chapter 6,7,8 Flashcards
4 p’s in process of labor
power,passage,passenger, psyche
acrocyanosis
blusish discoloration of the skin
child birth preparation method first emphasized the fathers role during labor
the bradley method
to reverse opioid depression
narcan
advantages of non pharmalogical pain management during labor
does not harm fetus or mother
risk for premature baby
smoking
drug of choise to stop premature contractions
magnesium sulfate
how many weeks would define prolonged pregnancy
42 weeks
15 minutes after 4th stage of labor, what would fundus look like
firm at umbilicus
reason for vitamin K
clotting
when they say the baby is crowning the fetal head is visible at
3-4 cm
adverse affect of pudenal block
vaginal hematoma
when getting epidural what do they check
blood pressure
during labor there is a natural release of substance called
endorphins
nonpharmalogical methods of pain control
effelurage, breathing techniques, diversion, sacral pressure
worst type of laceration
4th degree
why is relaxation phase important to fetus
fetal oxygenation
what contraction duration and interval does the nurse recognize could result in fetal compromise
duration is longer than 90 seconds and interval shorter than 60
have a primigravida and she asks how will I know when my labor started
regular contractions becoming more frequent and intense
main function of second stage of labor
pushing infant out of mothers body
third stage of labor
expulsion of the placenta
do you think a full bladder would predispose mother to uterine hemmorhage
yes
if working in postpartum and mother just delivered and she has 3 perineal pads soaked in an hour
check fundus
main thing you need to do when baby is born
keep them warm
arab women in labor you have to respect her culture so you want to provide
modesty,pain control, respect for head coverings
advantages of free standing birth centers
home like setting, lower cost
sacral pressure
lower back pain
if woman has general anesthesia she is going to be
NPO for several hours
contraindications for epidural lock
abnormal clotting
relaxation method where they meditate and close eyes
dick read method
3 types of important classes to take for expected parents
breastfeeding, infant care, gestational diabetes
how does childbirth pain differ from other types of pain
childbirth pain is a normal process, position changes relieve pain and facilitate delivery, declines following birth, self limited
forceps delivery one thing nurse should assess in newborn
facial assymetry
if mother is 9 cm
its too late for epidural
pick if contractions are weak and ineffective
hypotonic
uterine resting tone between contractions is tense
hypertonic
medical management includes mild sedation and tocolytic
hypertonic
non pharmalogical stimulation method including walking, assuming upright position, and stimulating nipples
hypotonic