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Patient Centered Care 3 > Final - 1 Reproduction > Flashcards

Final - 1 Reproduction Flashcards

1
Q

VEAL CHOP

A

V: variable accelerations E: early decelerations A: accelerations L: late decelerations C: cord compression H: head compression O: okay P: placental-utero insufficiency

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2
Q

Is it bad or good to have early decelerations

A

Good!

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3
Q

Pressure on the baby’s head causes _____ response

A

vagal

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4
Q

Early Decelerations: - _____ intervention needed - get ready for _____ - the _____ and _____ line up

A
  • no intervention needed - get ready for baby - the contraction & variable line up
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5
Q

Is it bad or good to have late decelerations

A

BAD!!!!!

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6
Q

What is happening with late decelerations

A

uteroplacental O2 deficiency

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7
Q

Late Decelerations: - roll mom onto her _____ - give _____, _____, etc - the contraction and variable d_____ line up

A

Late Decelerations: - roll mom onto her side - give O2, fluids, etc - the contraction and variable don’t line up

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8
Q

Variable Decelerations: - roll mom _____ to _____ (get baby off the _____) - start _____ (_____ baby off the cord)

A

Variable Decelerations: - roll mom side to side (get baby off the cord) - start amnioinfusion (float baby off the cord)

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9
Q

What is happening with prolonged decelerations

A

prolonged uteroplacental deoxygenations (placental abruption, prolapsed cord, etc)

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10
Q

Does a prolonged decelerations every come back up

A

No!

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11
Q

What do you do for prolonged decelerations

A

attempt interventions for variables and late decelerations, then cesarean-section

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12
Q
A

Early Decelerations

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13
Q
A

Late Decelerations

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14
Q
A

Variable Decelerations

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15
Q
A

Prolonged Decelerations

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16
Q

Factors Affecting Labor ( P’s)

A
  • Passenger (fetus)
  • passageway (the birth passage)
  • powers (physiological forces of labor)
  • position (relation between fetus & passageway
  • psychological considerations
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17
Q

Normal Processes & Stages of Labor “Cardinal Movements)

A

Every Day Fine Infants Enter Eager & Excited:

  • engagement
  • descent
  • felxion
  • internal rotation
  • extension
  • external rotation
  • expulstion
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18
Q

Nitrazine paper will turn _____ in presence of amniotic fluid

  • yellow or green may mean _____
A

blue

  • yellow or green may mean meconium
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19
Q

True/False Labor:

  • regular interval for contractions
  • increase in intensity & frequency
  • unrelieved with rest
A

true

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20
Q

True or False Labor:

  • irregular intervals for contractions
  • no change in duration and frequency
  • contractions relieved with rest
A
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21
Q

nulliparas:

A

contractions 5 min. apart x 1 r

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22
Q

Multiparas:

A

contractions 6-8 min. apart x 1 hr

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23
Q

Measured from beginning of 1 contractions to the end or completion of same contraction

A

length

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24
Q

measure either by palpation or internal monitor

A

strength

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25
Q

measure from beginning of one contraction to beginning of the next contraction

A

frequency

26
Q

how many stages of labor

A

4

27
Q

Which stage of labor:

  • onset of contractions to complete cervical dilation
A

first stage

28
Q

3 phases of first stage

A
  • latent
  • active
  • transitional
29
Q

nursing intervention for first stage

A

frequent monitoring of pt. and labor progression

30
Q

Which stage of labor:

  • complete cervical dilation to birth
  • variable, pushing stage
A

second stage

31
Q

Which stage of labor:

  • birth to delivery of placenta
  • placenta is guided out as expelled; watch for _____
A

third stage

  • watch for hemorrhage
32
Q

Which stage of labor:

  • initial recovery
  • monitor VS as scheduled & lacerations degrees
  • will have slight _____ in BP, slight _____ in HR, uterus will be _____ & firm = normal
A

Fourth stage

  • slight decreased BP
  • slight increased HR
  • normal uterus = midline & firm
33
Q

1 cm cervical dilation =

A

cheerios

34
Q

3 cm cervical dilation

A

slice of banana

35
Q

4 cm cervical dilation

A

cracker

36
Q

7 cm cervical dilation

A

soda can

37
Q

10 cm cervical dilation

A

bagel

38
Q

opioid agonists

A

fentanyl or morphine

39
Q
A
40
Q

opioid agonist-antagonist

A

nubain or stadol

41
Q

Use analgesic in _____ stages of labor to prevent _____ _____ in newborn at delivery

A

use analgesic in early stages of labor to rpevent respiratory depression in newborn at delivery

42
Q

analgesics shoudl only be given _____ hrs or more before delivery

A

analgesics shoudl only be given 4 hrs or more before delivery

43
Q

analgeics can cause

1) _____ _____
2) _____ fetal HR

A

analgeics can cause

1) respiratory depression
2) decreased fetal HR

44
Q

short acting, one injection directly into spinal fluid, can last up to 2 hours

A

Spinal block

45
Q

longer acting, catheter inserted into epidural space to allow continuous anesthesia

A

Epidural

46
Q

¨Uses local anesthetic (lidocaine or bupivacaine), opioid analgesic injection for immediate relief into spinal fluid, and insertion of epidural catheter into epidural space for continuous anesthesia, may be controlled by PCA

A

CSE – Combined Spinal / Epidural (most common)

47
Q

Only for emergencies or if epidural contraindicated

A

general pain control

48
Q

_____ monitors:

  • transducer
  • tocodynamometer
A

External monitors

49
Q

_____ monitors:

  • fetal scalp electrode
  • intrauterine pressure catheter
A

interal monitors

50
Q

Does external or internal fetal monitors measure strength of contractions

A

internal

51
Q

Need at least ____ minutes of monitoring and _____ minutes of consistent baseline tracing to determine baseline

A

Need at least 10 minutes of monitoring and 2 minutes of consistent baseline tracing to determine baseline

52
Q

_____ tracing is gold standard for determining if baby is well oxygenated. This is when FHR has normal baseline with moderate variability and 2 or more accelerations in a 20 minute period.

A

Reactive tracing is gold standard for determining if baby is well oxygenated. This is when FHR has normal baseline with moderate variability and 2 or more accelerations in a 20 minute period.

53
Q

Minimum timeframe for FHR monitoring is _____ minutes if tracing is reactive. Longer if there are alterations in tracing

A

Minimum timeframe for FHR monitoring is 20 minutes if tracing is reactive. Longer if there are alterations in tracing

54
Q

Precipitous Delivery:

Labor that progresses so rapidly (typically less than _____ hours from onset to delivery)

Important to stay calm.

Control the delivery of the head by supporting the _____.

Get help from the other staff and call the provider quickly.

A

Precipitous Delivery:

Labor that progresses so rapidly (typically less than 3 hours from onset to delivery)

Important to stay calm.

Control the delivery of the head by supporting the perineum.

Get help from the other staff and call the provider quickly.

55
Q

abnormal size or shape of pelvis

A

cephalopelvic disproportion (CPD)

56
Q

head delivers but not the shoulders; can be related to the size of the fetus but does occur in normal-sized fetus. Signs of impending shoulder dystocia include the slowing of progress or increasing formation of caput succedaneum; treatment is McRobert’s maneuver.

A

shoulder dystocia

57
Q

Most difficult to deliver is _____ _____.

  • The back of the baby’s head is against the mother’s back.)
A

occiput posterior

58
Q

persistent lates or variables =

A

fetal distress

59
Q

occurs }when cord comes before the presenting part; may be obvious or concealed.

A

prolapsed cord

60
Q
A

Patient Centered Care 3 (13 decks)

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