Labor Flashcards
What is considered hypotonic labor?
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)
What is the definition of active labor?
6 cm dilation and painful, regular contractions with cervical change
How long can a Primigravida push for?
up to 4 hours with an epidural
up to 3 hours without an epidural
How long can a Multiparous woman push for?
up to 3 hours with an epidural
up to 2 hours without an epidural
What is the most effective way to push?
With open glottis pushing
push 5-8 seconds
How can Peroneal Nerve Damage be done? What is the sign of this?
This can be caused by pushing in stirrups, putting pressure on the Peroneal Nerve.
This is shown by the foot drop after delivery
What are 3 ways that Immediate active pushing can be beneficial?
- Shorter 2nd stage
- Decreased risk of postpartum hemorrhage
- Lower Chorioamnionitis rates
At what point is the placenta considered retained?
30 minutes
What are three signs of the placenta being ready to be delivered?
- Lengthening of the cord
- Rise of the uterus in the abdomen
- increase in vaginal bleeding
True or False: The nurse is allowed to give fundal pressure to assist in a delivery.
False: this is not allowed per the Nurse Practice Act
How many degrees of lacerations are there?
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
When is the earliest you can start oxytocin after the last dose of Cytotec?
4 hours
What are the major risks of prostaglandins?
Uterine Rupture
In which circumstance are Prostaglandins contraindicated?
Previous uterine surgeryWh
Where is the placement of Prostaglandins?
In the posterior fornix of the cervix (behind it)
For Cervidil it must be placed transvaginal
Over which number is the cervix considered favorable to start Pitocin?
> 6
True or False: Pitocin should be placed on the closet port to the patient?
True
What is the definition of tachysystole?
> 5 contractions in a 10-minute period averaged over a 30-minute segment