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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
general flexion
back of fetus is rounded, chin to chest, thighs flexed on abdomen, legs flexed at knees
26
deviations from normal flexion
difficulties with labor and birth
27
fetal lie
the relation of long axis of fetus to moms long axis
28
longitudinal lie
head down butt up
29
transverse lie
sideways and cannot come out vaginally
30
cephalic presentation
head is flexed onto chest with occiput presenting
31
breech
butt or shoulder first
32
fetal position
relationship of reference point of the fetus to the moms pelvis
33
3 letter abbreviation for position
location of presenting part, specific presenting part, relationship to maternal pelvis
34
ROA position
occiput is on right side of pelvis closer to front
35
ROT
occiput is on right side of pelvis and transverse
36
ROP
occiput is on right side of pelvis and facing the back
37
LOA
occiput is on left side of pelvis and towards front of pelvis
38
LOT
occiput is on left side of pelvis and sitting transverse
39
LOP
occiput is on left side of pelvis and facing back
40
LSA breech
sacrum is on left side of pelvis and butt towards the front
41
psyche
mothers disposition during labor and coping mechanisms
42
upright maternal position
assists w gravity to promote descent
43
all fours maternal position
relieves backache if fetus is occiput/posterior
44
lateral maternal position
used to help rotate fetus in posterior position
45
stg 1 of labor
onset of labor that ends w dilation 10 cm
46
stg 2 of labor
10 cm to delivery of baby
47
stg 3 of labor
after birth of baby to placental arrival
48
stg 4
delivery of placenta to stabilization
49
assessing stg 1
ROM, dilation/effacement, vitals, pain, FHR, contractions, cervix changes, fetal decent/positionn
50
nursing actions stg 1
limit PO fluids, assist comfort, position changes, bowel movements, educate, peri care
51
increment phase of contractions
buildup of contractions that start at fundus
52
active phase of contractions
peak intensity of contractions
53
decrement phase of contractions
relaxation of uterus and rest
54
true labor
reg contractions w increase in frequency and intensity, change in cervix and effacement/dilation
55
false labor
contractions but now change in cervix, activity doesnt change pattern
56
latent phase of stg 1
up to 5cm dilated
57
active phase of stg 1
up to 6 cm dilated
58
transition phase of stg 1
8-10cm dilated
59
assessing ROM
spontanous, preterm or artificial and testing w ferning or nitrazine paper
60
ROM actions
check for umbilical cord prolapse, assess FHR, assess color of fluid, educate
61
non risk patients for ROM
go to hosp when contractions are consistent for 1 hr that are 5 mins apart lasting 60 sec
62
go immediately to hosp for ROM
SROM, intense pain, bloody show increases
63
stg 2
baby moves down birth canal, lasts 50 mins, intense contractions, feeling urge to push, perineum flattens
64
assist w pushing
push for 6-8 sec, slight exhale, repeat 3-4 times
65
episiotomy actions
inspect, check for foul smelling drainage
66
laceration nursing actions
assess for slow steady trickle of blood
67
stg 3
lasts 30 mins, check cord length, uterus in ball shape, gush of blood, encourage breathing
68
stg 3 nursing interventions
skin to skin, admin oxytocin, pain meds, vitals, make sure placenta is fully removed
69
stg 4
palpate fundus, assess bleeding, encourage breastfeeding, uterotonics, food and rest, urination
70
nonpharmacological pain management
childbirth classes, relaxation, thermal/mental stimulation
71
pharmacological pain management
local, pudendal, epidural, spinal

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