Brainscape's Knowledge GenomeTM

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


See full index

Nursing 271 > OB Boot Camp: Intrapartum > Flashcards

OB Boot Camp: Intrapartum Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Pharmacology flashcards NCLEX-RN® flashcards Nursing Mental Health flashcards Nursing Fundamentals flashcards Nursing Safety & Infection flashcards Nursing Adult Health flashcards NCLEX-PN® flashcards Nursing Management of Care flashcards Nursing Pediatrics flashcards Nursing Maternity flashcards
1
Q

Intrapartum

A

when the mom delivery the baby

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

Intrapartum room

A

where the mom delivery the baby

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

How many Stages of Labor?

A

4 Stages

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

1st Stage of Labor

A 
referred to as the stage of dilation. It begins with the onset of regular contractions and ends with full dilation (10 cm) and effacement (thinning) of the cervix
consists of 3 phases:
1. Latent phase (0-3 cm dilation)
2. Active phase (4-7 cm of dilation)
3. Transitional phase (8-10 cm dilated)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

2nd Stage of Labor

A 
full dilation (10 cm)
-starts at full dilation and ends with the birth of the fetus. This is when your baby moves through the birth canal.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

3rd Stage of Labor

A

delivery of the baby
The third stage begins with the birth of the infant and ends with the delivery of the placenta. This usually takes 5-10 minutes but can last up to 30 minutes. The uterus should be firmly contracted and the uterine cavity becomes smaller. The uterus rises upward, the umbilical cord descends further, and there is a gush of blood as the placenta detaches. This stage is where the placenta is separated and expelled.

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

4th Stage of Labor

A

delivery of the placenta
This stage usually lasts 1-2 hours. This stage focuses on recovery, facilitating the attachment between the mother and the baby, and assisting the mother with the physiological adjustments of labor and birth. Initiation of breastfeeding occurs as well if the mother decides to do so.

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

5 P’s of Successful Delivery

A
  1. Passenger
  2. Presentation
  3. Powers
  4. Psychological
  5. Passageway
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

5 P’s of Successful Delivery: Passenger

A

2 passengers (baby and placenta)

  • is the baby ready?
  • in a good position?
  • is the placenta intact?
  • is placenta in good position?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

5 P’s of Successful Delivery: Presentation

A

-is the baby in a good presentation? (cephalic; head down)

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

5 P’s Successful Delivery: Powers

A

Contractions

  • are they forceful enough?
  • enough to push and get the baby out?
  • strong enough?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

5 P’s Successful Delivery: Psychological

A

-is the mom ale and willing to participate in the delivery?

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

5 P’s Successful Delivery: Passageway

A

Cervix

  • is the cervix and the hips able to accommodate?
  • wide enough and able to support the delivery?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where is the location of the baby?

A

in the uterus

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

How is the Baby Attached to Mom?

A

The placenta and umbilical cord
-the placenta attaches to the uterine wall (want it to attach higher on the wall, not lower)
>too low = placenta previa (placenta covers the opening of the cervix and can’t deliver baby vaginally)

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

What happens if the placenta is low in the earlier stages on pregnancy?

A

it is OK because as the baby grows the placenta goes with the expansion of the uterus and gets out of the way of the cervix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What happens if the placenta attaches too low in the later stages of pregnancy?

A

the baby is already grown with no more expansion and the placenta is in the way of the cervix (placenta previa)
-can experience hemorrhaging

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

The Placenta

A

“life line”

  • perfuses oxygen, blood, and nutrients to the baby
  • also how the baby eliminates
  • needs to be healthy (without a healthy placenta we will not have a healthy pregnancy)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Protecting the Placenta

A
  • if exercising, make sure it is not something that will hurt her or make her fall/trip
  • make sure seat belt is on (car accident)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What happens if there is any break/damage to the Placenta?

A

the baby will be affected

  • decreased perfusion to the baby (shows through fetal HR)
  • baby does not grow at the expectation that we expect the baby to grow
  • the fundal height will decrease if the baby does not grow (the uterus won’t expand)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Umbilical Cord Prolapse

A

umbilical cord can prolapse outside of the vagina
-emergency
-means that something is laying on the cord, obstructing the profusion
-the fetal HR would drop/ decrease because the baby is no longer being perfused
>late decelerations

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

Interventions for Umbilical Cord Prolapse

A
  • with a gloved hand, insert hand inside vagina and lift the presenting part off of the cord and hold it there (this could last for hours)
  • after lifting presenting part off the cord inside the vagina, we would cover the outside cord with saline soaked gauze so it does not dry out and tear (would cause bleeding of the cord and lack of profusion)
  • never remove hand, call for help, may need C-section
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Normal Presentation of the Baby when Delivered

A
  • cephalic presentation: head first

- vertex: up and down, not sideways

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

Breech

A

baby’s feet first

-do not want to deliver this way, may need C-section

25
Q

How to Protect the Placenta with Placenta Previa?

A
  • do not insert anything into the vagina
  • no vaginal exam
  • no intercourse
  • may be on bed rest
26
Q

Placental Abruption

A

the placenta separates from the uterine wall

  • partial or complete
  • dangerous
  • signs: pain and vaginal bleeding
  • risks: baby is not being perfused, can cause hemorrhage because it is ripping the uterine wall
27
Q

Signs of Placental Abruption

A
  • pain

- vaginal bleeding

28
Q

Signs of Placenta Previa

A

-painless vaginal bleeding

29
Q

Variations in Presentation

A

-complete breech (buttocks + feet presenting)
-foot lane breech (foot is presenting part)
-frank breech
-face-brow position(face is presenting part not head)
-shoulder transverse position (shoulders presenting part)
>all of the above should not be delivered vaginally

30
Q

Why do we want the baby’s head to be first when delivering?

A

head is strong/ hard enough to push through the birth canal
-head contains fontanels
>posterior and anterior fontanel: allows for growth of head and brain and will mold through the birth canal and squish through the birth canal (soft spots that allow the head to push through)

31
Q

Fontanels

A

soft spots on the baby’s head that allow the head to push through the birth canal
-allows for growth of head and brain

32
Q

How many centimeters does the cervix need to dilate before the mom can push?

A

10 cm in dilation (fully dilated)

33
Q

Effacement

A

thinning of the cervix

  • cervix will thin out to allow for dilation
  • 100% and effaced and 10 cm dilated for mom to push
34
Q

Normal Fetal Heart Rate (FHR)

A

110-160 bpm

35
Q

Fetal Heart Rate Monitor

A
  • Top Right # = FHR
  • Bottom Line = contractions (peak= contraction)
  • normal FHR= 110-160 bpm
  • the fetal HR on the monitor is in response to the contraction
  • when the contraction happens the fetal HR will jump up in response
36
Q

After the Baby is Born, the nurse focuses on ___, ___, and ___?

A

airway, breathing, and circulation

-bulb suctioning

37
Q

With Bulb Suctioning, Why do Nurses suction the mouth first before the nose?

A

during the delivery the baby swallows fluid through the birth canal; if we go through the nose the baby will cry, the fluid that is in their mouth can be aspirated because we did not take it out of the airway
-sometimes they do this when the head is out during delivery

38
Q

Different Ways a Baby Loses Heat

A
  1. Evaporation
  2. Radiation
  3. Conduction
  4. Convection
39
Q

Different Ways a Baby Loses Heat: Evaporation

A

baby is born wet so the heat evaporates off of their body and looses heat

40
Q

Different Ways a Baby Loses Heat: Radiation

A

if the baby is next to a cold window that is closed, the baby loses heat through radiation
-there is no airflow but the window is so cold that the baby loses heat (can also gain heat from radiation; under radiation table after birth)

41
Q

Different Ways a Baby Loses Heat: Conduction

A

can gain or loose heat

  • if the mattress is cold that the baby is laying on, they can loose heat from conduction
  • if you warm the mattress before hand, you are giving heat to baby through conduction
42
Q

Different Ways a Baby Loses Heat: Convection

A

if the vent is on blowing cold air, the baby loses heat from convection or if you open a window and cold air is coming through, the baby loses heat from convection
-but if the vent air is heated the baby gains heat from convection

43
Q

Priority Intervention After Birth for Heat

A

Skin to Skin Contact

  • after suctioning and the baby is good, the baby is placed right on the mom for heat
  • no shirt, bra, or gown
  • wrap baby with warm, clean, dry, blankets
  • should last at least an hour, then measurements
  • cap is placed right away (baby loses most of heat through its head)
44
Q

What to Have ready when Preparing for Delivery

A
  • Have radiant warmer on
  • prewarm towels and blankets
  • have bulb suction at bedside
  • have wall suction in case of problems with baby
45
Q

APGAR Scoring: 5 Categories

A

> each category is worth 2 points, total of 10

  1. Respirations
  2. Heart Rate
  3. Muscle tone
  4. Crying
  5. Color
46
Q

APGAR Scoring: Respirations

A

-breathing normally?
-look like?
-between respiratory rate of 30-60?
>ex: 2 points= RR is 40, nice even breathing
>ex; 1 point= RR is 20, but breathing
>ex: 0 points= not breathing

47
Q

APGAR Scoring: Heart Rate

A

between 110-160

48
Q

APGAR Scoring: Muscle Tone

A

0 points= born floppy with no good tone
1 point= somewhere in between
2 points= baby flexed and in a good position

49
Q

APGAR Scoring: Crying

A

0 points= not crying
1 point= grimacing, little noise
2 points= crying

50
Q

APGAR Scoring: Color

A

0 points= born pale of central cyanosis (mouth and trunk is blue
1 Point= acrocyanosis (born with blue hands + feet)
2 Points= fully pink from head to toe
>this section is mostly where babies loose points

51
Q

Steps to Follow after a baby is born

A

-Dry, Stimulate Suction

>drying baby, which stimulates the baby and suction

52
Q

Erythromycin Eye Ointment

A
  • give from inner canthus to outer canthus
  • gel/ ointment
  • protect baby from being exposed to anything in the birth canal
  • done with parents consent
53
Q

Vitamin K shot IM

A

help baby clot because they have the inability to clot blood

-done with parents consent

54
Q

Fetal Heart Rate (Veal, Chop, Veal)

A

FHR Reason Intervention
Variable Decels Cord Vary Position
Early Decels Head Expected at delivery
Accelerated Okay Assure Mom
Late Decels Placental Left side, O2
Insufficiency

55
Q

FHR: Variable Decels

A

heart rate varies

  • happens because something is going on with the cord
  • vary moms position (turn mom)
  • baby can be holding the cord or laying on it
56
Q

FHR: Early Decels

A

HR drops before contraction but fixes itself through contraction
-head is engaging into pelvis and we expect that at delivery

57
Q

FHR: Accelerated

A

this is what we want

  • we are okay and assure mom we are doing good
  • FHR 110-160
58
Q

FHR: Late Decels

A

heart rate drops after contraction

  • reason: placenta isn’t working (tear hemorrhage, placenta previa, etc.)
  • Intervention: left side, O2 (put mom on left side and then give O2)
59
Q

For Late decelerations, why do we put mom on her left side first before giving O2?

A

open up and have perfusion to moms heart to go to the placenta

  • put 02 on mom won’t fix the placenta insufficiency
  • after 02 because metabolic demand

Nursing 271 (208 decks)

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