Intrapartum

Question 1

Documentation

Answer 1

10/75/+2

Question 2

fetal position

Answer 2

LOA - most common what we want

Question 3

EFM

Answer 3

frequency- minutes

duration- seconds

Question 4

Stages of labor

Answer 4

first stage- onset of labor until completely dilated
second- birth of baby
third stage- placental
fourth- restoration/bonding/ watch PPH

Question 5

V C T
E H O
A O A
L P St

Answer 5

Variables Cord compression Turn pt
Early decals head compression ok
Accelerations ok acceptable
Late decals placental insufficiency stop piton, O2, iv

Question 6

misoprostol

Answer 6

ripens the cervix- suppository

can cause hypertonicity, would stop

Question 7

prostaglandins

Answer 7

help ripen cervix

Question 8

oxytocin

Answer 8

assess contractions every 15 minutes first stage and 5 minutes in second
induction- from nothing to contractions
augmentation- helping, stronger

Question 9

hypertonic uterus/ contractions

Answer 9

> 5 contractions in 10 minutes

Question 10

dystocia

Answer 10

shoulder causes brachial plexus injury ( low startle reflex moro) on one side)
happens with fat babies or post term

Question 11

mc roberts maneuver

Answer 11

thighs flexed and abducted
straighten pelvic curve
helps with shoulder dystocia

Question 12

suprapubric pressure

Answer 12

shoulder dystocia

light pressure on bone

Question 13

risks for prolapsed cord

Answer 13

malpresentation 
growth restriction- too small for # weeks 
prematurity 
ruptured membranes at high station 
hydraminos- too much fluid 
grandmultiplarity 
multifetal gestational

Question 14

C-section

Answer 14

transverse is better

classical (straight down) is bad can never deliver vaginally and is emergent

Question 15

Amnioinfusion

Answer 15

why they get it:
olioghydramnios, thick meconium fluid, prolong variable dcells
infuse slowly to prevent uterine rupture