Extra Notes From The Powerpoint Flashcards

1
Q

What is the first stage of labor latent phase mean?

A

Extends from the onset of labor, characterized by regular painful urterine contractions that cause cervical change to the beginning of the active phase, when cervical dilation occurs more rapidly

So pretty much painful contractions that go into fast dilation -> active

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the first stage of labor active phase mean?

A

Defined as the period during which the greatest rate of cervical dilation occurs, which begins at 4-6cm, and ends with comepley cervical dilation at 10CM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How do we know it’s true labor ?

A

Contractions that change the size of the cervix and the fetus is pushing down to help change the size of the cervix or dilate it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Notes
Nursing management for 1st

Admission to the labor unit
Cultural factors
Physical examination
Assessment of uterine contractions
Vaginal examination
Laboratory and diagnostic tests
Nutrition and elimation
Supportive care

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the latent second stage of labor phase?

A

Sometimes referred to as the delayed pushing, or like passive descent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the active phase of second stage of labor?

A

Pushing and the urge to bear down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The urge to bear down is at what stage and what is the reflex?

A

Active second stage of labor

Ferguson reflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When does the second stand of labor finish?

A

When the infant is born

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

During the second stage of labor, are we fully dilated ? (10CM)

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

So what are some things we’ll see when we see the baby?

A

Crowning
Ritgen maneuver
Nuchal cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is crowning?

A

When we see the baby’s head, like round head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is ritgen maneuver?

A

Helping the mom by grabbing the head and chin and rotating the baby to allow the rest of the baby to get through

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is nuchal cord?

A

When the cord is wrapped around the baby head and we should watch out since this can cause distress and we want to hold out on it so the baby can breathe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Do we do fundal pressure?

A

No!! Causes more damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

So when the newborn is delivered what do we ? (2)

A

Skin to skin

And assessments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

There for 4 perineal trauma/lacerations (tears) describe each

A
  1. Just small cut in the vagina
  2. Cut that gets close to the anus (middle of vagina and anus)
  3. Cut goes to the anus
    ( like cuts the butthole)
  4. Cut passes through the entire anus( cuts everything and the entire butthole )
17
Q

How often should FHR be monitored first stage of labor ?

Second stage of labor?

A

30mins

15mins

18
Q

What is the third stage of labor?

A

Baby is out until the placenta is out

19
Q

How long does it take for the placenta to come out after the baby?

And when does it become a problematic?

A

10-15mins

30mins or more

20
Q

For the placenta, what will we see?
Like how do we know it’s ready to come out

A

Sudden gush of dark blood !!
From the introitus

21
Q

Why do we want to assess the placenta?

A

Nothing is left behind
Lengthing
1 vein 2 arteries

22
Q

Notes
Be mindful of placenta cultural preferences

A
23
Q

What’s the fourth stage of labor?

A

When placenta finally leaves until mom is
1 hour later when mom is fully stable

24
Q

What are 2 signs of potential problems in 4th labor stage?

A

Excessive blood loss
Alternations in vital signs and consciousness

25
Q

What are the 2 monitors we want on mom and why?

A

Uterine activity : monitor the contractions

Fetal heart rate : monitor baby if distress and or healthy