Ch 6 OB Flashcards
1
Q
Involuntary smooth muscle contractions
A
Uterine contractions
2
Q
Efface means
A
Thin
3
Q
Dilate means
A
Open
4
Q
What’s the three phases of contractions
A
Increment
Peak
Decrement
5
Q
Phases of contractions
The period of increasing strength is
A
Increment
6
Q
Phases of contractions
Greatest strength is
A
Peak
7
Q
Phases of contractions
Decreasing strength
A
Decrement
8
Q
____ is the beginning of one contraction to the beginning of next contraction
A
Frequency
9
Q
Contractions occurring more than every 2 minutes may do what
A
Reduce fetal O2 supply
10
Q
____ is the elapsed time of beginning of a contraction to the end of the same contraction
A
Duration
11
Q
Persistent contraction durations longer than ____ seconds may reduce fetal O2
A
90
12
Q
____ is approximate strength of the contraction measured by feeling
A
Intensity
13
Q
____ is the amount of time the uterus relaxes between contractions end of one contraction to the beginning of the next
A
Interval
14
Q
_____ pelvis is the lower part most involved in child bearing
A
True pelvis
15
Q
Soft tissue readiness happens during the ___ maternal phase
A
The passage
16
Q
Fetus, amniotic fluid, amniotic membranes, and the placenta is considered the passengers
A
Know
17
Q
____ is the strong connective tissue separates several vines in the fetal head
A
Sutures
18
Q
____ are wider area. Formed where sutures meet
A
Fontanelles
19
Q
Dilation and effacement is which stage of labor
A
First stage
20
Q
Cervix dilation is 1-4 cm is whAt stage
A
Latent stage
21
Q
Cervix dilation is 4-7 cm is the stages of labor
A
Active phase
22
Q
Cervix dilation is 7-10 cm what stage is this
A
Transition phase
23
Q
Expulsion of fetus is what stage
A
Second stage
24
Q
Expulsion of placenta is what stage
A
Third stage
25
Recovery is what stage
Fourth stage
26
Persistent contractions intervals shorter than ____ seconds may reduce fetal oxygen supply
60 seconds
27
___ describes how the fetus is oriented to the mothers spine. Most common orientation is longitudinal lie.
The fetus is parallel to the mothers spine
Lie
28
_____ is normally one of flexion with the head flexed forward and arms and legs flexed
Attitude
29
_____ is the fetal part that enters the pelvis first
Presentation
30
___ is head first... most common
Cephalic
31
____ bottom is first (second most common)
Breech
32
____ how a reference point of fetus is located in pelvis
Position
33
Mental state influences labor.
Marked anxiety increases her perception of pain and reduces tolerance to it, actually increases release of catecholamines
Know
34
What triggers labor?
Nothing is pin pointed but oxytocin increases labor
35
The fetal head is fully flexed . Most favorable cephalic.
Vertex
36
_____ breech is where the fetal legs are flexed at hips and extended towards shoulders- most common type. Legs are extended
Frank breech
37
____ breech a reversal of the cephalic presentation, with flexion of the head and extremities
Complete
38
____ is used to describe how the head is oriented if the fetus is in a cephalic vertex presentation
Occiput
39
____ is used to describe how a fetus in a breech presentation is oriented within the pelvis. The shoulder and back are reference points if the fetus is in a shoulder presentation
Sacrum
40
_____ fontanelle is diamond shaped and formed by a intersection of four sutures
Anterior
41
____ fontanelle is a tiny triangular depression formed by the intersection of three sutures
Posterior
42
What are signs of impending labor
```
Braxton Hicks
Lightening and increased vaginal discharge
Cervical changes
Bloody show(rupture of membranes) energy spurt and weight loss
```
43
Bending of the head toward the chest during labor is
Flexion
44
Downward progression of the fetal presenting part
Descent
45
Fetal flexion or extension
Attitude
46
Strength of labor contractions is
Intensity
47
Part of the true pelvis that is nearest the perineum
Outlet
48
Time from the beginning of one contraction until the beginning of the next
Frequency
49
Upper part that enters the pelvis first
Inlet
50
Fetal part that enters pelvis first
Presentation
51
Orientation of the fetus in relation to the mothers spine
Lie
52
Level of the fetal presenting part in relation to the ischial spines In the pelvis
Station
53
Thinning of the cervix
Effacement
54
Fetal substance that may normally be found in amniotic fluid
Vernix
55
Opening of the cervix
Dilation
56
Orientation of a fixed point on the fetus to the mothers pelvis
Position
57
Descent of the fetal presenting part to a zero station or lower
Engagement
58
Relaxation period between two labor contractions
Interval
59
Stage of labor from the babies birth until the delivery of the placenta
Third stage
60
Stage of labor from its onset to complete cervical dilation
First stage
61
Birth of the fetal shoulders and body
Expulsion
62
Length of a labor contraction from the beginning to the end
Duration
63
Characteristic of normal amniotic fluid
Clear
64
Amniotic fluid may be cloudy if this condition is present
Infection
65
Period of decreasing strength of a labor contraction
Decrement
66
Fetal rotation as the head turns within the mothers pelvis
Internal
67
Lower portion of pelvis
True
68
Fontanelle that has three suture lines leading into it
Posterior
69
Period of increasing strength of a labor contraction
Increment
70
Middle part of the true pelvis
Midpelvis
71
Pivoting of fetal head under the mothers symphysis pubis during labor
Extension
72
Period of greatest strength of a labor contraction
Peak
73
Maternal pushing occurs during the stage of labor
Second phase
74
Upper flaring part of the mothers pelvis
False
75
Back labor happens if the baby comes out sunny side up (head looking up- posterior position)
Know
76
MOST common position is LEFT occipitoanterior
Know
77
The first letter is
Right or left side of woman’s pelvis
78
Second letter is
Fetal reference point- occiput for vertex, mentum chin for face presentations, sacrum for breech presentations
79
Third letter is
Front or back of the mothers pelvis anterior or posterior
80
____ occurs when the fetus settles into the pelvic inlet and the fundus no longer presses on the diaphragm
Lightening
81
Differentiate between true and false labor
Cervical changes
82
Early deceleration etiology is? And treatment
Head compression. None necessary
83
Late decelerations etiology? Treatment
```
Uteroplacental insufficency
Decrease oxytocin
L side
O2 per mask 8L/M
Increase IV fluids if hypotension or dehydration
Notify DM
```
84
variable deceleration etiology? Treatment?
Umbilical cord compression
Decreased amniotic fluid
```
Treatment
Position change
Rule out prolapsed cord
O2 per mask
Amnioinfusion
```
85
When should someone come to the hospital
```
Contractions
Ruptured membranes
Bleeding other than bloody show
Decreased fetal movement
Any other concern
```
86
Data collection
| Fetal condition you’ll assess the?
FHR
87
Data collection
| Maternal condition
Temp
Pulse
RR
BP
88
Signs of impending birth
Sitting on one buttock
Making grunting sounds
Perineum bulging
Stating “the baby is coming”
89
_____ ____ is a method of abdominal palpitation used to determine fetal position or placement in uterus
Leopolds maneuver
90
_____ ____ contractions of uterus can be strong enough to interpret as true labor but do not dilate the cervix
False labor
91
Nursing care before birth
Monitor the fetus- FHR 110-160 for at least 2 min.
Assess by using fetoscope, Doppler, or continuous fetal monitoring.
Know
92
Average FHR occur at least 2 mins during a 10 min period and is averaged over 30 mins- do when not contracting
Baseline rate
93
_____ is the fluctuation or constant changes in the FHR increasing and then decreasing the baseline in a 10 min window... sawtooth pattern
Variability
94
____ is when the rate increases
Accelerations
95
_____ is temporary- grAdual rate decreases during contractions no more than 40 beats per min below baseline. FHR returns to baseline after contraction
Early
96
____ is abrupt decreases of 15 beats per min below baseline. Lasting 15 sec to 2 min begin and end abruptly. V,W and U shaped. Not always consistent
Variable
97
_____ is they begin after the beginning of the contraction and do not return to the baseline FHR until after contraction ends. Placenta is not delivering enough O2
Late
98
Monitoring the woman you will do
VS
contractions
Progress/response to labor
I&O
