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Nursing Care During Labor and Birth

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Question
Answer
What are the traditional labor practices of Southeast asia (China, Japan, Korea)?   show
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What are the traditional labor practices of Laos?   show
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What are the traditional labor practices of India?   show
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What are the traditional labor practices of Iran?   show
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What are the traditional labor practices of Mexico?   show
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show Bury placenta for good luck.  
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show *Safe *All emergency equipment and personnel are available  
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show *Impersonal *Multiple moves (up to 4) create discomfort and separate mom and baby *Medically oriented *Visitors are limited  
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show *Normal uncomplicated labor, delivery and recovery is in the same room *The rooms are home-like and comfortable *The significant other and family members are allowed in the room.  
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show *Technical aspects *Less equipment  
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show *Less technical *Less expensive  
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What are the disadvantages of Free-Standing Birth Centers?   show
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show *Contractions 5 minutes apart for 1 hour for first labor *Contractions 10 minutes apart for 1 hour for second and subsequent labors *Ruptured membranes *Bleeding other than bloody show *Decreased fetal movements *Other concerns.  
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show Contractions are regular, closer together, stronger, and last longer *Contractions start in lower back and then travel. *Contractions cannot be stopped *The cervix softens, effaces and dilates *The fetus descends into the pelvis  
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show *Contractions: Rarely follow a pattern, Vary in length and intensity, stop with ambulation and position changes, and eventually stop with relaxation interventions. *Cervix does not change *No significant change in fetal position  
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What is the average Fetal Heart Rate (FHR)?   show
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show *Nitrazine paper *Fern test  
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show frequency, duration and intensity  
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show *Powers *Passage *Passenger *Psyche  
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show uterine contractions which cause the cervix to open and that propel the fetus downward through the birth canal  
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show Coordinated uterine contractions with the effects of Cervical Effacement (thinning) and Cervical Dilation  
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show Bearing down efforts of the woman which add to the power of the expulsive forces but have no effect on cervical dilation  
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show *Less than 2 mins apart *Longer than 90-120 secs *Intervals shorter *Incomplete relaxation of the uterus  
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In the Four Ps: Components of the Birth Process, what is Passage?   show
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show The child, placenta, and membranes  
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What is the ideal position of the fetus for birth?   show
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show *Crucial part of childbirth *Marked anxiety and fear decrease a woman’s ability to cope with pain in labor *Catecholamines inhibit uterine contractions and divert bloodflow from the placenta.  
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What is the only Fetal Heart Rate Assessment method possible if the mother is using a whirlpool or shower during labor, and is the method used with home deliveries?   show
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What are the advantages of Continuous Electronic Fetal Monitoring (EFM)?   show
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show Doppler transducer  
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What internal Continuous Electronic Fetal Monitoring (EFM) detects electrical signals from fetal heart by penetrating scalp?   show
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On the labor monitoring paper, where is the fetal heart rate and contractions located?   show
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What is the first intervention to correct a rapidly accelerated/decelerated fetal heart rate during labor?   show
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This type of fetal heart rate decreases with a contraction and always returns to the baseline by the end of the contractions. They are caused by fetal head compression. What kid of fetal heart rate pattern is this?   show
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show : an abrupt, temporary increase in rate by at least 15 beats/min lasting for at least 15 seconds. They suggest a fetus that is well oxygenated  
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show that the umbilical cord is being compressed, often because of a cord around the fetal neck or low amniotic fluid.  
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What are variable decelerations?   show
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What do late decelerations indicate?   show
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What FHR changes require no intervention other than continued observation?   show
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When does the 'First Stage: Dilation' begin?   show
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What is the longest stage of labor?   show
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What is the first phase of dilation and what can be expected?   show
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show Mild/Active Phase (4-7cm), Complete effacement, Contractions moderate to firm every 3-5 mins, Woman less sociable, turns inward, May ask for pain medication  
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show Transitional Phase (7-10cm), Shortest phase. Contractions firm; q2-3min & lasting up to 80 seconds. Woman may become uncooperative & hostile, feeling of losing control  
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When does the 'Second Stage: Delivery' begin?   show
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How long does delivery usually last?   show
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When does the 'Third Stage: Delivery of the placenta' begin?   show
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What is the average time of the third stage of childbirth?   show
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show Stabilization (2-4 hours following birth)  
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When is APGAR monitored?   show
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Within how long after childbirth must a complete assessment be done?   show
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show Labor that is completed in less than 3 hours  
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show *Hypoxia resulting from decreased periods of uterine relaxation between contractions *Intracranial hemorrhage *Nerve damage *Low apgar score  
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What are the maternal risks of precipitous labor?   show
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show Birth that occurs unexpectedly, with no trained birth attendant present. Precipitous birth may occur after a labor of any duration  
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