Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Mother and Child > Intrapartum > Flashcards

Intrapartum Flashcards

1
Q

How many cm is active labor

A

3-6 cm
4 cm

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

it is the care given during the delivery

A

Intrapartum Care

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

Why should the mother avoid lying flat

A

decrease fetal heart rate abnormalities
less pain

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

best birthing position

A

upright

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

surgical cut of vagina

A

Epistiotomy

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

two kinds of epistiotomy

A

Media Lateral
Median/Midline

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

Safest way of Episiotomy

A

Media Lateral

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

is routine episiotomy recommended or not

A

not recommended

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

4 stages of labor

A

1st - Cervix Dilatation
2nd > Delivery of the baby
3rd> expulsion of the placenta
4th> recovery stage

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

stage of labor where it is shortest and most critical

A

3rd stage

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

what position of mother during DR

A

Lithotomy Position (68%)
4% is upright

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

surgical procedure wher ethe vaginal outlet is incised just prior t delivery to extend the passageway of the newborn

A

Episiotomy

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

is episiotomy required

A

not required for primipara

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

indications that episiotomy should be done

A

fetal distress
risk of tearing

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

why is episiotomy done to primipara

A

aid in deivery/ prevent rupture of tissue

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

what is used for the 3rd stage of labor

A

Prophylactic Oxytocin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Drug used to stimulate uterine contraction

A

Oxytocin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how many minutes-hour for primipara is the 3rd stage of labor

A

30-1hour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how many minutes-hour for primipara is the 3rd stage of labor

A

30-1hour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is done before administering oxytocin

A
  • Palpate to check for twins
  • Check bp
  • check if placenta is complete
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is placed at fundus during the manual extraction procedure

A

ice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

it is a procedure done of placenta is not expulsed after an hour of the 3rd stage labor

A

Manual Extraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How many minutes in delayed cord clamping

A

1-3 mins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Rationale for Delayed Cord Clamping

A
  • allow remaining blood from placenta to bab- -bring nutrients(iron) & blood to baby

have greater iron storage 3-6 months after burth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

___ it js a traction applied to the umbilical cord once the woman’s uterus has contracted after the birth of her baby, and her placenta is felt to have seperated from the uterine wall

A

Controlled Cord Traction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

___ traction of the placenta pressure applied to her uterus beneath her pubic bone until placenta felivers

A

Counter traction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

why cct with ct is done

A

precent PPH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

rationale for uterine massage after placental delivery

A

stimulate uterine contraction (help the blood clot na maka prevent sa contractuon)
- prevent sa mga heavy blredin- dili puyde mo relax and uterus kay mo bleed heavily

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Clots that may have accumulated in the uterine cavity interfere with the ability of the uterus to contract effectively.

true or false

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

stage of labot

the time between the birth of the baby and the delivery of the placenta

A

3rd stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what is the purpose of active management of the 3rd stage of labor

A

prevent PPH
avoid tranfusion of blood products

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

3 components of AMSTL

A
  1. Administer uterotonic (1 minute after delivery(
  2. CCT with ct
  3. Uterine Massage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

what is the primary drug of choice with adminstering uterotonic

A

Oxytocin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

how much does a mother need for oxytocin

A

1 ampule - 10 IU@ deltoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

3 Practices not recommended during delivery

A
  1. Coaching to push
  2. Perineal massage during 2nd stage
  3. Fundal Pressure during 2nd arage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

this procedure can cause Shoulder Dystocia kf the baby

A

Fundal Pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

it is the cleansing of the perineum in a Systematic manner

A

Perineal Care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

the region of the body between the anus and the pubis (urethral opening).

A

Perineum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Perineum or in other words

A

Diamond Shape

40
Q

3 reasons WHY we should do perineal care

A

remove perineal secretions/odors
Prevent infection (bcs of further complications)
so that clean sya before of after birth or surgery

41
Q

first step of perineal care

A

Check to see specific physician’s orders to be followed. (to ensure accuracy)

42
Q

what position should the client be in when doing the perineal care

A

Dorsal Recumbent Position

43
Q

what temp should the water be in perineal care

A

Warm Sterile Water over vulva

44
Q

what techniue used during perineal care

A

9 cotton ball technique

45
Q

what technique is used during the perineal care

A

9 cotton ball technique

46
Q

what technique to used during perineal carr

A

9 cotton ball technique

47
Q

during perineal flushing, what position should the client be in?

A

Lithotomy/upright position

48
Q

during perineal flushing, what position should the client be in?

A

Lithotomy/upright position

49
Q

in picking the cotton ball what forcep is used

A

pick up forcep then transfer to handling forcep

50
Q

unsa ang space betweent eh pitcher kg sa vagina kung mo pour na

A

1 foot away

51
Q

Specific manner in covering the woman for delivery applying the sterile
technique.

A

draping

52
Q

WHY IS THE PURPOSE OF DRAPING GIVE ME 2

A

provide sterility during dr
prevent pospartum neonatal infection

53
Q

position for the client when draping

A

lithotomy

54
Q

in draping, should we use stirrups

A

yes & adjust it according to size of client

55
Q

why should we iInstruct and assist client to place her buttocks at the edge of the delivery
table and hands on her sides. during draping

A

to facilitate insertion

56
Q

why should we seperate the legs and flex the thighs. Elevate the legs and support them
with stirrups. during draping

A

to relax the abdominal muscles

57
Q

When draping the client with clean hands,
The same steps are followed except the
ungloved hands should remain holding the
inside part.

true or false

A

true

58
Q

when removing the drape, why should we perform perineal washing

A

to remove blood etc during delivery or surgery

59
Q

sterile or clean filled coverings of hands with separate sheath of each finger & thumb.

A

gloves

60
Q

are worn when there is contact with sterile instruments or patients sterile part.

A

sterile gloves

61
Q

re worn to protect the health care providers from urine, stool, blood, saliva & drainage from wound & lesions, & protect patients from health personnel who may have cuts.

A

clean gloves

62
Q

– are worn to protect the health care providers from urine, stool, blood, saliva & drainage from wound & lesions, & protect patients from health personnel who may have cuts.

A

clean gloves

63
Q

Gloves must be changed between procedures on the same patient.

true or false

A

true

64
Q

Examination gloves must not be worn outside the patient’s room except for certain procedures.

true or false

A

true

65
Q

Special considerations of gloving

A
  1. Size
  2. Sterile or clean
  3. replace gloves that are torn etc
  4. latex may cause allergy
    5.before performing or assisting, you must know the procedure to be performed first
66
Q

Grasp the folded edges of the __ package using __ finger & __ of each hand.

A

inner, index and thumb

67
Q

cuff of gloves is ___ wide

A

2-3 inches wide

68
Q

Open the inner package by touching only the ___ of the package.

A

bottom

69
Q

worn by ones delivering the chilf

A

sterile gloves

70
Q

worn by ones assisting the delivery

A

clean gloves

71
Q

refers to the dilation (opening) of the cervix and the surgical removal of the contents of the uterus

A

Dilatation & curettage

72
Q

what us the purpose of dilatation and curettage

A
  • resolve any bleeding
  • remove any tussue
    also for giagnkstic examination
73
Q

7 Dilatation and curettage Set

A

Heavy Weight retractor
Sim’s Retractor
Tenaculum
Hysterometer/uterine sound
Curette
Uterine Forceps
Ovum Forceps

74
Q

additional instruments for primigravjda

A

additional glove
ovum force
needle holder
5cc syringr with needle
additional scissor
additional gauzr
tissue forceps
needle with suture

75
Q

clamp the upper anterior tip of the cervix

A

Tenaculum

76
Q

it dilates the posterior wall

A

heavy weight retractor

77
Q

dilate the anterior wall

A

sim’s retractor

78
Q

measure the depth of the uterus, contour shape and position

A

hysterometer/uterine sound

79
Q

scrape the uterine content

A

Curette

80
Q

dilate the cervical opening
help push gauze inside the uterus

A

uterine forceps

81
Q

remove the uterine contents

A

ovum forceps

82
Q

prior to the woman’s transfer in DR why should we communicate to client if she want to eat or drink

A

maintain hydration anf nutritional status of client

83
Q

what should do prior to transfer to dr

A

if she want to eat or drink
ask if she want to have support
- if she is comfortable position

84
Q

what should ve the humifity of the room in FT

A

25-28 degree celcius
eliminate airdraft

85
Q

why dhould we position client in semi upright position in DR table

A

to facilitate the descent of fetus during bearing diwn with contraction

86
Q

why should we place clean dry linen on the mother’s abdomen

A

to absorm fluids/discharges from the body/ keep the baby dry

87
Q

during the delivery, what is the rationale why we should apply perineal support and gently control the deivery of the head

A

prevent laceration of cervical vaginal walls perineum

88
Q

why palpate the lower abdomen (during delivery) tas na gwa ang bb

A

para ma determine if may tein para prepre pod sa pag administer sa oxytocin

89
Q

steps of AMSTL

A
  • administration of oxytocin
  • Controlled cord traction and counter traction
  • uterine massage
90
Q

when do we apply the CCT and CT

A

we shoudl wait for a strong uterine contaction then apply CCT and CT on uterus until placenta is delivered

91
Q

how do you decontaminate (during delivery

A

soak instruments/ decontaminate before washing

THEN soak the second pair of gloved in ANTISEPTIC solution for 10 minutes

92
Q

why should we insteuct mother skin to skin and haby head turn to one side

A

maintain breathing/ keep bb warm

93
Q

when do we insteuct mothers for heeding cues

A

after 15-90 minutes

94
Q

why delay bathing of bb

A

keep baby warm and prevent loss of heat

95
Q

AFTER 15-90 MINUYES sa delivery na
first and second hour what should you do

A

1st hour > check vitals and massage uterus
2nd hour> check mother/baby every 30 mins to 1 hr

96
Q

Final assessment (3)

A
  1. check sa bleeding
  2. check sa mga instruments if complete
  3. kwa virals and lantaw sa condition sa mom
97
Q

is applying ice pack on pubic area part of the immediate post partum care?

A

yes

Mother and Child (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions