Exam 1 Review Flashcards
5/70%/ +1
dilation
effacement
station
dilation
how wide the cervix is
effacement
thinning of the cervix
station
how descended or “engaged” the fetus is
positioning during labor
- mom
open hips
and preferably up to help descend the fetus with gravity
positioning during labor
- fetus
fetal attitude head down, flexed, arms in
head first into the canal
primary vs secondary powers
primary: involuntary contractions
secondary: voluntary pushing
fergsons reflex
knowing when to push
do what before epidural
check platelets
postion
pee
fluid bolus
what is a common complaint of PP which could be caused by epidural
headache
VEAL CHOP
variable, early, accerlations, late
cord, head, ok, perfusion
how are we able to determine a deceleration
how it lines up with the contraction
accerlations
- over 32
15BPM 15 sec
accerlations
- under 32
10BPM for 10 sec
External fetal monitoring
ultrasound over fetal back (use leoplods)
toco over fundus for contractions (does not say how intense a contraction is)
internal fetal monitoring
spiral electrode into scalp for HR
IUPC into surrounding fluid/area for contractions
** need to be ruptured
true s false labor
true: CERVICAL DILATION, EFFACEMENT, AND FETAL ENAGGEMENT OR DESCENT
true: bloody show, increase of contractions, back pain
false: no show, contractions staying same, goes away with sleep, Braxton hicks, no appreciable cervix change
rupture of membrane what to check
time, odor, color, fetal HR for drop in HR which could be prolapse cord
when can we artificially rupture the sac
-3
what is the time peroid for delivery after rupture
18 hr
nurse support
emotional, pain, inform, educate, calming
maternal hypotension
bad because the placenta is not getting perfused which means the baby is not getting perfused
contraindication of epidural
afterpains
what is it and who is it more common in
contractions of uterus clamping down
increase pain in multips due to lack of uterine tone, over distended uterus (increase fluid, twins, large baby), breast feeding or on PIT since oxytocin stimulates contraction of uterus
lochia
rubra: red/dark red seen birth to 3/4 days
serosa: pink tinge, no clots seen 3/4-10 days
alba: white yellow seen 10-14 days but as long as 6 weeks
- foul odor or large clots (grape size) are bad
engorgment
- someone who does want to breast feed
breast feed 8-12 times/day, pump, hand express, warm compress, stimulation
engorgment
- someone who doesn’t want to breast feed
tight fitting bra, ice, no warm water on breast, no stimulation
puerperium
4th trimester
postpartum
return of body to prepregnant state