Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB211_091_UNIT I > Normal Intrapartum > Flashcards

Normal Intrapartum Flashcards

1
Q

NSVD stands for

A

Normal spontaneous vaginal delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

C/S stands for

A

Cesarean birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

EBL stands for

A

Estimated blood loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Typical EBL for NSVD is

A

500mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Typical EBL for C/S is

A

800-1000mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Dystocia is

A

difficulty of labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

An antiemetic is a drug that is effective against

A

vomiting and nausea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the 3 incision types; describe each

A

Low transverse; horizontal incision just above the symphysis pubis
Low vertical; vertical incision just above the symphysis pubis
Classic; vertical incision just below and toward the umbilicus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are four ways incisions may be closed?

A

Sutures
Strips
Glue
Staples

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does TOLAC stand for?

A

Trial of Labor After Cesarean

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the purpose of TOLAC

A

To see if the uterus can tolerate the stress of labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does VBAC mean?

A

Vaginal Birth After Cesarean

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What kind of muscles does progesterone relax?

A

smooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Mucus membranes are effected by what hormone?

A

estrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do contractions compare in False v. True labor?

A

False contractions are inconsistent in freq and intensity

True contractions have a consistent pattern and increase in freq/intensity over time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How does discomfort vary in False v. True labor?

A 
False = felt in abdomen and groin
True = begins in lower back and sweeps around to abdomen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How does the cervix company in False v. True labor?

A

No changes in effacement or dilation are present in false labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the purpose of each stage of labor?

A

Stage 1 = cervical dilation/effacement
Stage 2 = expulsion of fetus
Stage 3 = Expulsion of placenta
Stage 4 = Parent-infant bonding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

With each contraction, how much blood leaves the placenta into the mother?

A

500mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The increase in blood volume from placenta to mother causes risks to…

A

BP/CV system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Describe coordinated contractions

A

begin at fungus and progress downward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

True or False

Involuntary contractions can be stimulated by anxiety and/or activity

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What kind of contractions come and go?

A

Intermittent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Describe the 7 points in the contraction cycle.

A

Freq: how often
Duration: how long
Intensity: how strong/painful
Resting interval: period between contractions
Increment: the build up of the contraction
Acme: the peak of the contraction
decrement the ramp down of the contraction

25
Q

The duration is measured from what to what?

A

Beginning of increment to end of decrement

26
Q

Frequency is measured from what to what?

A

From beginning of increment to the beginning of the increment of the following contraction

27
Q

The resting interval is measured from what to what

A

Decrement to next increment

28
Q

Effaced refers to

A

How thin the cervix is

29
Q

How is effacement expressed?

A

by percentage

30
Q

What does dilate refer to?

A

the opening of the cervix

31
Q

How is dilation expressed?

A

in cm

32
Q

What does the line of engagement refer to

A

The horizontal plane between left and right ischial spines

33
Q

How is the line of engagement expressed?

A

in + or - cm

34
Q

What is the nursing action post ROM?

A 
Assess COAT
Color
Odor
Amount
Time
35
Q

What does 8/90/3 mean?

A

The cervix is 8cm dilated, 90% effaced and the fetal presenting part is +3 cm below the line of engagement.
We’re about to transition to stage 2 labor and deliver the baby.

36
Q

During labor there is a risk of hyperventilation due to pain. What are the s/s of hyperventilation to look out for?

A

Tingly fingers, light headedness

37
Q

True or False

A full bladder can inhibit fetal descent.

A

True

38
Q

Fetal lie refers to…

A

Relationship of maternal/fetal axis

Is it longitudinal or transverse

39
Q

What is the result of a transverse fetal lie?

A

It is malpositioned and a cesarean will need to be performed

40
Q

To what does fetal attitude refer?

A

Relationship of fetal body parts

41
Q

What are the two types of fetal attitude?

A

flexion; chin to chest

extension; chin up

42
Q

What is fetal presentation?

A

the part approaching the birth canal

43
Q

What are the two types of fetal presentation?

A

cephalic or breech

44
Q

What are the 4 types of cephalic presentation?

A

Vertex
Military
Brow
Face

45
Q

Which presentation is ideal?

A

vertex

46
Q

To what does fetal position refer to?

A

the position of the fetus in relation to maternal pelvis

47
Q

What are the two positions regarding cephalic presentation?

A

Occiput

Menum

48
Q

What is the position called which a breech presentation?

A

Sacrum

49
Q

What does LOA stand for?

A

Left Occiput Anterior

50
Q

What does ROT stand for?

A

Right Occiput Transverse

51
Q

What does LMP stand for?

A

Left Mentum Posterior

52
Q

What does RSA stand for/

A

Right Sacral Anterior

53
Q

What are the three phases of stage 1 labor?

A

Latent
Active
Transition

54
Q

Describe the latent phase of stage 1 labor

A

0-3cm dilation, some effacement, contractions increase

55
Q

Describe the active phase of stage 1 labor

A

4-7cm dilation and rapidly increasing, progressive effacement
Discomfort increases
Woman’s focus increasingly inward

56
Q

Describe the transition phase of stage 1 labor

A

8-10cm dilation
Woman may become irritable, lose control
Nausea, vomiting, leg tremors, diaphoresis are common

57
Q

The second stage of labor begins with what and ends with what

A

Begins with full dilation and ends with the delivery of the fetus

58
Q

What is a DYAD family?

A

A dyad family is a couple living alone without children

59
Q

What is a NUCLEAR family?

A

A nuclear family is a father, mother, and child living together.

OB211_091_UNIT I (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions