CARE OF MOTHER 1-2 Flashcards
1-2
The frequency of maternal vital signs and respiratory
status assessment is as follows:
First stage latent
Blood pressure (BP), pulse, and respirations are
assessed every hour (if the BP is greater than
140/90 or if the pulse is greater than 100,
contact the primary care provider).
Temperature is assessed every 4 hours (every 2
hours if the membranes are ruptured).
The frequency of maternal vital signs and respiratory
status assessment is as follows:
First stage active
BP, pulse, and respirations are assessed every
hour.
The frequency of maternal vital signs and respiratory
status assessment is as follows:
First stage transition
BP, pulse, and respirations are assessed every
30 minutes.
The frequency of maternal vital signs and respiratory
status assessment is as follows:
Second stage
BP and pulse assessed every 5 to 15 minutes
Fundal height is measured
Status of labor (i.e.. contractions [onset,
frequency, duration, and intensity],
membranes, bleeding, cervical dilation and
fetal descent) is determined.
The client’s needs for comfort, analgesia, or
anesthesia is assessed continuously.
. Psychosocial assessment
anxiety, childbirth education, support systems, and
the client’s response to labor
Palpation or electronic monitoring (external with
____ and internal with ____
tocodynamometer
intrauterine
pressure catheter)
The
frequency of contraction assessment is as follows:
First stage latent -
every 30 minutes
The
frequency of contraction assessment is as follows:
First stage active
every 15 to 30 minutes
The
frequency of contraction assessment is as follows:
First stage transition
every 15 minutes
The
frequency of contraction assessment is as follows:
Second stage –
each contraction
- performed to assess
cervical dilation and cervical effacement
Sterile vaginal examination -
Sterile vaginal examination -
performed to assess
cervical dilation
(opening of external os from closed
to 10 cm) a
Sterile vaginal examination -
cervical effacement
(thinning and
shortening of the cervix, as measured from 0% (thick)
to 100% (paper thin) effaced)
- the long axis of the fetus is
parallel to the long axis of the mother
Longitudinal lie
- the long axis of the fetus is
perpendicular to the long axis of the mother
Transverse lie
. Monitor fetal status
Auscultate the FHR every ___during first
stage latent; every____during the second
stage.
30 minutes
15 minutes
FETAL HEART RATE The normal range is between _____ beats per
minute
120 and 160
Early deceleration is slowing of the FHR early in the
contraction. It is considered benign, mirrors the
contraction, and is indicative___
of head
compression.
FHR ____ during contractions but returns to
normal after 10 to 15 seconds
decreases
Late deceleration is an indication of _____
due to uteroplacental insufficiency. It usually
begins at the peak of the contraction and ends
after the contraction ends.
fetal hypoxia
Variable deceleration is a transient decrease in
FHR before, during, or after the contraction. It
indicates __ and has a
characteristic V or U pattern.
cord compression
Bradycardia is a FHR less than 100 beats per
minute or a drop of 20 beats per minute below
baseline.
It indicates cord compression or
placental separation
Tachycardia is a FHR greater than 160 beats per
minute. It indicates_____ if it persists for
more than 1 hour or is accompanied by late
deceleration
fetal distress
(Loss of beat-to-beat variability indicates
fetal
reaction to maternal drugs, fetal sleep, or fetal
demise.
