Normal Intrapartum Flashcards
fetal attitude
degree of flexion
ideal fetal attitude
flexion - head tucked into chest
fetal lie
fetal spine in relation to maternal spine
ideal fetal lie
vertical/vertex
fetal presentation
body part that appears first
ideal fetal presentation
occiput
fetal position
direction of presenting part, presenting part, which way the fetus is facing
fetal engagement
how far into the pelvis the fetus has moved
fetal station
how high the fetus is in relation to the pelvis/ischial spines
stage I phase I
short, mild contractions, 20-40 seconds apart, effacement
stage 1 phase II
rapid dilation, better contractions
stage 1 phase III
peak intensity contractions, last 60-70 seconds, dilation
stage 2 phase 1
laboring down
stage 2 phase 2
mother pushes
when should the mother begin to push
when she feels the urge to defecate
purpose of Leopold’s maneuver
determines fetal position, approximate size
what labs should be drawn for labor?
H&H, type & screen, coags
opioid considerations
best given in latent phase of stage 1, avoid administering if birth is imminent
nitrous oxide considerations
inhale before contraction begins, continue breathing until contraction ends, can cause dizziness
epidural/spinal contraindications
low platelets, bleeding disorders
epidural considerations
can cause a drop in BP, ephedrine PRN, intrauterine resus
when are spinals typically used?
C sections