Assessment during Labor Deliveryy Flashcards
is timed from when a woman feel a contraction until it is over. This time is usually measured in seconds.
Duration
is timed from the start of one contraction to the start of the next. It includes the contraction as well as the rest period until the next contraction begins. This time is measured in _______
frequency
minutes
is timed from the end of one uterine contraction to the start of the new contraction. This time is measured in ____
Interval
minutes
contractions are considered regular when the duration and frequency are ____ over a period of time.
stable
Regular contractions
contractions are irregular when there isn’t a ___ pattern.
irregular contractions
contractions that re lasting longer and getting closer together are considered to be _____. Over the course of labor, contractions get longer, stronger and closer together
progressing
FHS are transmitted best through ____ portion of the fetus because that is the part that lies in closest contact with the uterine wall
convex
In a vertex or breech presentation, FHS are usually best heard through ____
fetal back
In a face presentation, ____ becomes concave so the sounds are best heard through the more ____
back
convex thorax
In breech presentations, FHS are heard most clearly high in the ____
uterus
umbilicus
In cephalic presentations, they are heard loudest in a woman’s
abdomen
In a ROA position, sounds are heard best in the ____
right lower quadrant
In a LOA position, sounds are heard best in the ___
left lower quadrant
In posterior positions (LOP or ROP) heart sounds may be loudest at a ____
woman’s side
Determine the FHR every ____ during the beginning latent labor
every ____ during active first stage labor
every _____ during the second stage of labor
30 minutes
15 minutes
5 minutes
Non periodic accelerations are temporary normal increases in FHR caused by ______, a change in maternal position or administration of an analgesic
fetal movement
before 32 weeks, an acceleration has a peak of ____ or more above baseline with a duration of 10 seconds or more but less than ___ from onset to return
10 beats/mins
2 minutes
At 32 weeks and beyond, an acceleration has a peak of _____ or more above baseline with a duration of ______ or more but less than 2 minutes from onset to return
15 beats/min
15 seconds or mroe
If an acceleration lasts ____ or longer, it is a baseline change or a new baseline is established
10 seconds
Prolonged acceleration lasts ____ or more but less than ____ in duration
2 minutes
10 minutes
are visually apparent, usually symmetrical, periodic decreases in FHR resulting from pressure on the ____ during contractions as parasympathetic stimulation in response to ____ compression brings about a slowing of FHR
decelerations
fetal head
vagal nerve
follows the pattern of the uterine contraction, beginning when the contraction begins and ending when the contraction ends.
The rate rarely falls below 100 beats/min and it returns quickly to between 110-160 beats/min at the end of the contraction.
Early deceleration
Early deceleration is due to
head compression
