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Peds > Labor And Delivery > Flashcards

Labor And Delivery Flashcards

1
Q

14 hours total
1st contractions change your cervix
Ends when completely dilated

Is what stage of labor

A

1st stage

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2
Q

Ends with explosions of the fetus
Pushing at 10cm dilated

Is what stage of labor

A

2nd stage

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3
Q

Delivery of placenta
Take up to 30 min

Is what stage of delivery

A

3rd stage

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4
Q

Recovery
As soon as the placenta is passed start VS
Bonding
Breast feeding

Is what stage of delivery

A

4th stage of delivery

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5
Q

Mechanisms of labor

A

Flexion- fetal head movement to help pass

Internal rotation- head enters pelvis diagonally

Extension- as head passes symphysis change from flexion to extension

External rotation- head is born spontaneously, baby rotates

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6
Q

If amniotic fluid is green indication

A

indicates meconium (fetal BM in utero)
●can affect respiration at birth
Resuscitation team have to be present

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7
Q

Fluid cloudy or yellow with offensive odor

A

indicates infection

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8
Q

nitrazine test

A

turns dark blue if amniotic fluid

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9
Q

Fern test

A

sample of amniotic fluid with cotton-tipped swab, smear on slide and view under microscope-looks like fern leaves

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10
Q

Cervical ripening agents

A

Cervadil,
Prostin,
Cytotec- cause miscarriage in early pregnancy
laminaria -is a seaweed substance that swells within the cervix, dilating it slightly

Monitor 2hours after receiving for contractions

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11
Q

Artificial oxytocin

Stimulates uterine

A

Pitocin

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12
Q

treatment postpartum hemorrhage

A

Methergine- contraindicated pt. Cardiac disease, hypertension, increased BP

Hemabate- contraindicated pt. W/asthma give with limodil causes diarrhea

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13
Q

causes relaxation of smooth muscles

CNS depressant

A

Magnesium sulfate

Antidote- Ca gluconate

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14
Q

Action
●alters perception of pain
Use
●pain relief

A

Stadol

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15
Q

opiod antagonist, rapid acting

A

Narcan

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16
Q

Anesthesia for child birth

A 
Local-lidocaine 
Epidural-catherter remain intact
Local-
Pudendal-
Spinal-injection of medication catheter is removed, use for c/s
General-loss of consciousness
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17
Q

Non Pharmacologic Coping

A 
Dick Read
●Fear, tension, pain cycle
Bradley Method
●Slow abdominal breathing
Lamaze
●Teaches conditions to respond to
Gate control theory
●Massage, fingertip pressure, heat/cold
Relaxation
●Massage, water
Hypnosis
Diversion
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18
Q

Complications of labor

A

Dystocia- baby body part to big to come out/ mc Roberts maneuver
Hypotonic labor-ctx to weak to be effective labor
Ineffective maternal push-mom can’t push
Hypertonic labor-frequent ctx no change in cervix(terbutaline)
CPD cephalopelvic disppoportion- enlarge head
Abnormal position- breech, face position
Cord prolapse- cord comes out first baby head suppresses it
Precipitate birth- born outside medical facility
Uterine rupture-
Hemorrhage
Inversion
Amniotic fluid embolism

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19
Q

suction cup placed over fetal head, vacuum applied

Can only use 3 times, when cap come off

A

Vacuum extraction

20
Q

If vacuum don’t work use ____ to help escort baby down. Do not pull on baby.

A

Forceps

21
Q

If pt. Had a previous c section and come in for natural birth this is called

A

TOLAC - trail to labor after c section

22
Q

VBAC

A

Vaginal birth after c section

23
Q

Rpt c/s

A

Repeated c section

24
Q

Umbilical cord consist of

A

AVA

Whartons jelly

25
Q

Baby side of the placenta is called

A

Shiny Shultz

26
Q

Placenta side is called

Beefy side

A

Dirty Duncan

27
Q

When baby first come out you want to

A

Skin to skin contact
(Stabilize BP, temp,vs) helps to facilitate breastfeeding
Clamp and cut cord

28
Q

Most important baby comprising

A

Cold stress

Dry and warm

29
Q

Baby lose heat by

A

Convection- air passing/ cool breeze
Conduction- warm to cold surface
Radiation- heat leaves

30
Q

1st few hours after birth the baby will receive which 2 medications

A

Erythromycin- eye drops

VIT. K

31
Q

A baby should be washed _____ unless mom has HIV, hepatitis, corial then it’s done immediately

A

12-24hours after birth

32
Q

Check baby’s frontenal for

A

Dehydration

33
Q

Stages of labor

A

Stage one- dial ati on til pt. 10cm
Stage 2- expulsion of baby
Stage3- expulsion of placenta
Stage 4- recovery

34
Q

What is the most accurate way to discribe contractions

A

5 min apart with change in cervix 3 to 6 cm

35
Q

Vomiting and nausea are caused by

A

Hormone changes

36
Q

If a pt has a history of methadone use do not give them

A

Neubaine

37
Q

Pt is suppose to urinate

A

Every 2-3 hours if not catherter is placed

38
Q

ABGAR is first performed ___ after birth. Then ___ after that. If less then 7 perform again in 5 min(10min) keep performing till MD orders otherwise.

A

1 min

5min

39
Q

4 P’s of labor

A

Power- contractions
Passage- route infant takes
Passenger- fetus/ baby
Psyche- mental state( most variable)

40
Q

Pelvis position most favorable for birth

A

Gynecoid

41
Q

Best candidate to deliver at home

A

Pt with no complications

42
Q

Pt plans to deliver at home. Cord becomes present when water breaks what do you do.

A

Call 911

Take baby’s head hold it off cord

43
Q

What are Braxton hicks

A

Not intense contractions

Do not cause cervix change

44
Q

If pt has GBS would you break their water

A

No can cause baby to go into respiratory distress if they pass infection

45
Q

Greatest influence on birth is

A

Culture

46
Q

Medication that rippen cervix

A

Cevidal, cytotec

47
Q

If pt is diabetic do baby come out extra fat

A

No

Peds (3 decks)

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