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MCN FINALS > MCN 3F > Flashcards

MCN 3F Flashcards

1
Q

Labor that has started spontaneously but not effective

A

Augmentation of Labor

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2
Q

Labor is starting artificially

A

Induction of Labor

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3
Q

Artificial rupturing of membranes during labor if they do not rupture spontaneously

A

Amniotomy

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4
Q

Sluggishness of contractions, or that the force. of labor that is less than usual

A

Dysfunctional Labor

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5
Q

Highest peak of contraction

A

Acme

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6
Q

Building up phase

A

Increment

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7
Q

Letting up phase

A

Decrement

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8
Q

Normal labor

A

Eutocia

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9
Q

Difficult labor

A

Dystocia

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10
Q

Given to mothers who have undergone cesarean section

A

Trial of Labor / TOLAC

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11
Q

Reliefs from diaphragmatic pressure, sinking of fetal

A

Lightening

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12
Q

changes in ratio of estrogen to progesterone occurs, increasing estrogen in relation to progesterone; interpreted as progesterone withdrawal

A

Progesterone Deprivation

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13
Q

stretches from increasing size of fetus, release in prostaglandin; increase estrogen decrease progesterone

A

Uterine Stretch Theory

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14
Q

Fetus presses on cervix, stimulates release of oxytocin from posterior pituitary; stimulates prostaglandin to initiate contractions

A

Oxytocin Theory

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15
Q

Placenta reaches set age, triggers contractions

A

Placental Degeneration

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16
Q

Rising fetal cortisol levels reduce progesterone formation and prostaglandin formation

A

Fetal Endocrine Control Theory or Adrenal Theory

17
Q

fetal membrane begins to produce prostaglandins to stimulate contractions

A

Prostaglandin Theory

18
Q

Premonitory Signs of Labor

A

Lightening

Slight Loss of Weight

Excess Energy

Backache

Braxton Hick’s Contraction

Ripening of the Cervix

Show

Rupture of Membranes

Uterine Contractions

19
Q

Begins at onset of regularly perceived uterine contractions

A

Latent Phase

20
Q

Mild and Short Contractions; 20-40s

A

Latent Phase

21
Q

Analgesia may be given if too early, it may prolong stage

Assist mother to prepare psychologically

Teach breathing exercises

Encourage nonpharmacologic measures

Provide Ice chips

A

Pain Management: Latent

22
Q

Uncomfortable phase for the mother

Stronger contractions 40-60s

Bloody show and spontaneous rupture

A

Active Phase

23
Q

Frequent perineal care

Encourage to keep active and assume most comfortable position except flat on back

Anticipate mood swings

Upright

Left side lying

A

Nursing Care: Active Phase

24
Q

Peak contractions

60-70s

Full cervical dilatation and effacement

ROM may occur at full cervical dilation

Strong urge to push

A

Transition Phase

25
Q

Experience intense discomfort

Help direct maternal focus to birthing of baby

Provide support

Stay with mother

A

Nursing Care: Transition Phase

26
Q

Complete cervical dilatation to delivery of the neonate

Fetus moved along the birth canal by mechanism of labor

A

Second Stage of Labor

27
Q

Assist with second stage pushing

Prepare birthing area

Assist in birthing position

Ready for episiotomy

Assist with delivery

A

Nursing Care: Second Stage

28
Q

Begins with the birth of the infant and ends with the delivery

A

Third Stage

29
Q

Placenta detaches from uterine wall

A

Placental Separation

30
Q

Lengthening of the umbilical cord

Sudden gush of blood

Placenta is visible at vaginal opening

Uterus contracts and feels firm

Schultz & Duncan

A

Signs of Placental Separation

31
Q

Placenta is delivered through natural bearing down/gentle pressure (Crede’s Maneuver)

No pressure on noncontracted uterus - causes uterine version and hemorrhage

Note time

Inspect intactness

A

Placental Expulsion

32
Q

Vaginal mucous membrane and skin of the perineum fourchette

A

First Degree Laceration

33
Q

Vagina, perineal skin, fascia, levator and muscle, and perineal body

A

Second Degree Laceration

34
Q

Entire perineum, extending to reach the external sphincter of the rectum

A

Third Degree Laceration

35
Q

Entire perineum, rectal sphincter, and some of the mucous membrane of the rectum

A

Fourth Degree Laceration

36
Q

First hour after delivery

Beginning postpartum

6 weeks postpartum period

High risk for hemorrhage

A

Fourth Stage

37
Q

Assess lochia, consistency and position of the fundus, episiotomy site

Obtain vitals every 15mins

A

Nursing Care: Fourth Stage

MCN FINALS (4 decks)

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