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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
Q

What is in relation to fetal parts to one another?

A

Fetal attitude

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26
Q

In fetal attitude how should the chin be in fetal flexion?

A

Chin to chest (smallest head diameter)

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27
Q

What is in relation of the presenting part to the ischial pelvis?

A

Station

28
Q

In station head passing through the pelvic inlet is known as what?

A

Engagement

29
Q

When does engagement occur during station?

A

@ ischial spines=0

30
Q

In fetal presentation what is it called when the sacrum or feet are coming out first?

A

Breech

31
Q

In fetal presentation what is it called when the scapula is coming out first?

A

Shoulder

32
Q

In fetal presentation what is it called when the head is coming out first?

A

Cephalic

33
Q

What is in relation to fetal presenting part to the front, side, or back of maternal pelvis?

A

Fetal positioning

34
Q

In fetal positioning when the fetus is presenting on the right (R) or left (L) side what is this called?

A

Maternal pelvis

35
Q

In fetal positioning when the fetus is presenting w/ the occiput (O), sacrum (S), mentum (M), or scapula (Sc) what is this called?

A

Fetal presenting part

36
Q

In fetal positioning when the fetus is presenting anteriorly (A), posteriorly (P) or in transverse (T) what is this called?

A

Maternal pelvic aspect

37
Q

What is the mentum?

A

Chin

38
Q

In power what phase of contractions is it when the beginning of a contraction is timed to the beginning of the next contraction?

A

Frequency

39
Q

In power what phase of contractions is it when the beginning of 1 contraction is timed to the end of that same contraction?

A

Duration

40
Q

In power what phase of contractions is it when the peak or acme of the contraction occurs?

A

Intensity

41
Q

How often is maternal positioning changed?

A

q30min if don’t have epidural

42
Q

Breathing and relaxation, imagery, changing positions, emptying bladder, and walking are all what?

A

Non-pharmacological pain management

43
Q

Butorphanol (Stadol) and Nalpuphine (Nubain) are all what?

A

Analgesics-pain relievers

44
Q

Marcaine and fentanyl are what?

A

Epidural/spinal anesthesia

45
Q

Lidocaine and bupivacaine are what?

A

Local anesthetic for episiotomy

46
Q

If a general anesthesia is needed what is done?

A

Emergency c-section

47
Q

Prudental is a what?

A

Local anesthetic

48
Q

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?

A

Epidural anesthesia

49
Q

What procedure is being done when pt sits on side of bed, administered into spinal sac and works immediately?

A

Spinal anesthesia

50
Q

What is the term used to describe a thin protective membrane that contains amniotic fluid?

A

Amnion

51
Q

What is the term used to describe the liquid surrounding the fetus in utero, it absorbs shock, permits fetal movement, and prevents heat loss?

A

Amniotic fluid

52
Q

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?

A

Ballottement

53
Q

What is the term used to describe the bluish discoloration of the cervix from the increased cervical vascularity?

A

Chadwick sign

54
Q

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?

A

Chloasma or melasma gravidarum

55
Q

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?

A

Conjugate vera

56
Q

What is the term used to describe subdivisions of the placenta made up of anchoring villi and decidual tissue?

A

Cotyledons

57
Q

What is the term used to describe the distance from the lower posterior border of the symphysis pubis to the sacral promontory?

A

Diagonal conjugate

58
Q

What is the term used to describe the female or male germ cell that contains a haploid # of chromosomes?

A

Gamete

59
Q

What is the term used to describe the softening of the cervix during increased cervical vascularity?

A

Goodell sign

60
Q

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?

A

Hegar sign

61
Q

What is the term used to describe an ease in flexing the body of the uterus against the cervix?

A

McDonald sign

62
Q

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?

A

Obstetric conjugate

63
Q

What is the term used to describe whitish silver stretch marks seen during or after pregnancy?

A

Striae

64
Q

What is the term used to describe the largest diameter of the pelvic inlet; helps to determine the shape of the inlet?

A

Transverse diameter

65
Q

What is the term used to describe the specialized connective tissue that surrounds the blood vessels in the umbilical cord?

A

Wharton Jelly

NUR 201-Exam 1 (12 decks)

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