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Womens Health Cards > Labor And Delivery > Flashcards

Labor And Delivery Flashcards

1
Q

What is stage 1 of labor

A

Onset of labor and last until complete cervical dilation and effacement

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2
Q

What is stage 2 of labor

A

Complete dilation of cervix until delivery of infant

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3
Q

What is stage 3 of labor

A

After delivery of infant until delivery of placenta

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4
Q

When do you admit a pt for active labor

A

Regular contractions and dilation of cervix 3-4cm

Positive rupture of membranes

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5
Q

What are the two stages of stage 1 of labor

A

Active and latent stage

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6
Q

What is the active stage of labor

A

From 3-4cm to 10cm dilation,

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7
Q

What is the latent stage of labor

A

Onset of labor until 3-4cm dilated (slow)

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8
Q

What are the 3 “P’s” of labor

A

Passenger=size and position of fetus
Power= Stregnth and frequency of uterine contractions
Pelvis= size and shape of maternal pelvis

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9
Q

During what phase of stage 1 do you want to use the cervical exam sparingly

A

Latent phase to reduce the risk of infection

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10
Q

How often do you check the cervix in active phase

A

Every 2 hours

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11
Q

What is effacement

A

Thinning of the cervix, subjective movement

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12
Q

What is station

A

Relation of fetal head to Ishial spine

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13
Q

What are the 3 diagnostic test for rupture of membranes

A

Pool test
Nitrazine
Fern test

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14
Q

What is the pool test for testing for rupture of membranes

A

Collection of fluid pooling in vagina/speculum: ask pt to bear down and more fluid will come

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15
Q

What is the Nitrazine test

A

If it turns blue it’s positive, its testing the vaginal secreations and amniotic fluid is alkaline

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16
Q

What is the fern test for rupture of membranes

A

A fern pattern is seen under microscope (estrogen in the amniotic fluid causes crystallization of salts in amniotic fluid when it dries)

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17
Q

What is the most accurate way to measure fetal heart rate

A

Fetal scalp electrode-used more often for non-reassuring FHT

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18
Q

What is a normal fetal HR

A

110-160

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19
Q

What is considered a reactive heart rate

A

2 accelerations of at least 15 bpm over baseline lasting at least 15 seconds over a period of 20 min

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20
Q

What are the 3 types of deceleration

A

Early
Variable
Late

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21
Q

What is early deceleration

A

Drop in HR that begins and ends with contractions

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22
Q

What is variable deceleration

A

Occur at anytime, abrupt drop in HR

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23
Q

What is late deceleration

A

Begin at the peak of contractions and slowly return to baseline after contraction over

24
Q

What deceleration is due to the increase vag also tone from compression of head during contractions

A

Early

25
Q

What deceleration is due to umbilical cord compression

A

Variable

26
Q

What deceleration is a result of uteroplacental insufficiency

A

Late deceleration

27
Q

When do you need to take immediate action for a heart rate? (At what rate)

A

HR <90 for more than 2 minutes

28
Q

What is used to measure contractions

A

Totcodynamometer

29
Q

What are some common indications to induce labor

A

Pre-eclampsia, non-reassuring FHT, PROM, post-term

30
Q

What drug causes uterine contractions

A

Pitocin

31
Q

What do you need to do to induce labor

A

Cervical ripening
Pitocin
Amniotomy

32
Q

What do you need to check for after an amniotomy

A

Cord prolapse

33
Q

What is known as intervening to help labor progress, generally by increase uterine contractions

A

Augmentations of labor

34
Q

What do you do to augment labor.

A

AROM and/or Pitocin

35
Q

What do you need to be sure to check for with AROM

A

Meconium in fluid…can lead to meconium aspiration

36
Q

What are the 6 cardinal movements of labor

A 
Engagement 
Descent
Flexion
Internal rotation
Extension
External rotation
37
Q

What shoulder normally gets impacted with shoulder dystocia

A

Anterior

38
Q

What are some complications of shoulder dystocia

A

Fracture of humerous and clavicle
Brachial plexus injury
Hypoxic brain injury
Death

39
Q

What diagnosis is made when the head delivers then retracts back

A

Shoulder dystocia

40
Q

What is the treatment for shoulder dystocia

A

McRoberts maneuver

Suprapubic pressure

41
Q

What is often given to help with the delivery of the placenta

A

Oxytocin

42
Q

What are signs of cord seperation

A

Gush of blood, cord legnthing, and uterine fundal rebound

43
Q

How much blood loss is considered a postpartum hemorrhage

A

> 500mL after vaginal

>1,000mL after c-section

44
Q

What is it called if you have a pt who has a postpartum hemorrhage, is hypovolemic, and failure to lactate

A

Sheehan syndrome

45
Q

Was is lack of effective uterine contractions after delivery of placenta

A

Uterine Atony

46
Q

What is the leading cause of postpartum hemorrhage

A

Uterine atony

47
Q

How does the uterus feel if there is uterine atony

A

Instead of feeling firm it is soft, enlarged, and boggy

48
Q

What is the treatment for uterine atony

A

IV oxytocin and uterine massage
if needed IV misoprostol
If needed IV Hemabate
If needed IV consider tamponade balloon

49
Q

IF there is more bleeding after deliver what do you want to check for

A

Retained products of conception

50
Q

What is torn in a 3rd degree perineal tear

A

Anal sphinctor and perineal muscle

51
Q

What is torn in a 2nd degree tear

A

Perineal muscles

52
Q

What are the two types of assisted delivery

A

Vacuum assisted

Forcep assisted

53
Q

What is the most common reason for a c-section

A

Previous c-section

54
Q

What are the signs of a uterine rupture

A

Abd pain, “pop” sensation, drop in FHR/bradycardia

55
Q

When do you measure the APGAR score

A

Check 1 & 5 min after birth

56
Q

What is a good/normal score for APGAR

What about a poor/severe depression

A

8-10

0-3

57
Q

If you have a prenatal rubella titer negative what do you need to do

A

Give MMR

Womens Health Cards (17 decks)

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