Goad test 1 deck 3 Flashcards
The head is born. What do I do
1- suction mouth, 2- suction nose, 3- feel for a cord and extend the loop if there is one
WHat do you do about post birth shaking and chills for mom?
usually normal, no action needed except blanket
How ofetn do you do VS postpartum?
q15m x4, q1hr x2, then qshift
What 5 factors are assessed for Apgar?
heart rate, resp effort, muscle tone, reflex irritability, color
VBAC mom is G2, so is her labor time like a primip or a multip?
primip
What nerves are cervix and uterus?
T10 through T12 and L1
What nerves must be blocked for c section?
T6 through T8
What nerves serve pudenda?
S2, S3 S4
Why are labor drugs harder on preterm infant?
liver less mature
Where do you shoot an intrathecal drug?
into the spine
Name 2 good intrathecal drugs. How long to take effect? How long will they last? Can she feel the urge to push?
morphine and fentanyl, 15 to 30 min to take effect, lasts 4-7 hours, and she can feel the urge to push
Name 2 drugs used for regional anesthetic effect?
chloroprocaine (Nesacaine) or
bupivacaine (Marcaine)
Where does epidural anesthesia go? Cna it increase contraction strength?
L4-5, L3-4 or L2-3 space. It can.
Prime side effect of epidural/ prime way to prevent it
Hypotension/ get her well hydrated
What drug combo reduces hypotension risk in epidural best?
Fentanyl (Sublimaze) & bupivacaine (Marcaine)
Nursing inteventions for epidural
hydration, have pt lie on side and then turn to other side to distribute
What is the cervical dilation when epidural is started, usually?
4-5cm
What is a wet tap?
The dura mater lies just below the tiny epidural space
Sometimes this membrane is accidentally punctured with the epidural needle or catheter is inserted through it
when do they test for strep b in pregnancy
week 35 to 37
What do you do for a wet tap?
push caffeine & fluids, instruct patient to lie flat, analgesics
If all interventions fail may be a candidate for
blood patch
What happens if you post a post spinal anesthesia pt in trendelenmburg position?
anesthesia can rise up her spinal column to the nerves that enervate her lungs and she could stop breathing
When would you use a pudendal nerve block? WHat;s the advantage?
episiotomy & for most low forcep deliveries- no effect on contractions
what is cervical cerclage?
cervical stitch, is a treatment for cervical incompetence
what is a macrosomic fetus?
really big
Nursing interventions to prevent post-op complications:
turn cough deep breathe, incentive spirometry, early
ambulation, leg exercises, etc.
Lochia: more or less w/ cesarean?
less
Will cesarean affect intestines?
Yes- manipulation will decrease or stop its function, so return to normal diet slowly.
How long after the Foley is out should she probably have peed?
4-8 hours
REEDA
Redness, Edema, Ecchymosis, Drainage, Approximation
How long do u have to wait to drive after c sec
at least 2 weeks
These problems after c sec need to be explained
Temperature above 38C (100.4F) • Increased abdominal pain • Frequency or burning on urination • Redness or drainage from incision line • Lochia heavier than a normal period • Chest pain • Calf pain
