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Peds > High Risk Labor/Birth > Flashcards

High Risk Labor/Birth Flashcards

1
Q

Tachysstole

what is the definition of Tachysstole

A

more than 6 uterine contraction in 10 min
over 30 min

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2
Q

Tachysstole

Characteristics of Tachysstole

A

Tatanic Contractions: really long ones 120 second or more
Resting Tone: what uterus feel slike between contraction

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3
Q
A
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4
Q

Tachysstole

What are causes/risks of Tachysstole

A
  • cervical ripening
  • oxytocin induction
  • endogenous
  • abruption
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5
Q

Tachysstole

What are interventions of Tachysstole

A
  • pull cervidil
  • discontinue oxytocin
  • fluid bolus
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6
Q

Cord Prolapse

What is a Cord Prolapse

A

Cord escapes before presenting part

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7
Q

Cord Prolapse

What are risk factors for Cord Prolapse

A
  • PROM
  • Amniotomy when baby is not engaged
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8
Q

Cord Prolapse

What are signs of Cord Prolapse

A
  • variable/prolonged decelerations
  • visible loop of cord outside vaginia
  • cord palpable with vaginal exam
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9
Q

Cord Prolapse

What are interventions for Cord Prolapse

A
  • Call: “cord prolapse in room 12
    apply sterile glove, apply pressure to head, don’t let go until baby out
  • avoid manipulating cord
  • position mom in knees to chest or trendelenburn position
  • immediate c-section
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10
Q

Eclapamtic Seizure

What is Eclapamtic Seizure and care

A

side rails up
no shoving anything into pt mouth
have suction/oxygen
lateral recovery positoin
c-section
magnesium sulfate bolus

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11
Q

Precipitous Delivery

What is Precipitous Delivery

A

Labor less than 3 hr

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12
Q

Precipitous Delivery

What are interventions of Precipitous Delivery

A
  • DON’T LEAVE PT ALONE
  • call out: we having baby
  • assign roles: warm blanket, instrument, neonatal, OB or midwife
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13
Q

Precipitous Delivery

What to do as a single nursing interventions

A
  • sterile gloves
  • support perineum
  • head crowns=pant or blow
  • apply gentle pressure to head/perineum
  • support head and neck
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14
Q

Shoulder Dystocia

What is Shoulder Dystocia

A

fetal shoulder gets impacted on pubic bone

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15
Q

Shoulder Dystocia

What are interventions of Shoulder Dystocia

A
  • call for help : shoulder room
  • flatten head of bed
  • McRObert Maneuvar: flex leg back
  • provider may break clavicles of the baby
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16
Q

Maternal Cardiac Arrest

what is Maternal Cardiac Arrest

A
  • compression fast/deep (at least 100/min)
  • early defib
  • displace weight of uterus from vena cava: wedged pillow, blankets
  • C-section in 4 minutes

Peds (7 decks)

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