Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

aa Orgo > 406 4 > Flashcards

406 4 Flashcards

1
Q

latent phase is from the beginning of true labor until

A

3 to 4 cm dilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

active phase is from 4 cm to __ cm

A

7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

transition phase is from _ to _ cm

A

8 to 10 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

active phase: contraction frequency and duration

A

every 2 or 3 minutes for 30 to 60 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Intrapartum Description:

A

Begins with true labor and consists of four stages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Intrapartum stage: From the beginning of regular contractions or ROM to 10 cm of dilatation and 100% effacement

A

1st

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Intrapartum stage: 10 cm to delivery of the fetus

A

2nd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Intrapartum stage: Delivery of the fetus to delivery of the placenta

A

3rd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Intrapartum stage: Arbitrarily lasts about 2 hours after delivery of the placenta (recovery)

A

4th

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

True or false labor: pain in lower back that radiates to abd

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

True or false labor: pain plus regular rhythmic contractions

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

True or false labor: contractions that intensify with ambulation

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

True or false labor: progressive cervical dilation and effacement

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

True or false labor: discomfort localized in abd

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

True or false labor: no lower back pain

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

True or false labor: contractions decrease with ambulation

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Lightening

A

fetus drops into true pelvis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

“practice contractions”

A

Braxton Hicks contractions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Prodromal labor signs include: burst of

A

energy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

FHR best heard over the fetus’

A

back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Location of presenting part of the fetus in relation to midpelvis or ischial spines

A

fetal station

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Fetal station 0

A

Fetus is “engaged”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Fetal station is expressed in terms of cm below the

A

ischial spines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Fetal presentation: The part of the fetus that presents to the inlet: Vertex presentation is

A

head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Fetal presentation: The part of the fetus that presents to the inlet: Vertex acromion is

A

shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Fetal presentation: The part of the fetus that presents to the inlet: Vertex breech is

A

buttocks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

The relationship of the point of reference

(occiput, sacrum, acromion) on the fetal presenting part (vertex, breech, shoulder) to the mother’s pelvis.

A

Fetal position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

most common Fetal position is

A

LOA (left occiput anterior)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Relationship of the fetal parts to one another

A

Fetal attitude

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Fetal attitude: ____ is desirable so that the smallest diameters of the presenting part move through the pelvis.

A

Flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

normal FHR during labor:

A

110 to 160

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

normal maternal BP during labor

A

140/90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

normal maternal pulse during labor

A

less than 100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

normal maternal temp during labor

A

less than 100.4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

when should you take BP (relative to contractions)

A

between

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

during labor, take BP in what position

A

side-lying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

if infant’s head is floating, watch for

A

cord prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

assess the strength of a contraction according to

A

how indentable the fundus is

39
Q

if membranes/water broke, vaginal fluid ___s under microscope

A

ferns

40
Q

Woman should be allowed to ambulate during labor only if the

A

FHR is within a normal range and if the fetus is engaged (zero station)

41
Q

If mother ambulates during labor when the fetus is not yet engaged, there is an increased risk for

A

prolapsed cord

42
Q

Prolonged latent phase lasts over ___ hours in primigravida

A

20

43
Q

Prolonged latent phase lasts over __ hours in multipara

A

14

44
Q

___-stained fluid is yellow-green-gold and may indicate distress

A

meconium

45
Q

intrapartum: Allow sips of clear fluid if

A

no general anesthesia is anticipated

46
Q

Offer anesthesia or analgesia in ___ phase of labor.

A

midactive

47
Q

If given too late, narcotics increase the risk of

A

neonatal respiratory depression

48
Q

Heralded by the involuntary need to push, 10 centimeters of cervical dilatation, rapid fetal descent, and birth

A

Second Stage of Labor

49
Q

if you start pushing to early, the cervix can get

A

edema and never fully dilate

50
Q

At crowning, put gentle ____ against the

perineum

A

counterpressure

51
Q

Third Stage of Labor

A

From complete expulsion of the baby to complete expulsion of the placenta (so basically the placenta coming out)

52
Q

Give oxytocin ___ the placenta is delivered

A

AFTER (if you give it before the placenta might get stuck in there)

53
Q

Estimation of blood loss after delivery

A

done by the doctor

54
Q

after delivery, dry and __ the infant

A

suction

55
Q

during the episiotomy, the baby is held by

A

father

56
Q

Fourth Stage of Labor

A

first 1 to 4 hours after delivery of placenta

57
Q

withhold oxytocin if BP is

A

greater than 140/90

58
Q

methergine is not given to clients with

A

HTN

59
Q

never give methergine or hembate to a client while

A

in labor or before passing the placenta

60
Q

vaginal discharge after giving birth

A

lochia

61
Q

after delivery, fundus should be firm and

A

at or below umbilicus

62
Q

one of the most common reasons for uterine atony or hemorrhage in the first 24 h after delivery

A

full bladder

63
Q

After delivery: if the fundus is soft/boggy

A

massage the fundus, then have the client void.

Re-check fundus periodically

64
Q

after delivery: If the uterus does not become firm from the massage

A

escalate

65
Q

after delivery: if the 2nd perineal pad is soaked in only 15 min

A

escalate

66
Q

safety regarding analgesics

A

she should stay in the bed

67
Q

after delivery: to minimize edema of the perineum, apply

A

ice pack

68
Q

after delivery, Apply witch hazel compresses to perineum for

A

comfort

69
Q

after delivery, Provide a warm, darkened environment so newborn will

A

open eyes

70
Q

newborn: suction mouth and nose with ___ syringe

A

bulb syringe

71
Q

newborn: position head

A

slightly lower than body

72
Q

newborn: Expiratory grunt can indicate

A

breathing problem

73
Q

Do not ____ the newborn neck at any time

A

hyperextend

74
Q

a “good” apgar score is

A

7 to 10

75
Q

___ prophylaxis is mandatory in the U.S.

A

eye

76
Q

in addition to erythromycin, another med that may be used for the newborn’s eyes is

A

silver nitrate

77
Q

Moro

A

startle

78
Q

If parents desire an open-eye bonding period, may

delay eye prophylaxis for up to

A

1 hour

79
Q

Regional blocks (epidural, caudal, and subarachnoid) cause a temporary interruption of nerve impulses (especially pain) but also cause

A

vasodilation

80
Q

pain meds during labor cannot be given via

A

PO

81
Q

pain meds during labor: between IV and IM

A

IV is preferred because it only takes 20 min for it to work

82
Q

pain meds during labor: give the IV push at the beginning of a

A

contraction (so that less meds go to the fetus)

83
Q

pain meds during labor: explain the purpose of the drug but

A

don’t promise results

84
Q

If baby delivers during peak drug absorption time,

A

tell provider you might need narcan for the baby

85
Q

___ anesthesia is rarely used in today’s obstetric units.

A

General

86
Q

the first sign that a block (medication) is working is

A

warmth or tingling in the foot

87
Q

block (medication): if hypotension occurs, position

A

on left side

88
Q

block (medication): begin oxygen face mask at

A

10 L/min

89
Q

block (medication): have ___ ready at the bedside

A

ephedrine

90
Q

stop block medication infusion at the end of ___ _ or during ____

A

stage 1 or during transition

91
Q

stop block medication infusion at the end of stage 1 or during transition to

A

increase effectiveness of pushing

92
Q

____ rotation is harder to achieve when the pelvis is relaxed by anesthesia

A

internal rotation

93
Q

the cardinal sign of persistent posterior fetal position

A

maternal back pain

94
Q

regional blocks commonly result in

A

assisted delivery (forceps or vacuum) because you can’t push effectively

aa Orgo (196 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions