Maternity (stages of labor / complications #2 )

Question 1

The 1st stage of labor begins when labor ______.

Answer 1

labor starts

Question 2

The latent stage is ___ to ____ cm.

Answer 2

0 to 3 cm

Question 3

The active phase is ___ to ____ cm.

Answer 3

4 to 7 cm

Question 4

The transition phase is ____ to ___ cm.

Answer 4

8 to 10 cm

Question 5

The lack of any cervical dilation for 4 hours or greater indicates ____ ____ ____.

Answer 5

arrest of labor

Question 6

The second stage of labor begins when the cervix is ____ ____.

Answer 6

fully dilated (10 cm)

Question 7

The second stage of labor ends when the neonate is _____ _____.

Answer 7

fully delivered

Question 8

The second stage is the ____ stage.

Answer 8

pushing stage

Question 9

The third stage starts when the fetus is ____ ____ & ends with ____ _____.

Answer 9

fully delivered & ends with placental delivery

Question 10

What are the 3 distinct signs the placenta has separated from the uterine wall?

Answer 10

1. gush of blood from vagina
2. lengthening of the umbilical cord
3. globular shaped fungus when palpated

Question 11

What should the nurse be monitoring during the fourth stage of labor?

Answer 11

monitor the mother closely for hemorrhage, infection, and uterine atony (failure for the uterus to contract).

Question 11

The fourth stage of labor is ____ to ____ hours after delivery.

Answer 11

1-2 hours after delivery

Question 12

Placenta previa is _____ bleeding.

Answer 12

PAINLESS bleeding

Question 13

what should the nurse NEVER do if they suspect placental previa?

Answer 13

A vaginal exam

Question 14

What is placenta previa?

Answer 14

the placenta covers the opening of the mothers cervix.

Question 15

Abruption placentae is ____ ____ bleeding.

Answer 15

dark red bleeding

Question 16

Name 3 assessments of abruption placenta.

Answer 16

1. hypotension (shock & blood loss)
2. Maternal tachycardia
3. Fetal bradycardia (fetal distress)

Question 17

With a prolapsed cord the fetus is ___ ___ from oxygen.

Answer 17

cut off

Question 18

Name the 3 nursing interventions of a prolapsed cord.

Answer 18

1. elevate presenting part off the cord
2. keep hand on baby head / call for help
3. NEVER PUSH the cord back in

Question 19

With shoulder dystocia you should not apply what?

Answer 19

Fundal pressure due to increased risk of uterine rupture. and instruct the mother to stop pushing.

Question 20

What medications are used for PPH? (2)

Answer 20

1. Oxytocin
2. Methylergonovine

Question 21

How is mastitis treated?

Answer 21

1. Antibiotics (Dicloxacillin, Keflex)
2. OTC NSAIDS & Acetaminophen
3. Warm compress. showers

Question 22

______ is the first drug approved specifically for postpartum depression.

Answer 22

Brexanolone (Zulresso)

Question 23

_______ is an inflammatory process that causes blood clot(s) to form & block one or more veins (usually in the legs)

Answer 23

thrombophlebitis

Question 24

Name 3 people at risk of thrombophlebitis

Answer 24

1. BMI >25
2. PPH
3. Start birth control too early

Question 25

If a client is suspected of having a thrombophlebitis, what is the next step?

Answer 25

Ultrasound

Question 26

How can a client manage superficial clots?

Answer 26

Warm compress, compression bandages, elevation of the limb.