Review of intrapartum
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Five signs of labor | Lightening,
Braxton hicks contractions,
Increased bloody show,
Burst of energy
🗑
|
||||
| True labor vs False labor | True labor- regular rhythmic contractions that intensify with ambulation, pain in the abdomen sweeping around from the back and cervical changes
False labor-irregular rhythm, abdominal pain that decreases with ambulation
🗑
|
||||
| What results from hyperventilation in labor? | Respiratory alkalosis
instruct pt to breath into a paper bag or cupped hand
🗑
|
||||
| Maternal changes in the transition phase of labor | Irritability and unwillingness to be touched but dont want to be left alone, n/v, and hiccupping
🗑
|
||||
| When should a laboring client be examined vaginally | Prior to analgesia and anesthesia to rule out cord prolaps,e to determine labor progress and to determine when pushing can begin
🗑
|
||||
| Define cervical effacement | Shortening of cervix expressed in percentages (0-100%)
🗑
|
||||
| Where is the FHR best heard | Fetal back in vertex, OA postions
🗑
|
||||
| Normal FHR during labor | 110-160 bpm
🗑
|
||||
| Normal maternal BP, pulse and temp during labor | <140/90
<100 bpm
<100.4
🗑
|
||||
| Four nursing actions for second stage of labor | Ensure cervix is completely dilated before pushing is allowed
Assess FHR with each contraction
Teach woman to hold breath for no longer than 10 sec
Teach pushing techniques
🗑
|
||||
| Three signs of placental separation | Gush of blood
Lengthening of cord
Globular shape of uterus
🗑
|
||||
| When should the postpartum dosage of Pitocin be admin? Why? | Immediately after placenta is delivered to prevent post partum hemorrhage and atony.
🗑
|
||||
| Contraindication to use of Methergine | Hypertension
🗑
|
||||
| Five symptoms of resp distress in the new born | Tachypnea, dusky color, flaring nares, retractions and grunting
🗑
|
||||
| If meconium was passed in utero what nursing action must be taken? | Arrange of immediate ET tube observation to determine te presence of meconium below the vocal cords
🗑
|
||||
| Good apgar score | 7-10
🗑
|
||||
| Major cause of maternal death when gen. anesthesia is admin | Aspiration of gastric contents
🗑
|
||||
| What is the first sign to observe for hypotension in a laboring patient after she receives epidural? | Hypotension resulting from vasodilation below the block, which pools blood in the periphery, reducing venous return
🗑
|
||||
| Three actions to take if hypotension occurs in a laboring client | Turn client to left side
Admin O2 by mask at 10L/min
Increase speed of IV infusion
🗑
|
||||
| Define fourth stage of labor | 1-4 hrs after delivery of placenta
🗑
|
||||
| Actions to prevent post partum hemorrhage | Massage the fundus gently and keep the bladder emptied
🗑
|
||||
| Nursing actions when a soft boggy uterus is palpated | Perform fundal massage
🗑
|
||||
| Symptoms of hypovolemic shock | Pallor, clammy skin, tachycardia, lightheadedness and hypotension
🗑
|
||||
| How often should the nurse check the fundus during the fourth stage of labor? | Q 15 mins x 1 hr
Q 30 mins x 2 hr if normal delivery.
🗑
|
||||
| Latent phase of labor | From beginning of true labor to 3-4cm dilation. Client will be mildly anxious, mild contractions, initially 10-20 mins apart 15-20 sec duration
🗑
|
||||
| Active phase of labor | 4-7 cm dilation; Client will have increased anxiety, discomfort, unwillingness to be left alone, moderate to severe contractions ( 2-3 mins apart 30-60sec duration)
🗑
|
||||
| Transition phase of labor | 8-10 cm dilation; Client will experience sudden nausea, hiccups, extreme irritability and unwillingness to be touched, severe contractions (1 1/2 mins apart, 60- 90 sec duration)
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
roseiv2014
Popular Nursing sets