OB ch 10-11 quiz Flashcards
abrupt increase of FHR above baseline
accelerations
fluctuations in fetal heartbeat
variability
decelerations with contractions
early decelerations
decelerations after contractions
late decelerations
change in fetal heart rate at any point during contraction
variable decelerations
long decelerations
prolonged decelerations
normal discharge of fluid from uterus after birth
lochia
artificial rupture of membranes
amniotomy
Cesarean birth
C-section
vacuum baby’s head if stuck
vacuum extraction
pulls babies head out
forceps
seaweed that absorbs moisture and expands cervix
laminaria
induction by moms choice - not medical reason
elective induction
cut through to make space bigger for baby to come through
episiotomy
stuff in lungs that keep alveoli from sticking
surfactant
what is normal FHR
110-160
why should vaginal exams be performed as infrequently as possible
infection
what are possible complications of internal fetal monitoring
infections, membrane rupture, cellulitis
what is the most commn complication when membranes rupture
cord prolapse
How can nurse assess for cord prolapse
feel in vagina for cord
what is the most common type of shock surrounding delivery
hypovolemic shock
what are symptoms of hypovolemic shock
decrease BP
increased HR
increased R
headache
what is one of the first treatments for concerning fetal decelerations
change position, increase blood flow, give mom O2
what is kangaroo care - why is it done
put baby on mom’s bare skin - bonding time
what is normal color of amniotic fluid
clear
what would indicate a positive nitrazine test
dark blue nitrazine paper - indicates alkaline
what are 3 phases of a contraction
mild, moderate, strong
what are 3 components when monitoring contractions
nose, chin, forehead
in active labor in a low risk client, how often should mom and baby be assessed
every 30 minutes
in recovery phase, how often should mom be assessed (1st hr)
every 15 minutes
what is important to assess about uterine size
firm and shrinking
how does pain and anxiety affect the labor process
slow labor
What is normal fetal pH
7.25-7.45
What are fetal side effectsof vacuum extraction
scalp wounds, skull fracture, bleeding within skull
what can happen when a pregnant woman lies on her back
mom faints
what is the treatment for when mom faints when on her back
put on her side and wake up
when applying an external fetal monitor, where should the nurse apply it
around stomach, under belly button
when is it okay for the woman to push
birth stage - 10 cm dilated
why is early ambulation important after surgery
improve blood flow, less chance for clots and infection
what is the primary concern for babies born by C section
breathing problems
why is breathing a problem
chest didn’t get squeezed through birth canal so fluid could still be in lungs
what is the term when the cervix is ready
ripe(shortened, soft, dilated)
why is c section not the method of choice for moms and babies
infection, vaginal birth, uterine rupture
what conditions have to occur before forceps or vacuum extraction can be used
cervix dilated 10 cm
how is fluid balance maintained in the majority of women in labor
IV
what is the scale used to determine if a cervix is ready
Bishop score
what is an acceptable bishop score
greater than 6
why is c section the delivery of choice for a preterm infant
head, small & soft - don’t have skull development - could get squashed
what is the most important indicator of fetal maturity
LS ratio 2:1
surfactant in lungs
how is an amniotomy done
a hook is used to snag & rupture membranes
Is there an increasing number of c sections
yes
When on an oxytocin drip, what should the nurse be monitoring for
long contractions over 90 sec
is it possible to have a vaginal birth after a cesarean
yes
what is the best uterine incision if the woman wishes to deliver vaginally after a cesarean
low transverse “bikini cut”
what is the worst type of uterine incision if woman wants to deliver vaginally
vertical (midline of lower abdomen)
vacuum assisted deliveries and forceps deliveries are known as what type of deliveries
assisted delivery
operative vaginal delivery
if a vacuum doesn’t work, what will most likely be the route of delivery
C-section
