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NCLEX > Labor and Delivery > Flashcards

Labor and Delivery Flashcards

1
Q

First stage phases (3)

A
  • Latent phase
  • Active phase
  • Transitional phase
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2
Q

Latent phase

A

0-3 cm

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3
Q

Contractions during latent phase

A
  • Irregular
  • Mild - moderate
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4
Q

Frequency of contractions during latent phase

A

5-30 minutes

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5
Q

Duration of contractions during latent phase

A

30-45 seconds

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6
Q

Active phase

A

4-7 cm

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7
Q

Contractions during active phase

A
  • Regular
  • Moderate - strong
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8
Q

Frequency of contractions during active phase

A

3-5 minutes

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9
Q

Duration of contractions during active phase

A

40-70 seconds

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10
Q

Transitional phase

A

8-10 cm

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11
Q

Contractions during transitional phase

A
  • Regular
  • Very strong
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12
Q

Frequency of contractions during transitional phase

A

2-3 minutesD

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13
Q

Duration of contractions during transitional phase

A

45-90 seconds

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14
Q

Second stage

A
  • Pushing stage
  • From complete dilation to delivery of baby
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15
Q

Third stage

A
  • After baby is delivered until placenta is delivered
  • Mild contractions
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16
Q

Fourth stage

A

1-2 hours after placenta is delivered

17
Q

VEAL
CHOP
MINE

A
  • Variable
  • Early
  • Acceleration
  • Late
  • Cord compression
  • Head compression
  • Other (ok)
  • Placental insufficiency
  • Move patient
  • Identify labor process
  • No action needed
  • Execute actions immediately
18
Q

Variable decelerations

A
  • Cord compression
  • Move patient
19
Q

Early decelerations

A
  • Head compression
  • Identify labor process
20
Q

Accelerations

A
  • Other
  • No action needed
21
Q

Late decelerations

A
  • Placental insufficiency
  • Execute actions immediately
22
Q

Sensory stimulation strategies for managing pain during labor (4)

A
  • Aromatherapy
  • Breathing relaxation techniques
  • Visual imagery and using focal points
  • Music
23
Q

Cutaneous strategies to manage pain during labor (4)

A
  • Back rubs, massages, counter pressure
  • Effleurage
  • Acupressure, acupuncture
  • Water therapy
24
Q

Effleurage

A

Light, gentle, circular stroking of the patient’s abdomen with fingertips

25
Q

Regional blocks

A
  • Pudendal
  • Epidural
  • Intrathecal
26
Q

Pudendal block

A
  • Local anesthesia to perineum, vulva, rectal areas during delivery
  • Given 10-20 minutes before delivery
27
Q

Epidural block

A
  • Local anesthetic with morphine/fentanyl injected into the epidural space at the 4th or 5th lumbar vertebra

NCLEX (40 decks)

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