Nursing Care During Labor and Birth
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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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