Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

RNC OB > Labor > Flashcards

Labor Flashcards

1
Q

What is considered hypotonic labor?

A

This is inadequate, less intense contraction that doesn’t dilate or efface.
this can be caused by a tired, overdistended uterus (think poly and multiples)

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

What is the definition of active labor?

A

6 cm dilation and painful, regular contractions with cervical change

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

How long can a Primigravida push for?

A

up to 4 hours with an epidural
up to 3 hours without an epidural

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

How long can a Multiparous woman push for?

A

up to 3 hours with an epidural
up to 2 hours without an epidural

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

What is the most effective way to push?

A

With open glottis pushing
push 5-8 seconds

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

How can Peroneal Nerve Damage be done? What is the sign of this?

A

This can be caused by pushing in stirrups, putting pressure on the Peroneal Nerve.
This is shown by the foot drop after delivery

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

What are 3 ways that Immediate active pushing can be beneficial?

A
  1. Shorter 2nd stage
  2. Decreased risk of postpartum hemorrhage
  3. Lower Chorioamnionitis rates
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

At what point is the placenta considered retained?

A

30 minutes

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

What are three signs of the placenta being ready to be delivered?

A
  1. Lengthening of the cord
  2. Rise of the uterus in the abdomen
  3. increase in vaginal bleeding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

True or False: The nurse is allowed to give fundal pressure to assist in a delivery.

A

False: this is not allowed per the Nurse Practice Act

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

How many degrees of lacerations are there?

A

4
1. 1st Degree: perineal skin and vaginal mucous membranes torn
2. 2nd Degree: this includes fascia and muscle of the perineum
3. 3rd Degree: this extends into the rectal sphincter
4. 4th Degree: this includes inner lumen of rectum is exposed

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

When is the earliest you can start oxytocin after the last dose of Cytotec?

A

4 hours

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

What are the major risks of prostaglandins?

A

Uterine Rupture

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

In which circumstance are Prostaglandins contraindicated?

A

Previous uterine surgeryWh

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

Where is the placement of Prostaglandins?

A

In the posterior fornix of the cervix (behind it)
For Cervidil it must be placed transvaginal

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

Over which number is the cervix considered favorable to start Pitocin?

A

> 6

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

True or False: Pitocin should be placed on the closet port to the patient?

A

True

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

What is the definition of tachysystole?

A

> 5 contractions in a 10-minute period averaged over a 30-minute segment

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

What is the best amount of time for reperfusion for the fetus?

A

45 seconds - 1 minute

20
Q

What are the three things that be decreased with adequate labor support?

A

Labor dystocia, operative vaginal deliveries, and c-section rates

21
Q

What are two things that the nurse should watch for when a patient gets a Pudendal Block?

A

Hematoma and infection at the injection site

22
Q

What are the 5 P’s for labor success?

A

Power, Passenger, Pathway, Psyche, and Positioning

23
Q

What are some side effects of having a precipitous delivery?

A

Placental abruption, postpartum hemorrhage, tissue lacerations, and shoulder dystocia

24
Q

What are the four types of Breech presentation/

A
  1. Complete: legs wrapped around the body (crisscross applesauce)
  2. Incomplete: legs extended at hip or foot
  3. Frank: feet close to head/ towards the shoulders
  4. Footling: one or both legs presenting before the buttocks
25
Which of the breech positions are most optimal for a vaginal- breech delivery?
Frank or complete breech presentation
26
Which forceps are used for breech deliveries?
Piper forceps
27
What is a risk with a breech delivery?
Cord prolapse
28
What are some risks with a version?
Rupture of membranes, placental abruption, fetal bradycardia, and fetal/maternal hemorrhage
29
What is considered a compound presentation?
This is where a fetal extremity presents along side the presenting part
30
What is the definition of a shoulder dystocia?
The head-to-body delivery time is >60 seconds OR the use of maneuvers. This is where the anterior shoulder is logged under the pubic bone. This is a bone problem, not a tissue problem!
31
Which two maneuvers relieve 70-80% of shoulder dystocias?
McRoberts and Suprapubic pressure.
32
True or false an episiotomy can relieve a shoulder dystocia?
False: This is done to make more room for the physician.
33
How long does a fetus have until acidemia is a high risk?
5 minutes- but this also depends on the status of the fetus prior to the delivery.
34
True or False: a fundal pressure can be used to resolve a shoulder dystocia?
False: fundal pressure is not allowed to be given by the nurse during a delivery (Nurse Practice Act)
35
What is the biggest risk to the newborn from a shoulder dystocia?
Brachial plexus palsy
36
What are maternal risk factors for a shoulder dytocia?
Abnormal pelvic anatomy, gestational diabetes, short stature, excessive weight gain, previous shoulder dystocia
37
What are fetal risk factors for a shoulder dystocia?
Suspected macrosomia, male fetus
38
What is the difference between preterm labor and preterm contractions?
Preterm labor: dilation of the cervix after 20 weeks and before 37 weeks Preterm contractions: contractions after 20 weeks and before 37 weeks but the cervix does not dilate.
39
What are the most common risks for Preterm labor?
Multiples, previous preterm deliveries, uterine or cervical abnormalities, and infection
40
What is Fetal Fibronectin?
This is produced by fetal cells- this can be detected in maternal blood, amniotic fluid, and cervicovaginal secretions
41
When can a fetal fibronectin test be performed?
This can be done between 22-35 weeks
42
What does a positive fetal fibronectin mean? What does a negative result mean?
Negative: this means you are not going to go into preterm labor in the next 2 weeks. Positive: does NOT mean that you are going to go into preterm labor in the next 2 weeks.
43
True or False: if you do a fetal fibronectin test outside of the recommended weeks, it is normal for the result to be positive?
True: if the test is done outside of the 22-35 weeks, it is normal for the test to be positive.
44
True or False: Bedrest is recommended for preterm labor?
False: Bedrest has not been proven to be effective in delaying delivery. This has been shown to decrease calcium, lose muscle tone, and both mom and baby will lose weight
45
What are risk factors for having a prolapsed cord?
Multiparous, polyhydramnios, and breech presentation
46
At which point should a peri-mortem c-section be performed in the event of an AFE?
4 Minutes of maternal resuscitation and baby born by 5 minutes

RNC OB (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions