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Maternity II > Labor and Birth Complications > Flashcards

Labor and Birth Complications Flashcards

1
Q

Preterm Labor

A
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2
Q

Postterm Labor

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3
Q

Preterm Premature Rupture of Membranes

(PPROM)

A
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4
Q

Risk Factors for Preterm Labor

Medical History

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5
Q

Risk Factors for Preterm Labor

Obstetric History

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6
Q

Risk Factors for Preterm Labor

Present Pregnancy

A
  • Short cervical lengnth or cervical insufficiency
  • Uterine distention
  • Preeclampsia/eclampsia and/or gestational diabetes
  • Poor nurtion and/or anemia during pregnancy
  • time between pregnacnies < 1 year
  • Preterm PROM
  • Infections
    • STIs
    • Chorioamniotis
    • UTIs
  • Low pregnacny weight gain
  • Fetal or placental abnormalies
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7
Q

Risk Factors for Preterm Labor

Demographics/Lifestyle

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8
Q

Diagnostic methods for Preterm labor

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9
Q

Fetal Fibronection level

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10
Q

Salivary estriol

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11
Q

Cervical length

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12
Q

Subjective data

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13
Q

Nitrazine or Fern test

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14
Q

Who should be considered at risk for preterm labor

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15
Q

Signs and Symptoms of preterm Labor

A
  • Uterine activity
    • ​Uterine contractions occuring more frequently than ever 10 minutes persiseting for 1 hour or more
    • Uterine contractiosn may be painful or painless
  • Discomfort
    • ​Lower abdominal cramping, similar to gas pains; may be accompanined by diarrhea
    • Dull intermittent low back pain
    • Painful menstrual like cramps
    • Suprapubic pain and pressure
    • Pelvic pressure or heaviness; feeling that the “baby is pushing down”
    • Urinary frequency
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16
Q

What to Do If Symptoms of Preterm Labor Occur

A
  • Empty your bladder
  • Drink two or three glasses of water or juice
  • Lie down on your side for 1 hour
  • Palpate for contractions
  • In symptoms continue, call your doctor or go to the hospital
  • If symptoms go away, resume light activity, but not what you were doing when the symptoms began
  • If symptoms return go to the hospital
  • if any of the following occur call your health care provider immediately:
    • Uterine contractions every 10 minutes or less for 1 hour or more
    • Vaginal bleeding
    • Odorous vaginal discharge
    • Fluid leaking from vagina
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17
Q

Nursing Diagnosis For Preterm Labor

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18
Q

Nursing Interventions for Preterm Labor

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19
Q

Activity restrictions

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20
Q

What are Tocolytics

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21
Q

Goal of tocolytic therapy

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22
Q

Commonly Used Tocolytics

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23
Q

Magnesium Sulfate

What does it do

A
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24
Q

Magnesium Sulfate Toxcitiy Warning Signs

A
25
Q

What drug should you give for Magensium Sulfate toxicity

A
26
Q

Ritodrine and Terbutaline

A
27
Q

What should the maternal heart rate be when recieving Terbutaline

A
28
Q

Nuring Care for Patients receiving Tocolytic Therapy

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29
Q

Nifedipine

A
30
Q

Calcium channel blocker nursing alert

A
31
Q

Indomethacin

A
32
Q

Antenatal Glucocorticoids

A
33
Q

Premature Rupture of Membranes likely results from

A
34
Q

How is PROM or PPROM diagnosed?

A
35
Q

What is the most common maternal complication of Preterm PROM

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36
Q

Less Common Serious Maternal Complications of PROM

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37
Q

Fetal Complications from PPROM are ripmarily related to what

A
38
Q

Care Management of PROM

A
39
Q

Education after preterm PROM

A
40
Q

Chorioamnionitis

(intrapartum infection)

A
  • Bacterinal infection of the amniotic cavity
  • Major casue of complications for both mother and newborns
    *
41
Q

Dystocia

(Dysfunctional Labor)

A
42
Q

Causes of dystocia

A
  • Ineffective uterine contractions (powers)
  • Alterations in the pelvic structure (passage)
  • Fetal casues (passenger)
    • abnormal presentation or position
    • anomalies
    • excessive size
    • more than one fetus
  • Maternal position during labor and birth
43
Q

Dysfunctional labor is suspected when

A
44
Q

Factors that increase a womans risk of dystocia

A
45
Q

Abnormal uterine acitivty can be describe ad being

A
46
Q

Hypertonic Contractions

A
47
Q

Treatment options for Hypertonic Contractions

A
48
Q

Hypotonic Uterine Contractions

A
  • Contractions become weak and ineffective or stop all together
  • Intrauterine pressure during the contraction is usually less than 25 and is insufficent for progress of cervical effacement and dilation
  • CPD and malposition are common casues
  • Increased risk of infection
  • May be related to over streched over used uterus
  • medications
  • Maternal age
  • Cervical ridgity
  • Can lead too
    *
49
Q

Precipitious Labor

A
50
Q

Fetal Causes of Dystocia

A
51
Q

Cephalopelvic disproportion (CPD)

A
52
Q

Malposition

A
53
Q

Measures to facilitate rotation of the fetal head

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54
Q

Malpresentation

A
55
Q

Breech Position

A
  • Frank breech -hips flexed knees extended
  • Complete breech- hips and knees flexed
  • Footling breech- one or both feet present before butt
  • Associated with multifetal gestation, preterm birth, fetal or maternal maomalies, hydramnios, plioghydraminios
  • Labor prologed becasue the butt doesnt cause effective cervical dilation like the head
  • Risk of prolabose cord
  • meconium stained amniotic fluid is a risk
  • Assess FHR
    *
56
Q

Face and brow presentation

A
57
Q

Shoulder presentation

(transverse lie)

A
58
Q

Version

A
59
Q
A

Maternity II (2 decks)

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