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Semester Three - Half Two - Nursing 212 > Module 5 Objectives - First Half (Exam 2) 1 > Flashcards

Module 5 Objectives - First Half (Exam 2) 1 Flashcards

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1
Q

Attitude

A

Relationship of fetal parts to one another

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2
Q

Dilation

A

Progressive opening of the diameter of the cervical os

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3
Q

Effacement

A

Progressive thinning and shortening of the cervix

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4
Q

Engagement

A

Fixation of the fetal presenting part into the true maternal pelvis

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5
Q

Fetal Lie

A

Relationship of the long axis of the fetus to the long axis of the mother

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6
Q

Presentation

A

Fetal body part that enters the maternal pelvis first

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7
Q

Station

A

Relationship of the presenting part to the ischial spine

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8
Q

Vertex

A

Top or crown of fetal head

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9
Q

Four types of maternal pelves

A
  • Gynecoid * good
  • Anthropoid * good
  • Android
  • Platypelloid
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10
Q

Identify theroies of onset of normal labor

A
  • Hormonal Influences: changes in estrogen to progesterone ratio
  • Prostaglandin secretion: Prepares the uterus to respond to oxytocin
  • Development of oxytocin receptors
  • Fetal cortisol
  • Uterine irritability secondary to stretching and pressure near term
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11
Q

Impending signs of labor

A
  1. Lightening
  2. Braxton-Hicks Contractions
  3. Bloody show
  4. Energy Spurt
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12
Q

Lightening

A

Movement of the fetus downward into the pelvic cavity (engagement)

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13
Q

Braxton-Hicks Contactions

A

Mild, intermittent, contractions that occur throughout pregnancy

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14
Q

Bloody Show

A

Pink-tinged mucous secretions resulting from cervical dilation

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15
Q

Energy Spurt

A

Sudden increase in energy; also called nesting

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16
Q

What factors distinguish tru labor from false labor?

A

True labor has

  1. Contractions are consistently increasingin frequency, duration, and intensity and tend to increase with walking. They begin in the lower back and gradually sweep around to lower abdomen
  2. Discomfort may persist as back pain in somewomen and often resembles menstrual cramps during early labor
  3. Cervical Change (caused by contractions) includes progressive effacement and dilation
  4. Possible ROM

False Labor:

  • Contractions are inconsistent in frequency, duration, and intensity and do not change or may decrease with activity
  • Discomfort is felt in the abdomen and groin…feels annoying more than painful
  • Cervix does not significantly change in effacement or dilation
17
Q

Four primary sources of pain during labor

A
  1. Tissue ischemia
  2. Cervical dilation
  3. Pressure on pelvic structures
  4. Vaginal and perineal distention
18
Q

What is the most accurate assessment for labor progress?

A

Progressive cervical effacement and dilation

19
Q

Purpose and description of leopold’s maneuver’s during labor

A

To determine and presentation and position of the fetus and aid in location of fetal heart sounds

  1. Palpate uterine fundus to distinguish if the breech or head is at the uterine fundus
  2. Palpate each side of the uterus to determine which side the back is on
  3. Palpate the suprapubic area to confirm the presentation determined in the first maneuver. Attempt to grasp the presenting part gently between the thumb and fingers, if not engaged, the presenting part will move upward in the uterus
  4. Only if cephalic - Slide hands on the bottom sides of the uterus to determine if the head is flexed or extended (prominence felt on opposite side of fetal back)
20
Q

Priority nursing responsibilities for spontaneous rupture of membranes

A
  1. Assess Fetal HR
  2. Color
  3. Odor
  4. Amount
  5. Time of Rupture
21
Q

Duration of second stage of labor for primipara

A

53-57 minutes without an epidural, 79 minutes with an epidural

22
Q

Sterile Vaginal Exam (SVE)

A

Used to assess labor progress

  1. Fetal presentation/position
  2. Cervical effacement/dilation
  3. Station
  4. Integrity of Rupture of Membranes
23
Q

Duration of second stage of labor for the multipara

A

17-19 minutes without an epidural, 45 minutes with an epidural

Semester Three - Half Two - Nursing 212 (41 decks)

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