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Ch 6 OB > Ch 6 OB > Flashcards

Ch 6 OB Flashcards

1
Q

Involuntary smooth muscle contractions

A

Uterine contractions

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2
Q

Efface means

A

Thin

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3
Q

Dilate means

A

Open

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4
Q

What’s the three phases of contractions

A

Increment
Peak
Decrement

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5
Q

Phases of contractions

The period of increasing strength is

A

Increment

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6
Q

Phases of contractions

Greatest strength is

A

Peak

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7
Q

Phases of contractions

Decreasing strength

A

Decrement

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8
Q

____ is the beginning of one contraction to the beginning of next contraction

A

Frequency

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9
Q

Contractions occurring more than every 2 minutes may do what

A

Reduce fetal O2 supply

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10
Q

____ is the elapsed time of beginning of a contraction to the end of the same contraction

A

Duration

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11
Q

Persistent contraction durations longer than ____ seconds may reduce fetal O2

A

90

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12
Q

____ is approximate strength of the contraction measured by feeling

A

Intensity

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13
Q

____ is the amount of time the uterus relaxes between contractions end of one contraction to the beginning of the next

A

Interval

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14
Q

_____ pelvis is the lower part most involved in child bearing

A

True pelvis

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15
Q

Soft tissue readiness happens during the ___ maternal phase

A

The passage

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16
Q

Fetus, amniotic fluid, amniotic membranes, and the placenta is considered the passengers

A

Know

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17
Q

____ is the strong connective tissue separates several vines in the fetal head

A

Sutures

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18
Q

____ are wider area. Formed where sutures meet

A

Fontanelles

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19
Q

Dilation and effacement is which stage of labor

A

First stage

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20
Q

Cervix dilation is 1-4 cm is whAt stage

A

Latent stage

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21
Q

Cervix dilation is 4-7 cm is the stages of labor

A

Active phase

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22
Q

Cervix dilation is 7-10 cm what stage is this

A

Transition phase

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23
Q

Expulsion of fetus is what stage

A

Second stage

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24
Q

Expulsion of placenta is what stage

A

Third stage

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25
Q

Recovery is what stage

A

Fourth stage

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26
Q

Persistent contractions intervals shorter than ____ seconds may reduce fetal oxygen supply

A

60 seconds

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27
Q

___ describes how the fetus is oriented to the mothers spine. Most common orientation is longitudinal lie.

The fetus is parallel to the mothers spine

A

Lie

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28
Q

_____ is normally one of flexion with the head flexed forward and arms and legs flexed

A

Attitude

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29
Q

_____ is the fetal part that enters the pelvis first

A

Presentation

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30
Q

___ is head first… most common

A

Cephalic

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31
Q

____ bottom is first (second most common)

A

Breech

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32
Q

____ how a reference point of fetus is located in pelvis

A

Position

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33
Q

Mental state influences labor.

Marked anxiety increases her perception of pain and reduces tolerance to it, actually increases release of catecholamines

A

Know

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34
Q

What triggers labor?

A

Nothing is pin pointed but oxytocin increases labor

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35
Q

The fetal head is fully flexed . Most favorable cephalic.

A

Vertex

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36
Q

_____ breech is where the fetal legs are flexed at hips and extended towards shoulders- most common type. Legs are extended

A

Frank breech

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37
Q

____ breech a reversal of the cephalic presentation, with flexion of the head and extremities

A

Complete

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38
Q

____ is used to describe how the head is oriented if the fetus is in a cephalic vertex presentation

A

Occiput

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39
Q

____ 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

A

Sacrum

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40
Q

_____ fontanelle is diamond shaped and formed by a intersection of four sutures

A

Anterior

41
Q

____ fontanelle is a tiny triangular depression formed by the intersection of three sutures

A

Posterior

42
Q

What are signs of impending labor

A 
Braxton Hicks 
Lightening and increased vaginal discharge 
Cervical changes 
Bloody show(rupture of membranes) energy spurt and weight loss
43
Q

Bending of the head toward the chest during labor is

A

Flexion

44
Q

Downward progression of the fetal presenting part

A

Descent

45
Q

Fetal flexion or extension

A

Attitude

46
Q

Strength of labor contractions is

A

Intensity

47
Q

Part of the true pelvis that is nearest the perineum

A

Outlet

48
Q

Time from the beginning of one contraction until the beginning of the next

A

Frequency

49
Q

Upper part that enters the pelvis first

A

Inlet

50
Q

Fetal part that enters pelvis first

A

Presentation

51
Q

Orientation of the fetus in relation to the mothers spine

A

Lie

52
Q

Level of the fetal presenting part in relation to the ischial spines In the pelvis

A

Station

53
Q

Thinning of the cervix

A

Effacement

54
Q

Fetal substance that may normally be found in amniotic fluid

A

Vernix

55
Q

Opening of the cervix

A

Dilation

56
Q

Orientation of a fixed point on the fetus to the mothers pelvis

A

Position

57
Q

Descent of the fetal presenting part to a zero station or lower

A

Engagement

58
Q

Relaxation period between two labor contractions

A

Interval

59
Q

Stage of labor from the babies birth until the delivery of the placenta

A

Third stage

60
Q

Stage of labor from its onset to complete cervical dilation

A

First stage

61
Q

Birth of the fetal shoulders and body

A

Expulsion

62
Q

Length of a labor contraction from the beginning to the end

A

Duration

63
Q

Characteristic of normal amniotic fluid

A

Clear

64
Q

Amniotic fluid may be cloudy if this condition is present

A

Infection

65
Q

Period of decreasing strength of a labor contraction

A

Decrement

66
Q

Fetal rotation as the head turns within the mothers pelvis

A

Internal

67
Q

Lower portion of pelvis

A

True

68
Q

Fontanelle that has three suture lines leading into it

A

Posterior

69
Q

Period of increasing strength of a labor contraction

A

Increment

70
Q

Middle part of the true pelvis

A

Midpelvis

71
Q

Pivoting of fetal head under the mothers symphysis pubis during labor

A

Extension

72
Q

Period of greatest strength of a labor contraction

A

Peak

73
Q

Maternal pushing occurs during the stage of labor

A

Second phase

74
Q

Upper flaring part of the mothers pelvis

A

False

75
Q

Back labor happens if the baby comes out sunny side up (head looking up- posterior position)

A

Know

76
Q

MOST common position is LEFT occipitoanterior

A

Know

77
Q

The first letter is

A

Right or left side of woman’s pelvis

78
Q

Second letter is

A

Fetal reference point- occiput for vertex, mentum chin for face presentations, sacrum for breech presentations

79
Q

Third letter is

A

Front or back of the mothers pelvis anterior or posterior

80
Q

____ occurs when the fetus settles into the pelvic inlet and the fundus no longer presses on the diaphragm

A

Lightening

81
Q

Differentiate between true and false labor

A

Cervical changes

82
Q

Early deceleration etiology is? And treatment

A

Head compression. None necessary

83
Q

Late decelerations etiology? Treatment

A 
Uteroplacental insufficency
Decrease oxytocin
L side
O2 per mask 8L/M
Increase IV fluids if hypotension or dehydration 
Notify DM
84
Q

variable deceleration etiology? Treatment?

A

Umbilical cord compression
Decreased amniotic fluid

Treatment 
Position change 
Rule out prolapsed cord 
O2 per mask 
Amnioinfusion
85
Q

When should someone come to the hospital

A 
Contractions
Ruptured membranes
Bleeding other than bloody show 
Decreased fetal movement 
Any other concern
86
Q

Data collection

Fetal condition you’ll assess the?

A

FHR

87
Q

Data collection

Maternal condition

A

Temp
Pulse
RR
BP

88
Q

Signs of impending birth

A

Sitting on one buttock
Making grunting sounds
Perineum bulging
Stating “the baby is coming”

89
Q

_____ ____ is a method of abdominal palpitation used to determine fetal position or placement in uterus

A

Leopolds maneuver

90
Q

_____ ____ contractions of uterus can be strong enough to interpret as true labor but do not dilate the cervix

A

False labor

91
Q

Nursing care before birth

Monitor the fetus- FHR 110-160 for at least 2 min.

Assess by using fetoscope, Doppler, or continuous fetal monitoring.

A

Know

92
Q

Average FHR occur at least 2 mins during a 10 min period and is averaged over 30 mins- do when not contracting

A

Baseline rate

93
Q

_____ is the fluctuation or constant changes in the FHR increasing and then decreasing the baseline in a 10 min window… sawtooth pattern

A

Variability

94
Q

____ is when the rate increases

A

Accelerations

95
Q

_____ is temporary- grAdual rate decreases during contractions no more than 40 beats per min below baseline. FHR returns to baseline after contraction

A

Early

96
Q

____ 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

A

Variable

97
Q

_____ 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

A

Late

98
Q

Monitoring the woman you will do

A

VS
contractions
Progress/response to labor
I&O

Ch 6 OB (1 decks)

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