirate and suffer respiratory distress.
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| Describe different presentations of fetus. | Occipit anterior - preferred. Face down. Occipital posterior - facing upward. Frank Breech - buttocks first; coomplete breech - feet first Transverse - sideways
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| Why is oxytocin administered after birth? | To prevent hemorrhage
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| What nursing action should be taken for boggy fundus? | Massage
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| What should be documented when membranes rupture? | Time, amount, odor, color
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| What is monitored by fetal stations? | Decent into birth canal
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| Why is it important to keep pt's bladder empty? | Can impair decent into birth canal
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| What may happen if analgesics are administered in the transitional stage? | May cause resp distress to infant.
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| Encouraging proper breathing during childbirth is important why? | Adequately oxygenate mother and baby
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| What does dystocia mean? | Difficult childbirth
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| What is the risk to mother with premature rupture of membranes? | Infection
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| What is Yutapar used for? | Premature labor
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| What is failure of uterine muscles to contract normally after childbirth called? | Uterine atony
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| What poor outcome can happen after uterine atony? | Hemorrhage
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| What is a sign of fetal health when monitoring heart rate and contractions? | Heart rate variability with contractions.
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| If decelerations are noted, what position would mother be put in? | Trendelenberg or or knees to chest
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| What are the different types of lochia? | !st Rubra, 2nd serosa, 3rd alba
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| What is effacement? | Thinning and shortening of cervix
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| What is the landmark for station "0"? | Ischial spine
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| What is the peak of a contraction called? | Acme
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| How is direct fetal monitoring done? | Electrode placed on baby's head
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| What is colostrum? | First breast milk discharge
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