Brainscape's Knowledge GenomeTM

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


See full index

NURS 3800 > Alterations In Intrapartal > Flashcards

Alterations In Intrapartal Flashcards

0
Q

Uterus doesn’t contract keeps becoming boggy

A

Uterine atomy

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

Who gets RhoGAM ? When do they get it?

A

Rh - mom, 28 week and within 72 hours of delivery

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

What is dystocia

A

Things that could cause difficult labor

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

What are operative obstetrics techniques

A

Help facilitate fetus to be brought to the outside

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

What part of uterus is where there is very little contacting done

A

Lower uterus

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

Where is placenta normally?

A

Upper front part if uterus

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

Placenta previa is improperly implanted placenta in the _________ with ____________

A

In lower uterine segment with painless bright red bleeding

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

Risk factors for placenta previa

A

Maternal age and number of C/S
Scaring in upper uterine segment
Smoking, cocaine
HTN, diabetes

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

Concerns with placenta previa

A

Bleeding, hemorrhage.. “Afterbirth comes first”

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

What is a medication to stop contractions and calm uterus? When would you use it?

A

Tocolytics, placenta previa

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

Why should there be no nipple stimulation or vaginal exam with placenta previa?

A

Release oxytocin which stimulate contractions. We do nothing to stimulate contractions. But if vaginal exam had to be done you have to have a double set up.

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

Premature separation or NORMALLY implanted placenta from uterine wall

A

Abruptio placenta

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

What kind of bleeding would you see with a marginal Abruptio placenta

A

Bright red bleeding

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

What’s important about central Abruptio placenta

A

May not know she has it until she delivers the baby. There will be fast bleeding which will cause the uterus to swell up and there will be a big clot behind placenta which can be painful for mom

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

What is important about fundal height with the complete Abruptio placenta

A

Fundal height will be much bigger than expected

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

What is a concern with severe central Abruptio placentae?

A

May observe Couvelaire uterus (blue uterus, abnormal fundal height, mother c/o of lots of pain) and risk of DIC ( disseminated intravascular clotting)

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

What is DIC

A

disseminated intravascular clotting- excessive activation of clotting factors and then they run out and bleeding occurs. insult that occurs in relation to something else it is not a disease by itself.

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

If there is vaginal bleeding should you do a vaginal or rectal exam?

A

Not without a double set up!!

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

What color bleeding with Abruptio placenta? Why?

A

Dark red bleeding because it is behind placenta

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

Symptoms of Abruptio placenta

A

Dark red bleeding, shock, severe abdominal pain

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

What is somebody with Abruptio placemat at a increased risk for

A

Hemorrhage, fetal distress, preterm labor/delivery depending on placenta problem

21
Q

What is Cryoprecipitate

A

Anti-hemorrhage medication

Used with Abruptio placenta

22
Q

Is the clot usually visible on the ultrasound with Abruptio placenta?

A

Less than 50% of cases

23
Q

Where should cord normally attach

A

More towards the center

24
Q

What are the three different ways of placental adherence?

A
  • Accreta - (most common) superficially into myometrium
  • Increta- myometrium invaded
  • Percreta- myometrium penetrated
25
Q

What is the most common type of placental adherence where the chronic villi attach directly to myometrium of uterus

A

Accreta

26
Q

Type of placental adherence where myometrium is invaded, attached deep into myometrium

A

Increta

27
Q

Type of placental adherence where myometrium is penetrated, attached through the myometrium

A

Percreta

28
Q

Concerns with placental problems & umbilical cord variations

A

Hemorrhage failure of placenta to separate; abnormal separation of placenta

29
Q

What is a person at increased risk for if they have placental problems and umbilical cord variations

A

Hemorrhage, fetal distress, preterm labor/delivery depending on problem

30
Q

Most common types of twins

A

Fraternal (dizygotic) —67%

31
Q

Two separate ovums? Single ovum?

A

Two separate- dizygotic

Single- monozygotic

32
Q

With twins, triplets, or more the risk is increasing with ____________

A

Infertility treatment

33
Q

What things are multifetal pregnancy at risk for

A

Pulmonary embolism, PROM, preterm labor, increased risk of maternal physical discomfort, increase risk fetal problems, increased risk or postpartum bleeding

34
Q

Why could a multifetal pregnant mother be at risk for postpartum bleeding

A

Because of stretching

35
Q

Do you just use one fetal monitor on a mom with multi fetus pregnancy

A

No- If the mom is expecting twins you do a dual external fetal monitor using 2 sets of belts

36
Q

Most common procedure in OB

A

Amniotomy

37
Q

What is amniotomy

A

Artificial rupture of membranes “strip membranes”

38
Q

What do you use for amniotomy

A

Amnihook; sterile vaginal exam

39
Q

When is amniotomy done

A

After engagement occurs–which is when head is in brim and not popping back out

40
Q

What are some reasons for amniotomy

A

Induction or to facilitate labor contractions, gain access to fetus, at least 2 cm dilated cervix required

41
Q

When should births occur after an amniotomy?

A

Must occur within 24 hours because of risk of infection

42
Q

What risks increase if amniotomy is used

A

Cord prolapse, Abruptio placenta, fluid embolism

43
Q

What is fluid embolism

A

Bolus of amniotic fluid enters maternal circulation & then the lungs. It is a rare occurrence but it is a obstetric emergency ( hypotension, hypoxia, coagulopathy, respiratory distress, circulatory collapse

44
Q

What color does amniotic fluid turn?

A

Blue because it is alkaline

45
Q

Is vagninal fluid acidic/basic

A

Acidic

46
Q

For amniotomy…check temperature every ____ hours, _______ if no engagement, keep _____ and ________

A

Temperature every 2 hours, bed rest if no engagement, keep clean and dry

47
Q

Forceps are a stainless steel instrument with two steel parts, _____&______, used to apply traction to fetal head

A

Cross and lock

48
Q

If trial of labor is followed by failed forceps what is likely

A

C/S

49
Q

What is outlet when talking about forceps

A

Most often used. Head on perineum, crowning

50
Q

Are the forcep blades put on at the same time

A

No. Each blade put on separately brought together and locked

NURS 3800 (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions