OB Flashcards
what is a normal fetal HR?
110 - 160
is a fetal HR is less than 110, what do you do?
LION –> left side, IV, O2, notify
is a fetal HR is greater than 160, what do you do?
document & take mom’s temp
what does low baseline variability mean & what do you do for it?
fetal HR stays the same & doesn’t change –> bad!!
LION –> left side, IV, O2, notify
what does high baseline variability mean & what do you do for it?
fetal HR is always changing –> good!
document :)
what is a late deceleration? what do you do for this?
fetal HR slows down near the end or after a contraction –> bad!
LION –> left side, IV, O2, notify
what is an early deceleration? what do you do for this?
baby’s HR slows at the beginning of a contraction –> good!!
document
what are variable decelerations? what do you do for this?
VERY bad! this is a prolapsed cord
push, position!
when in doubt with an OB question, what do I pick if it is a choice?
check fetal HR!
what is considered the 1st stage of delivery?
pre delivery; setting mom up on monitor & monitoring fetal HR
what is considered the second stage of delivery?
delivery of the baby
list the 5 steps of delivering the baby
- head
- suction mouth & nose
- check for a nuchal cord (cord around the neck)
- deliver shoulders & body
- baby must have ID band on before it leaves delivery area!
what is considered the 3rd stage of delivery?
delivery of placenta (check for 2 arteries & 1 vein)
what is the 4th stage of labor & delivery?
recovery (1st 2 hours after delivery)
list the 4 things to monitor in the 4th stage of delivery & how often
- vital signs (assessing for S/Sx of shock)
- check fundus (if boggy, massage) (if displaced, cathetarize)
- check perineal pads (if bleeding excessively, a pad will be 100% saturated in 15 min or less)
- roll her over & check for bleeding underneath of her
all of these things must be checked every 15 min
in postpartum, how often should assessments be done?
every 4-8 hours depending on stability
what are the three most important things to assess in postpartum?
- uterine fundus
- lochia
- extremity check
how should a uterine fundus be during postpartum? what interventions should be taken if it’s not how it’s supposed to be?
must be firm & at midline (if not, cath)
how can you determine ideal fundal height?
fundal height = day postpartum below midline
what is an acceptable amount of lochia per hour?
4-6 inches
how do you check a women’s extremities in her postpartum assessment?
look for thrombophlebitis
what is the difference between cabet suckadam & cephala hematoma?
cabet suckadam –> crosses sutures
cephala hematoma –> does not cross sutures
what is a normal physiologic appearance in babies & when does it occur?
jaundice –> appears typically 24 hours after birth
what do Tocholytic medications do & when should you give them?
they stop labor so give them when a women is threatening prematurity
give 2 examples of tocholytic meds
Terbutaline & Mg sulfate
what must you monitor when giving a patient Terbutaline?
maternal tachycardia
what must you monitor when giving a patient Mg sulfate?
watch for decreased reflexes & decreased RR
as well as decreased HR, BP & LOC
a patient on a Mg sulfate has a RR less than 12. What should you do as a nurse?
slow down the Mg!
a patient on MG sulfate has reflexes less than +2. What should you do as a nurse?
slow down the Mg!
what do oxytoxic medications do & what are they given for?
stimulating & strenghtening labor
give 2 examples of an oxytoxic meds
Pitocin & Methergine
what is a side effect to closely monitor for when giving Pitocin?
uterine hyperstimulation (women’s contractions greater than 90 seconds occurring closer than every 2 minutes)
what is a side effect to closely monitor for when giving Methergine?
high BP!
what is Betamethazone for & who is it given to?
given to mom (IM) BEFORE the baby is born to make sure baby’s lungs mature faster
what is Survonta (surfactant) for & who is given to?
given to baby transtracheal (blown into trachea) AFTER birth to help baby’s lungs mature faster
