Alterations In Intrapartal Flashcards
If a mother complains of pain after having a child by using forceps what do you need be worried about
Hematomas and bruises from the use of forceps
Crossover of the sutures
Caput succedaneum
What does cpd stand for and what does it mean
Cephlopelvic disproportion
Bigger head than what can fit through pelvic opening
What needs to be done for a mother carrying a cpd fetus
C-section
Vacuum extraction
Suction cup applied against occiput
Why might you use the vacuum extraction during labor
Prolonged 2nd stage
Conditions that put mother and fetus at risk
Borderline cpd
Contraindications for vacuum extraction
Face or breach Cpd Extreme prematurity Macrosomia High fetal station
What is the worry for babies when using any type of forceps
Ecchymoses
Facial and scalp lacerations
Facial nerve injury
Cephalohematoma
V-back
Vaginal deliveries after c-sections as long as uterine cut is low uterine
Cesarean births
Approx 33% of US births
Higher risk of maternal morbidity
Acyclovir
Med given during antepartal periodo aids does not get passed on
Most common uterine incision
Transverse in lower segment
C-section prep
NPO Antacid Abd and perineal prep Indwelling catheter Suctioning function
Beta methadone
Medication to help with lung maturity
How frequent should vital signs be checked post delivery
Every 5 minutes until stable
15 minutes every hour
30 minutes until sent to pp
Oligohydramnios
Too little fluid
Amnioinfusion
Technique of introducing warmed, sterile, normal saline or Ringer’s lactate solution into the uterus through IUPC
Cervical ripening
Softens by breakdown of collagen fibrils and effaces (ready to dilate)
How can you make “cervical ripe”
Use prostaglandin agent
Use mechanical methods
Non pharmacological methods
Surgical methods used
Why should a male wear a condom while having sex with a pregnant women
Semen stimulates prostaglandin and that stimulates contractions
Augmentation of labor
stimulate contractions when natural labor has failed to progress
Bishop score
Evaluate readiness for labor per pelvic exam
Score 0-10
Dystocia
Abnormal or difficult labor due to mechanical factors
What could dystopia be produced by
Inadequate uterine muscle activity
Fetus
Maternal pelvis
Most common cause of dystocia
Dysfunctional uterine contractions
Hypotonic labor patterns
Less than one centimeter dilated per hour or no cervical change for 2 hours
What are risk factors for hypotonic labor patterns
Overstretch of uterus
Cpd
Excessive use of analgesia
Hypertonic uterine dysfunction
Uterus never fully relaxes between contractions
Mother becomes exhausted and compromised placental perfusion
Precipitous labor and birth
Entire labor and birth rapid within 3 hours
Abnormally strong contractions
What is the biggest concern with postterm pregnancy
Placenta wearing out
The placenta will not be able to give baby blood and oxygen it needs after 42 weeks
Are women on psych medications allowed to take their normal meds during pregnancy
Medications often cause problems
What are babies with psych mothers usually like at birth
Lbw infant
Birth defects
What is one thing with psych women to remember when caring for her
Same doctor/nurse will help calm her and she will feel more safe with someone she knows
