Alterations In Intrapartal Flashcards

0
Q

If a mother complains of pain after having a child by using forceps what do you need be worried about

A

Hematomas and bruises from the use of forceps

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1
Q

Crossover of the sutures

A

Caput succedaneum

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2
Q

What does cpd stand for and what does it mean

A

Cephlopelvic disproportion

Bigger head than what can fit through pelvic opening

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3
Q

What needs to be done for a mother carrying a cpd fetus

A

C-section

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4
Q

Vacuum extraction

A

Suction cup applied against occiput

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5
Q

Why might you use the vacuum extraction during labor

A

Prolonged 2nd stage
Conditions that put mother and fetus at risk
Borderline cpd

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6
Q

Contraindications for vacuum extraction

A
Face or breach 
Cpd
Extreme prematurity
Macrosomia
High fetal station
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7
Q

What is the worry for babies when using any type of forceps

A

Ecchymoses
Facial and scalp lacerations
Facial nerve injury
Cephalohematoma

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8
Q

V-back

A

Vaginal deliveries after c-sections as long as uterine cut is low uterine

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9
Q

Cesarean births

A

Approx 33% of US births

Higher risk of maternal morbidity

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10
Q

Acyclovir

A

Med given during antepartal periodo aids does not get passed on

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11
Q

Most common uterine incision

A

Transverse in lower segment

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12
Q

C-section prep

A
NPO
Antacid
Abd and perineal prep
Indwelling catheter
Suctioning function
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13
Q

Beta methadone

A

Medication to help with lung maturity

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14
Q

How frequent should vital signs be checked post delivery

A

Every 5 minutes until stable
15 minutes every hour
30 minutes until sent to pp

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15
Q

Oligohydramnios

A

Too little fluid

16
Q

Amnioinfusion

A

Technique of introducing warmed, sterile, normal saline or Ringer’s lactate solution into the uterus through IUPC

17
Q

Cervical ripening

A

Softens by breakdown of collagen fibrils and effaces (ready to dilate)

18
Q

How can you make “cervical ripe”

A

Use prostaglandin agent
Use mechanical methods
Non pharmacological methods
Surgical methods used

19
Q

Why should a male wear a condom while having sex with a pregnant women

A

Semen stimulates prostaglandin and that stimulates contractions

20
Q

Augmentation of labor

A

stimulate contractions when natural labor has failed to progress

21
Q

Bishop score

A

Evaluate readiness for labor per pelvic exam

Score 0-10

22
Q

Dystocia

A

Abnormal or difficult labor due to mechanical factors

23
Q

What could dystopia be produced by

A

Inadequate uterine muscle activity
Fetus
Maternal pelvis

24
Most common cause of dystocia
Dysfunctional uterine contractions
25
Hypotonic labor patterns
Less than one centimeter dilated per hour or no cervical change for 2 hours
26
What are risk factors for hypotonic labor patterns
Overstretch of uterus Cpd Excessive use of analgesia
27
Hypertonic uterine dysfunction
Uterus never fully relaxes between contractions Mother becomes exhausted and compromised placental perfusion
28
Precipitous labor and birth
Entire labor and birth rapid within 3 hours Abnormally strong contractions
29
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
30
Are women on psych medications allowed to take their normal meds during pregnancy
Medications often cause problems
31
What are babies with psych mothers usually like at birth
Lbw infant | Birth defects
32
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