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NUR 321 > Exam 2 Content > Flashcards

Exam 2 Content Flashcards

1
Q

True Labor

A

true labor brings about changes in the cervix; or causes effacement and dilation

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2
Q

Prodromal Labor

A

contractions are frequent, painful and irregular, but do not promote any dilation or effacement

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3
Q

The 4 P’s

A

passage, psyche, powers, passenger

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4
Q

CST

A

Contraction stress test; must have 3 contractions in a 10 minute period; a negative CST is a reassuring sign

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5
Q

NST

A

mom doesn’t have to be contracting; have to have at least 2 decelerations in a 20-min period

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6
Q

Maternal serum AFP (MsAFP)

A

will show birth defects; will show if fetus high risk for neural tube defects, down syndrome; will measure amt of hormones including estriol and inhibin A, amt of AFP in mom’s blood

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7
Q

Stage 1 of Labor

A

begins with labor onset, ends with complete dilation

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8
Q

3 phases of Labor Stage 1

A

latent, active, transition

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9
Q

Latent phase

A

0-3 cm dilated, is the longest stage, and mom is the happiest

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10
Q

Active phase

A

4-7 cm dilated, mom is visibly less happy

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11
Q

Transition phase

A

8-10 cm dilated, shortest phase, mom is very unhappy, “devil horns”

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12
Q

Stage 2 of Labor

A

birth of the baby; begins with complete dilation and ends with delivery

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13
Q

Stage 3 of Labor

A

delivery of the placenta; either Duncan (maternal side) or Shultz (fetal side)

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14
Q

Stage 4 of Labor

A

recovery or postpartum period

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15
Q

Fetal presentation

A

what part presents first; cephalic, breech, or shoulder

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16
Q

Fetal position

A

right or left; occiput; anterior or posterior; most common is left occiput anterior

17
Q

Leopold’s maneuvers

A

to inspect and palpate the maternal abdomen to determine fetal position, station, and size

18
Q

1st Leopold maneuver

A

determines what part of fetus is in the fundus of the uterus

19
Q

2nd Leopold maneuver

A

to determine location of fetal back

20
Q

3rd Leopold maneuver

A

to determine presenting part

21
Q

4th Leopold maneuver

A

to determine cephalic prominence

22
Q

Pelvic inlet is wider _______

A

side to side

23
Q

Pelvic outlet is wider _______

A

front to back

24
Q

Movements of the fetus during delivery

A

internal rotation, extension, flexion, restitution, external rotation, expulsion

25
Q

Comfort measures

A

repositioning, shower, massages

26
Q

*positioning- if babies face is facing to the front of mom, the baby is ______

A

posterior

27
Q

*positioning- if babies face is facing to back of mom, the baby is ______

A

anterior

28
Q

the left or right position of the baby describes the location of the baby’s _______

A

back

29
Q

effacement

A

shortening and thinning of the cervix; cervix softens and thins during labor

30
Q

dilation

A

the enlargement or opening of the cervix

31
Q

station

A

the level of the presenting part of the fetus in the birth canal in relationship to the ischial spines; 0 to -3 is above the ischial spine, 0 to +3 is below the ischial spine

32
Q

Apgar scores

A

obtained at 1 minute and 5 minutes after birth, if 5-min apgar scor is less than 7, additional scores should be assigned every 5 minutes up to 20 minutes

33
Q

5 physiological signs that are tested to determine Apgar scores

A

HR, RR, muscle tone, reflex irritability, color

34
Q

How is the Apgar test scored?

A

each component is given a score of either 0, 1, or 2, and a total of 7-10 indicates stable status

35
Q

Fetal kick counts

A

to monitor babies well-being; should get at least 10 within 1 hour, if don’t get within 2 hrs then call physician

36
Q

biophysical profile

A

consists of NST, fetal breathing movements, fetal muscle tone, AFV, CST

37
Q

How is the biophysical profile scored?

A

either 0 or 2 points given for each parameter; 8-10 is normal score

38
Q

How do you measure the strength or intensity of a contraction?

A

by IUPC or palpation

NUR 321 (1 decks)

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