Block 6 Labor and Birth

Question 1

effleurage=

Answer 1

a nonpharmacological pain relief measure, stroking the abdoment

Question 2

Sacral pressure=

Answer 2

a nonpharmacological pain relief measure, firm pressure on the back

Question 3

what is the first stage of breathing?

Answer 3

blow to avoid bearing down(when we don’t want the mom to push)

Question 4

what do you have the mother do when you don’t want her to push?

Answer 4

breath(pant)

Question 5

what is the second stage of breathing?

Answer 5

cleansing breath and pushing with exhaling

Question 6

when is the second stage of breathing used?

Answer 6

when pushing

Question 7

what is the advantage of pharmacological methods of pain relief for women in labor?

Answer 7

allows the mother to be more relaxed

Question 8

what is a disadvantage of pharmacological methods of pain relief for women in labor?

Answer 8

it can slow the labor

Question 9

what is a limitation of pharmacological methods of pain relief for women in labor?

Answer 9

potential impact on the condition of the fetus

Question 10

when do you avoid narcotic (opioid) analgesics?

Answer 10

if birth is anticipated within one hour

Question 11

name an adjunctive drug used during or after birth

Answer 11

Narcan. it reverses respiratory depression and can be given to the mother and baby

Question 12

what kind of anesthesia do they use for childbirth

Answer 12

epidural block

Question 13

when can an epidural block be given during labor?

Answer 13

when the cervix is at least 4 centimenters

Question 14

what are the two main side effects of the epidural block?

Answer 14

hypotension and urinary retention

Question 15

this relieves an epidural block headache

Answer 15

a blood patch

Question 16

what are the four P’s of the birth process?

Answer 16

powers
passage
passenger
psyche

Question 17

what are the powers during the birth process?

Answer 17

contractions and pushing

Question 18

what is the psyche during the birth process

Answer 18

the mother’s emotions

Question 19

What are the three phases of a contraction?

Answer 19

increment, peak, and decrement

Question 20

increment=

Answer 20

when the contraction is going up

Question 21

Peak=

Answer 21

when the contraction is at its highest

Question 22

decrement=

Answer 22

when the contraction is going down

Question 23

when should the Dr. be called regarding the contractions?

Answer 23

if the contraction is more than 90 seconds

Question 24

how is the frequency of the contraction measured?

Answer 24

the beginning of one contraction to the beginning of the next

Question 25

how is the duration of the contraction measure

Answer 25

from the beginning of one contraction to the end of it

Question 26

this allows the baby's head to change shape.

Answer 26

the fontanels

Question 27

vertex=

Answer 27

head first position

Question 28

breech=

Answer 28

feet or butt first position

Question 29

name four signs of impending labor...

Answer 29

Braxton hicks increased vaginal discharge bloody show rupture of the membranes

Question 30

what is the priority if the patients membranes rupture?

Answer 30

fetal HR. the patient needs to go to the hospital

Question 31

positive number station=

Answer 31

the baby is below the spine

Question 32

a negative number station=

Answer 32

the baby is above the spine

Question 33

flexion=

Answer 33

easiest way to go through the pelvis

Question 34

when should the patient go to the hospital in relation to contractions?

Answer 34

when they are five minutes apart for an hour

Question 35

what are the five signs that a pregnant women needs to go to the hospital?

Answer 35

``` regular contractions ruptured membranes bleeding other than bloody show decreased fetal movement any other concern ```

Question 36

what are the three major assessments performed promptly on admission

Answer 36

fetal condition(HR) maternal condition impending birth

Question 37

what should you do if the head is sticking out?

Answer 37

do not leave and call for help

Question 38

three signs that labor is false...

Answer 38

contractions are irregular bloody show usually not present no change in effacement/dilation of the cervix

Question 39

four signs that labor is NOT false

Answer 39

contractions develop a pattern contractions become stronger and more effective with walking bloody show is often present progressive effacement and dilation of cervix

Question 40

when should a fetal HR be reported to the Dr.?

Answer 40

when it is less than 110 or more than 160

Question 41

what three things should be monitored on the fetus

Answer 41

HR intermittent auscultation continuous electronic fetal monitoring

Question 42

accelerations in the fetal HR during labor are...

Answer 42

Good

Question 43

stable fetal HR is...

Answer 43

Good

Question 44

moderate variability in the fetal HR is...

Answer 44

Good

Question 45

late decelerations in the fetal HR is...

Answer 45

the worst

Question 46

what needs to be done if the fetal HR is having late decelerations?

Answer 46

reposition the mother onto her side give her oxygen increase plain IV fluids stop the pitocin

Question 47

what four things needs to be monitored on the women while in labor?

Answer 47

vitals contractions progress of labor intake and output

Question 48

how is the progress of labor determined?

Answer 48

dilation and effacement by a vaginal exam

Question 49

how is I&O monitored during labor?

Answer 49

check to see if she voided

Question 50

what type of test determines if fluid is amniotic fluid or urine?

Answer 50

nitrozene paper

Question 51

what color would the nitrozene paper be if it indicated amniotic fluid?

Answer 51

blue

Question 52

how many stages of labor is there

Answer 52

4

Question 53

1st stage=

Answer 53

dilation and effacement. should be 10cm and 100% effaced

Question 54

2nd stage-

Answer 54

expulsion of the fetus

Question 55

3rd stage=

Answer 55

expulsion of the placenta

Question 56

4th stage=

Answer 56

recovery

Question 57

during the 4th stage of labor what needs monitored?

Answer 57

vitals every 15 minutes and make sure the fundus is firm

Question 58

what is the last phase of the 1st stage of labor?

Answer 58

transition

Question 59

this phase of labor the mother may curse and reject her partner

Answer 59

transition

Question 60

transition usually occurs at how many centimeters dilated?

Answer 60

7 and lasts until 10

Question 61

what needs done when the placenta is expelled?

Answer 61

need to make sure it is intact

Question 62

how do you identify and prevent hemorrhage?

Answer 62

make sure the fundus is firm

Question 63

fourth stage (recovery) nursing care needs to include these 5 things...

Answer 63

``` identify and prevent hemorrhage observe bladder function evaluate recovery from anesthesia provide initial care to the newborn infant promote bonding ```

Question 64

this helps reduce swelling and bruising immediately after birth...

Answer 64

ice to perineum

Question 65

these five things needs to be done during the initial care of the newborn...

Answer 65

maintain thermoregulation maintain cardiorespiratory function observing for urination and/or passage of meconium identifying the mother, father, and newborn performing assessment encouraging bonding/breastfeeding

Question 66

how is thermoregulation maintain in the newborn?

Answer 66

dry the baby put a hat on the baby's head put them in the warmer

Question 67

what five things are assessed in the apgar test?

Answer 67

``` HR respiratory effort muscle tone reflex to the feet skin color ```

Question 68

what is the best apgar score?

Answer 68

2 points of each of the five areas (10 points)

Question 69

if a baby scores an 8 or better on an apgar test what is done?

Answer 69

nothing just observe

Question 70

if a baby scores a 4-7 on an apgar test what is done?

Answer 70

gentle stimulation

Question 71

what does vitamin K do for the newborn?

Answer 71

decrease the risk of hemorrhage and assist with blood clotting

Question 72

this decreases the risk of hemorrhage and assists with blood clotting in the newborn

Answer 72

vitamin K