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OB > Intrapartum Assessment/Stages Chap 8 > Flashcards

Intrapartum Assessment/Stages Chap 8 Flashcards

1
Q

intrapartum

A

onset of labor to delivery of placenta

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2
Q

lightening

A

fetus moving down to pelvis causing moms to pee more

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3
Q

braxton hicks contractions

A

contractions that dont dilate cervix or change uterus

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4
Q

nesting

A

mom cleans house, organizes

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5
Q

episiotomy

A

purposeful surgical cut at perineum

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6
Q

laceration

A

tear from stretching of uterus/vagina/cervix

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7
Q

maternal labor triggers

A

stretching of uterine muscles, estrogen/progesterone changes, oxytocin/prostoglandin release

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8
Q

fetal labor triggers

A

fetal cortisol changes, old placenta, oxytocin, prostaglandin increase contractions

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9
Q

factors affecting labor

A

powers, passage, passenger, psyche, position

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10
Q

powers

A

uterine contractions caused by oxytocin releasal

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11
Q

passage

A

pelvis and birth canal

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12
Q

gynecoid pelvis

A

heart shaped most optimal for birthing

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13
Q

android pelvis

A

more heart shaped that limits posterior pelvis for accommodating heart

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14
Q

anthropoid pelvis

A

narrow oval shaped and hard for baby to pass

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15
Q

platypelloid pelvis

A

horizontal oval hard for delivery

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16
Q

effacement

A

shortening and thinning of cervix expressed in percentages

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17
Q

dilation

A

widening of cervical opening from less than 1 cm to 1o cm

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18
Q

-3 to 0

A

head above ischial spine

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19
Q

0

A

narrowest point and head at ischial spine

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20
Q

+1 to +3

A

head below ischial spine

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21
Q

passenger

A

fetus

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22
Q

relationship of passenger vs passage includes

A

size of head, attitude, fetal lie, presentation, position, size

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23
Q

fetal skull

A

head molds to allow skull to fit through birth canal

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24
Q

fetal attitude

A

relationship of fetal parts to one another

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25
Q

general flexion

A

back of fetus is rounded, chin to chest, thighs flexed on abdomen, legs flexed at knees

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26
Q

deviations from normal flexion

A

difficulties with labor and birth

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27
Q

fetal lie

A

the relation of long axis of fetus to moms long axis

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28
Q

longitudinal lie

A

head down butt up

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29
Q

transverse lie

A

sideways and cannot come out vaginally

30
Q

cephalic presentation

A

head is flexed onto chest with occiput presenting

31
Q

breech

A

butt or shoulder first

32
Q

fetal position

A

relationship of reference point of the fetus to the moms pelvis

33
Q

3 letter abbreviation for position

A

location of presenting part, specific presenting part, relationship to maternal pelvis

34
Q

ROA position

A

occiput is on right side of pelvis closer to front

35
Q

ROT

A

occiput is on right side of pelvis and transverse

36
Q

ROP

A

occiput is on right side of pelvis and facing the back

37
Q

LOA

A

occiput is on left side of pelvis and towards front of pelvis

38
Q

LOT

A

occiput is on left side of pelvis and sitting transverse

39
Q

LOP

A

occiput is on left side of pelvis and facing back

40
Q

LSA breech

A

sacrum is on left side of pelvis and butt towards the front

41
Q

psyche

A

mothers disposition during labor and coping mechanisms

42
Q

upright maternal position

A

assists w gravity to promote descent

43
Q

all fours maternal position

A

relieves backache if fetus is occiput/posterior

44
Q

lateral maternal position

A

used to help rotate fetus in posterior position

45
Q

stg 1 of labor

A

onset of labor that ends w dilation 10 cm

46
Q

stg 2 of labor

A

10 cm to delivery of baby

47
Q

stg 3 of labor

A

after birth of baby to placental arrival

48
Q

stg 4

A

delivery of placenta to stabilization

49
Q

assessing stg 1

A

ROM, dilation/effacement, vitals, pain, FHR, contractions, cervix changes, fetal decent/positionn

50
Q

nursing actions stg 1

A

limit PO fluids, assist comfort, position changes, bowel movements, educate, peri care

51
Q

increment phase of contractions

A

buildup of contractions that start at fundus

52
Q

active phase of contractions

A

peak intensity of contractions

53
Q

decrement phase of contractions

A

relaxation of uterus and rest

54
Q

true labor

A

reg contractions w increase in frequency and intensity, change in cervix and effacement/dilation

55
Q

false labor

A

contractions but now change in cervix, activity doesnt change pattern

56
Q

latent phase of stg 1

A

up to 5cm dilated

57
Q

active phase of stg 1

A

up to 6 cm dilated

58
Q

transition phase of stg 1

A

8-10cm dilated

59
Q

assessing ROM

A

spontanous, preterm or artificial and testing w ferning or nitrazine paper

60
Q

ROM actions

A

check for umbilical cord prolapse, assess FHR, assess color of fluid, educate

61
Q

non risk patients for ROM

A

go to hosp when contractions are consistent for 1 hr that are 5 mins apart lasting 60 sec

62
Q

go immediately to hosp for ROM

A

SROM, intense pain, bloody show increases

63
Q

stg 2

A

baby moves down birth canal, lasts 50 mins, intense contractions, feeling urge to push, perineum flattens

64
Q

assist w pushing

A

push for 6-8 sec, slight exhale, repeat 3-4 times

65
Q

episiotomy actions

A

inspect, check for foul smelling drainage

66
Q

laceration nursing actions

A

assess for slow steady trickle of blood

67
Q

stg 3

A

lasts 30 mins, check cord length, uterus in ball shape, gush of blood, encourage breathing

68
Q

stg 3 nursing interventions

A

skin to skin, admin oxytocin, pain meds, vitals, make sure placenta is fully removed

69
Q

stg 4

A

palpate fundus, assess bleeding, encourage breastfeeding, uterotonics, food and rest, urination

70
Q

nonpharmacological pain management

A

childbirth classes, relaxation, thermal/mental stimulation

71
Q

pharmacological pain management

A

local, pudendal, epidural, spinal

OB (9 decks)

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