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NUR 201-Exam 1 > Labor & Delivery > Flashcards

Labor & Delivery Flashcards

1
Q

Contractions that are painless and sometimes unnoticeable are known as what?

A

Braxton Hicks contractions

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2
Q

When the mother is preparing the house for the baby to arrive by making crib, finishing the room, etc what is this indicative of?

A

Nesting

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3
Q

Lightening, Braxton Hicks contractions, 10cm dilation, 100% effacement, bloody show: mucus plug, ruptured membranes, nesting, wt. loss of 1-3lb, increased backache and pressure and GI upset are all what?

A

Pre-labor warning signs

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4
Q

If the mom doesn’t know about the bloody show: mucus plug what can happen?

A

Cord prolapse

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5
Q

What pre-labor warning sign is it when the baby drops from underneath the rib cage in uterus that takes pressure off mom making them feel like they can breathe better?

A

Lightening

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6
Q

What stage of labor is the longest, onset and contractions closer together, longer and more intense is what stage of labor?

A

1st stage

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7
Q

In the 1st stage of labor what phase is it when the mom is 0-3cm dilated and has tolerable contractions?

A

Early phase

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8
Q

In the 1st stage of labor what phase is it when the mom is 3-7cm dilated and has more painful contractions and the epidural is administered?

A

Active phase

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9
Q

In the 1st stage of labor what phase is it when the mom is 7-10cm dilated and has severely painful contractions?

A

Transitional phase

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10
Q

In what stage of labor is it when pushing starts and the delivery of the baby occurs?

A

2nd stage

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11
Q

In what stage of labor is it when the delivery of the placenta occurs?

A

3rd stage

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12
Q

What are the 5 P’s of labor?

A

Passage (birth canal). Passenger (fetus/placenta). Position(fetal head). Power (contractions). Psych (confidence).

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13
Q

What 2 innominate bones make up the pelvis for the birth canal?

A

Sacrum and coccyx

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14
Q

What bones have degree of mobility for the birth canal?

A

Sacroiliac

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15
Q

What supports the weight of enlarged pregnant uterus and directs presenting part into the true pelvis?

A

FALSE pelvis

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16
Q

What portion lies below the linea terminalis and determines the passage of the fetal head?

A

TRUE pelvis

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17
Q

When a baby’s head is coming out with face facing up and back of head facing the moms butt causing pressure on the tailbone is indicative of what?

A

Posterior baby

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18
Q

What is the upper border of the true pelvis?

A

Pelvic inlet

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19
Q

What’s the lower border of the true pelvis?

A

Pelvic outlet

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20
Q

What type of pelvis is best for a vaginal delivery?

A

Gynecoid

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21
Q

What type of pelvis is a male type and shaped like a heart?

A

Android

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22
Q

What type of pelvis is oval shaped and wider from front to back possibly causing baby to be born face up?

A

Anthropoid

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23
Q

What type of pelvis is a compressed oval shape from side to side?

A

Platypelloid

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24
Q

What is in relation to the cephalocaudal axis of fetus to the cephalocaudal of mother, is longitudinal and transverse lie?

A

Fetal lie

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25
What is in relation to fetal parts to one another?
Fetal attitude
26
In fetal attitude how should the chin be in fetal flexion?
Chin to chest (smallest head diameter)
27
What is in relation of the presenting part to the ischial pelvis?
Station
28
In station head passing through the pelvic inlet is known as what?
Engagement
29
When does engagement occur during station?
@ ischial spines=0
30
In fetal presentation what is it called when the sacrum or feet are coming out first?
Breech
31
In fetal presentation what is it called when the scapula is coming out first?
Shoulder
32
In fetal presentation what is it called when the head is coming out first?
Cephalic
33
What is in relation to fetal presenting part to the front, side, or back of maternal pelvis?
Fetal positioning
34
In fetal positioning when the fetus is presenting on the right (R) or left (L) side what is this called?
Maternal pelvis
35
In fetal positioning when the fetus is presenting w/ the occiput (O), sacrum (S), mentum (M), or scapula (Sc) what is this called?
Fetal presenting part
36
In fetal positioning when the fetus is presenting anteriorly (A), posteriorly (P) or in transverse (T) what is this called?
Maternal pelvic aspect
37
What is the mentum?
Chin
38
In power what phase of contractions is it when the beginning of a contraction is timed to the beginning of the next contraction?
Frequency
39
In power what phase of contractions is it when the beginning of 1 contraction is timed to the end of that same contraction?
Duration
40
In power what phase of contractions is it when the peak or acme of the contraction occurs?
Intensity
41
How often is maternal positioning changed?
q30min if don't have epidural
42
Breathing and relaxation, imagery, changing positions, emptying bladder, and walking are all what?
Non-pharmacological pain management
43
Butorphanol (Stadol) and Nalpuphine (Nubain) are all what?
Analgesics-pain relievers
44
Marcaine and fentanyl are what?
Epidural/spinal anesthesia
45
Lidocaine and bupivacaine are what?
Local anesthetic for episiotomy
46
If a general anesthesia is needed what is done?
Emergency c-section
47
Prudental is a what?
Local anesthetic
48
What procedure is done when a bolus of IV fluid is given before procedure, BP is monitored, pt sits on side of bed, and takes 20-30 min to kick in?
Epidural anesthesia
49
What procedure is being done when pt sits on side of bed, administered into spinal sac and works immediately?
Spinal anesthesia
50
What is the term used to describe a thin protective membrane that contains amniotic fluid?
Amnion
51
What is the term used to describe the liquid surrounding the fetus in utero, it absorbs shock, permits fetal movement, and prevents heat loss?
Amniotic fluid
52
What is the term used to describe the passive fetal movement elicited when the examiner inserts 2 gloved fingers into the vagina and pushes against the cervix?
Ballottement
53
What is the term used to describe the bluish discoloration of the cervix from the increased cervical vascularity?
Chadwick sign
54
What is the term used to describe the brownish pigmentation over the bridge of the nose and cheeks during pregnancy and in some women who are taking oral contraceptives?
Chloasma or melasma gravidarum
55
What is the term used to describe the true conjugate which extends from the middle of the sacral promontory to the middle of the pubic crest?
Conjugate vera
56
What is the term used to describe subdivisions of the placenta made up of anchoring villi and decidual tissue?
Cotyledons
57
What is the term used to describe the distance from the lower posterior border of the symphysis pubis to the sacral promontory?
Diagonal conjugate
58
What is the term used to describe the female or male germ cell that contains a haploid # of chromosomes?
Gamete
59
What is the term used to describe the softening of the cervix during increased cervical vascularity?
Goodell sign
60
What is the term used to describe the softening of the isthmus of the uterus, area b/t the cervix and the body of the uterus?
Hegar sign
61
What is the term used to describe an ease in flexing the body of the uterus against the cervix?
McDonald sign
62
What is the term used to describe the distance from the middle of the sacral promontory to an area approx. 1cm below the pubic crest?
Obstetric conjugate
63
What is the term used to describe whitish silver stretch marks seen during or after pregnancy?
Striae
64
What is the term used to describe the largest diameter of the pelvic inlet; helps to determine the shape of the inlet?
Transverse diameter
65
What is the term used to describe the specialized connective tissue that surrounds the blood vessels in the umbilical cord?
Wharton Jelly

NUR 201-Exam 1 (12 decks)

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