Labor And Vag Care Audio Lecture Flashcards
Labor and delivery does their own triage
T or F
T
4000 g is safe for vaginal birth
False
4000 or more is C section
Reasons for scheduled inductions
HTN
Diabetes
Post term
Upper right quadrant pain
HTN
Blurred vision
Headache
Preeclampsia
Braxton Hicks Contractions
Aka
Practice contractions
Cervix thins out then dilation
Happens during which child birth
1st
Rippen the cervix means
To make it thin
They come to the hospital the night before and ripen the cervix so they can dilate during the day shift
O fetal station is at….
+1,+2,+3 mean where is the babies head
Ischial spines
Below ischial spines
Bishop score of 8 or greater means
Cervix is ripe
Favorable for child birth
Describe a ripe cervix
Dilates 5 - 6
Anterior
80% effacement
Station +1,+2
Soft
Which bishop score is favorable for birth
Which are not
High score favorable 8 or something
Lower is worse
Misoprostol =
Cervical Ripening agent
Traditional medication for induction augmentation…
Pitocin
Prostaglandin does what to the cervix
Softens it for Effacement
PAINFUL contractions with Active cervical change …
Labor
Labor Pattern
Contractions _____ time
Last for ______ time
Contractions 2 - 3 mins
Last for 60 seconds
In the hospital can the mom eat when in labor
No, incase she needs a C/S
Prenatal panel contains…
Hepatitis B surface antigen
Rubella
GBS
HIV
STD
Pattern under microscope for amniotic fluid
Ferning
They use this
If GBS + what does the provider do
PCN and AROM
Penicillin and artificial rupture of membranes
Atleast 4 hrs b4 baby is delivered
AROM & Pit
For Augmentation of labor. If labor already started and the Dr wants to speed it up
Posterior or Anterior part of the head is desirable to be delivered first
Posterior occipital
Most desirable fetal presenting posistion
Occipital Anterior
Contractions are voluntary but we can do involuntary things to help Contractions
T or F
T
All contractions are voluntary. DONT BELIEVE OTHERWISE
All contractions are painful
T or F
False
It is important to get to the hospital during the latent phase (0-3 cm dilation) of Labor?
T or F
F
This phase can last for weeks
After delivery of the placenta give a bolus of….
Pitocin
4 stages of delivery names
- No name - 3 Phases (Latent, Active, Transitional)
- Pushing
- Placental Delivery
- Early postpartum