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OB/PEDS > Labor/Delivery > Flashcards

Labor/Delivery Flashcards

1
Q

Truest sign of labor

A

Onset of regular, progressive contractions

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2
Q

Cervix that is zero is

A

Closed

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3
Q

Cervix at 10 is

A

Fully dilated

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4
Q

Thinning of cervix thick to 100% is

A

Effacement

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5
Q

Relationship of fetal presenting part to mom’s ischeal spine

A

Station

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6
Q

Negative station

A

Above the spine
(Positive is POSITIVE good news, baby is coming out soon)

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7
Q

Positive station

A

Below the spine
(Negative is NEGATIVE news)

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8
Q

Engagement

A

Station “0”

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9
Q

Relationship between the spine of the mother and the spine of the baby
(You want parallel)

A

Lie

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10
Q

Part of baby that enters birth canal first
(Most common: ROA or LOA)

A

Presentation

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11
Q

Stage 1 of labor

A

Dilate and phase cervix
3 phases of stage 1:
1. Latent phase
2. Active phase
3. Transitional phase

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12
Q

Stage 2 of labor

A

Delivery of baby

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13
Q

Stage 3

A

Delivery of placenta

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14
Q

Stage 4 of labor

A

First 2 hours of recovery to stop bleeding

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15
Q

What is the purpose of uterine contractions in the first stage of labor?

A

To dilate and efface the cervix

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16
Q

What is the purpose of uterine contractions in the 2nd stage of labor?

A

To push the baby out

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17
Q

What is the purpose of uterine contractions in the 3rd stage of labor

A

To push the placenta out

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18
Q

What is the purpose of uterine contractions in the 4th stage of labor?

A

To stop bleeding

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19
Q

When does post partum technically begin?

A

2 hours after delivery of placenta
(End of 4th stage)

20
Q

What is the number one priority in the 2nd PHASE of labor

A

Pain management

21
Q

Stage 1: Latent phase

A

Cervix dilated: 0-4 cm
Contractions: every 5-30 minutes
Duration of contraction: 15-30 seconds
Intensity: mild

22
Q

Stage 1: active phase

A

Cervix dilated: 5-7 cm
Contractions: every 3-5 minutes
Duration of contraction: 30-60 minutes
Intensity: moderate

23
Q

Stage 1: Transition phase

A

Cervix dilated: 8-10 cm
Contractions: 2 minutes
Contraction duration: 60-90 seconds

24
Q

What are signs of uterine tetany?

A

Contractions longer than 90 seconds or closer than 2 minutes apart

25
Q

What’s uterine hyperstimulation

A

Contractions longer than 90 seconds or closer than 2 minute apart

26
Q

What parameters would you stop pitocin during labor

A

Contractions longer than 90 seconds or closer than 2 minutes apart

27
Q

How to assess frequency of contractions

A

Beginning of one contraction to beginning of next

28
Q

How to assess duration of contractions

A

Beginning to end of one contraction

29
Q

How to assess intensity of contraction

A

Purely subjective

30
Q

What teaching do you give mother during intense contractions

A

Palpate with one hand over fundus with pads of fingers

31
Q

Painful back labor position

A

Knee chest
(Rear end up, head down)

32
Q

What is a prolapsed cord

A

When cord is presenting part
OB EMERGENCY

33
Q

What to do with prolapsed cord

A

PUSH
Position knee chest
Push head back up
DO NOT TOUCH CORD

34
Q

Interventions for all other labor complications
(Not prolapsed cord)

A

LION
-Left side position
-Increase IV
-Oxygenate them
-Notify physician

35
Q

What to do with pitocin in an OB crisis

A

Stop it.

36
Q

Do not administer pain meds during labor if

A

The baby is likely to be born when the med peaks

37
Q

What to do if low fetal heart rate
(Bad)

A

LION pit
(Left side, IV, O2, Notify, STOP PITOCIN)

38
Q

What to do if low baseline variability
-FHR stays the same & doesn’t change
(Bad)

A

LION pit
(Left side, IV, O2, Notify, STOP PITOCIN)

39
Q

What to do if high baseline variability
-FHR is always changing
(Normal)

A

Record it

40
Q

What to do if early decelerations
(FHR lowers before contraction)

A

Normal - document

41
Q

What can variable decelerations indicate
(Very bad)

A

Can mean prolapsed cord

42
Q

FHR tracings that indicate LION
(Leftside, IV, O2, Notify)

A

Ones that start with L (Lion)

43
Q

FHR tracings that start with variable are

A

VERY BAD

44
Q

VEAL CHOP

A

Variable - Cord compression
Early - Head compression
Accelerate - Ok
Late - Placenta

45
Q

What to suction on newborn baby first

A

Mouth then Nose

46
Q

What do you check after delivery of placenta

A

AVA - 2 Arteries, 1 Vein

47
Q

What 4 things do you do 4 times an hour for 4th stage of delivery (recovery)

A
  1. Vital signs (assess for signs of shock)
  2. Check fundus (massage if boggy, void
    or cath if displaced)
  3. Check pads (pad saturated in 15
    minutes = excessive lochia)
  4. Roll onto side (to check for bleeding)

OB/PEDS (4 decks)

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