Intrapartum/Labor Flashcards by Gurleen Grewal

Heart Rate

WHat is he baseline of the fetal heart rate

normal 110-160
tachycardia>160
Bradycardia<110

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Fetal Heart Monitor

What is baseline variability

irregular fluctuation in the baseline of FHT

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Fetal Heart Monitor

What does varibility indicate

indication of para/sympathetic nervous system function in push and pull of oxygen to the fetus

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Fetal Heart Monitor

What are the types of baseline varaibility

Absent
Minimal
Moderate
Markerd

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Fetal Heart Monitor

What is the **absent variability **

no detactible amplitude
hypoxia

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Fetal Heart Monitor

What is the Mininal Variability

1-5 BPM
insufficent blood flow
fetal sleeping

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Fetal Heart Monitor

What is the **Moderate Varaibility **

6 to 25 BPM
oxygenated fetus, neuorlogically intact

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Fetal Heart Monitor

What is the **Marked Variability **

>25 BPM
cord compression, tachysystole

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Fetal Heart Monitor

what is Acceleration

**15 BPM above baseline x 15 seconds **

indicate good oxygenation and indicate baby CNS intact

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Fetal Heart Monitor

What are Variable Deceleration

Aburpt descent <30 sec
from baseline, lowest point, V/U shaped

cord compression

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Fetal Heart Monitor

What are interventions of Variable decelerations

Repsoition
don’t lay them flat
can do semi-flower
need to find spot where cord is in not be compressed

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Fetal Heart Monitor

What are prolonged deceleration

longer than 2 min
less then 10 min

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Fetal Heart Monitor

Prolonged Interventions

monitor BP
Intrauterine resuscitation

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Fetal Heart Monitor

what are early deceleration

Head compression cause

mirror of contraction

begin at start, reach lowest at the same time of contraction

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Fetal Heart Monitor

What are late decelerations

start after contraction

Pitocin should be turned off

intervention intrauterine resuscitations

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Fetal Heart Monitor

What is Intrauterine Resuscitation

Fluid bolus to enhance oxygen delivery

Fluid bolus Lateral position Inform provider Pitocin off

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Contractions

How to assess contractions

Feel fundus size

Contractions

What does it mean if fundus is a shape of the tip of the nose

mild intensity

Contractions

What does it mean if fundus is a shape of the chin

moderate intensity

Contractions

What does it mean if fundus is a shape of the forehead

strong intensity

Stages of Labor

How many stages

Stages of Labor

What is the first stage

Latent

Stages of Labor

What is the Latent Phase

All about Cervix
need dilation for baby to get out
long time

0 to 5 cm of cervix

# Stages of Labor What occurs in Latent phase

mom is talabative excited help mom ambulate help with distraction eating/drinking normally moving around

# Stages of Labor what is the active phase

dynamic process contractions slightly quicker | 6 to 10 cm

# Stages of Labor What can be done/expected in active phase

lean into coping stragtegies tub, penut ballow, lunging, walking, slow dancing fetal monitor check more often

# Stages of Labor What is the second stage

pushing baby out

# Stages of Labor What occurs in the second phase

normal pushing: telling mom to push 3 good pushes end of stage when baby is delivered

# Stages of Labor What is the third stage

**Placenta**

# Stages of Labor What occurs in the third stage

start when baby born/end when placenta out want short 3rd stage: prevent hemorrhage

# Stages of Labor 3rd stage management

1. passive: wait for things to happen 2. active: start potocin/bolus stimulate contractions to expel placenta; little push from mom

# Stages of Labor What is delayed cord clamping in 3rd stage

clamp cord, cut, baby in warmer last transfusion for baby, gives extra blood 45sec to 1 min attached to baby

# Stages of Labor What is the 4th stage of labor

body to go nonpregnancy

# Stages of Labor What occurs in 4th stage

start at placenta delivery/end 4hr after or mom clinically stable * frequent assessment of bleeding * encourage breastfeeding * encourage skin to skin

# Maneuvar what does the Leopold Maneuver indicate

fetal position and presentation

# Maneuvar What occurs in the first Leopold Maneuvar

palpate upper abdomen both hand 1. shape 2. consistency 3. mobility | fetal head firm hard round, moves independly of trunk, breach feel soft

# Maneuvar What occurs in the second Leopold Maneuvar

hands moved mid of abdomn/pelvis and palpate | fetal back feels smooth, fetal limbs knobby and bumpy

# Maneuvar What occurs in the third Leopold Maneuvar

place one hand above symphysis (pelvic) and other at top of abdomen 1. determine posiion of baby (head or breach | fetal head top means breach

# Maneuvar What occurs in the first Leopold Maneuvar

place both hand lower abdomen and move fingers down towads pelvic 1.note cephalic promiene/brow on oposite side of fetal back

# SBAR What does I-SBAR stand for

I=Identify self & pt S: Situation B: Backgroun A: Asssesment R: recommendation R: Read Back orders