Assessment during Labor Deliveryy

Question 1

is timed from when a woman feel a contraction until it is over. This time is usually measured in seconds.

Answer 1

Duration

Question 2

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 _______

Answer 2

frequency
minutes

Question 3

is timed from the end of one uterine contraction to the start of the new contraction. This time is measured in ____

Answer 3

Interval
minutes

Question 4

contractions are considered regular when the duration and frequency are ____ over a period of time.

Answer 4

stable

Regular contractions

Question 5

contractions are irregular when there isn’t a ___ pattern.

Answer 5

irregular contractions

Question 6

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

Answer 6

progressing

Question 7

FHS are transmitted best through ____ portion of the fetus because that is the part that lies in closest contact with the uterine wall

Answer 7

convex

Question 8

In a vertex or breech presentation, FHS are usually best heard through ____

Answer 8

fetal back

Question 9

In a face presentation, ____ becomes concave so the sounds are best heard through the more ____

Answer 9

back
convex thorax

Question 10

In breech presentations, FHS are heard most clearly high in the ____

Answer 10

uterus
umbilicus

Question 11

In cephalic presentations, they are heard loudest in a woman’s

Answer 11

abdomen

Question 12

In a ROA position, sounds are heard best in the ____

Answer 12

right lower quadrant

Question 13

In a LOA position, sounds are heard best in the ___

Answer 13

left lower quadrant

Question 14

In posterior positions (LOP or ROP) heart sounds may be loudest at a ____

Answer 14

woman’s side

Question 15

Determine the FHR every ____ during the beginning latent labor
every ____ during active first stage labor
every _____ during the second stage of labor

Answer 15

30 minutes
15 minutes
5 minutes

Question 16

Non periodic accelerations are temporary normal increases in FHR caused by ______, a change in maternal position or administration of an analgesic

Answer 16

fetal movement

Question 17

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

Answer 17

10 beats/mins
2 minutes

Question 18

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

Answer 18

15 beats/min
15 seconds or mroe

Question 19

If an acceleration lasts ____ or longer, it is a baseline change or a new baseline is established

Answer 19

10 seconds

Question 20

Prolonged acceleration lasts ____ or more but less than ____ in duration

Answer 20

2 minutes
10 minutes

Question 21

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

Answer 21

decelerations
fetal head
vagal nerve

Question 22

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.

Answer 22

Early deceleration

Question 23

Early deceleration is due to

Answer 23

head compression

Question 24

are those in which the onset, nadir and recovery of the deceleration occur after the beginning, peak and ending of the contraction, respectively.

Answer 24

late decelerations

Question 25

Late decelerations suggests _______

Answer 25

uteroplacental insufficiency or decreased blood flow through the intervillous spaces of the uterus during uterine contractions

Question 26

When there is a late decelerations teh nursing actions is

Answer 26

change the woman position from supine to lateral prepare for prompt CS of the infant if the late decelerations persist

Question 27

are a decrease from the FHR baseline of 15 beats/min or more and last longer than 2-3 minutes but less than 10 minutes.

Answer 27

Prolonged decelerations

Question 28

Prolonged decelerations may signify a significant event such as ________

Answer 28

cord compression or maternal hypotension

Question 29

it refers to decelerations that occur at unpredictable times in relation to contractions

Answer 29

variable decelerations

Question 30

What are the causes for variable decelerations?

Answer 30

1. prolapsed of the cord 2. oligohydramnios 3. post term pregnancy 4. intrauterine growth restriction

Question 31

What should be the nursing action during variable decelerations?

Answer 31

change the woman’s position from supine to lateral provide oxygen position to a knee-chest to help relieve pressure on the cord

Question 32

involves the fourchette vaginal mucous membrane perineal skin

Answer 32

first degree

Question 33

involves the fourchette vaginal mucous membrane perineal skin muscle of perineal body

Answer 33

second degree

Question 34

involves the fourchette vaginal mucous membrane perineal skin muscle of the perineal body anal sphincter

Answer 34

third degree

Question 35

involves the fourchette vaginal mucous membrane perineal skin muscle of the perineal body anal spincter mucous membrane of rectum

Answer 35

fourth degree

Question 36

refers to the incision made at the perineum

Answer 36

episiotomy

Question 37

incision is made in the midline of the perineum

Answer 37

midline episiotomy

Question 38

incision is begun in the midline but directed laterally away from the rectum

Answer 38

mediolateral episiotomy

Question 39

refers to a scale used to assess all types of postpartum perineal trauma and healing in vaginal birth. It includes five factors associated with the healing process

Answer 39

REEDA redness edema ecchymosis discharge approximation

Question 40

REEDA 0

Answer 40

HEALED

Question 41

1-5

Answer 41

MODERATELY HEALED

Question 42

6-10

Answer 42

MIDLY HEALED

Question 43

11-15

Answer 43

NOT HEALED

Question 44

pulse and respirations may be fairly rapid immediately after birth ______

Answer 44

80-90 mins 20-24 breaths per min

Question 45

should be reported STAT

Answer 45

tachycardia and falling BP

Question 46

sudden dyspnea, chest pain and tachypnea

Answer 46

amniotic embolism

Question 47

lochia should never be absent during the first ____ as it indicates postpartal infection

Answer 47

1-3 weeks

Question 48

a woman who is not breastfeeding, can expect her menstrual flow to return in ____ weeks after birth

Answer 48

6-10

Question 49

if she is breastfeeding, a menstrual flow may not return for ____ months

Answer 49

3-4 months

Question 50

most common cause of postpartum hemorrhage

Answer 50

uterine atony

Question 51

In 1952, _____ develop the APGAR Score

Answer 51

Dr. Virginia Apgar

Question 52

APGAR score is done at ______

Answer 52

1 minute and 5 minutes

Question 53

means the process of collecting a few drops of blood from the newborn onto an appropriate collection card

Answer 53

newborn screening

Question 54

NBS tests for six disorders what are these?

Answer 54

congenital hypothyroidism Phenylketonuria Congenital adrenal hyperplasia Glucose-6 phosphate dehydrogenase (G6PD) deficiency Galactosemia Maple syrup urine disease

Question 55

one weighing less than 2500 g at birth

Answer 55

low birth weight infant

Question 56

one weighing less than 1500 g at birth

Answer 56

very low birth weight infant

Question 57

one weighing less than 1,000 at birht

Answer 57

extremely low birth weight infant

Question 58

anus is not covered by a membrane (imperforated anus)

Answer 58

anal patency test