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Peds/OB > OB exam 2 > Flashcards

OB exam 2 Flashcards

1
Q

VEAL CHOP MINE

A

Acronym for the FHR pattern, cause, and management

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2
Q

FHR variability

A

Normal irregularity of rhythm; determinant of fetal wellbeing

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3
Q

FHR absent variability

A

Absent or smooth flat baseline is a sign of fetal compromise

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4
Q

FHR minimal variability

A

Detectable but equal to or. Less than 5/min

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5
Q

FHR moderate variability

A

6 to 25/min

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6
Q

FHR marked variability

A

Greater than 25/min

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7
Q

FHR sinusoidal variability

A

Repeat cycle of upward increase in the HR followed by a decrease longer than 30 min
R/t severe fetal anemia, fetal asphyxia, fetal infection, fetal cardiac anomalies,etc

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8
Q

Cord compression and how it is relieved

A
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9
Q

What interventions are performed for absent variability

A
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10
Q

Normal FHR

A

Baseline 110-160 over 10 minutes

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11
Q

FHR tachycardia

A

Above 160- r/t maternal fever, fetal hypoxia, intrauterine infection, drugs

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12
Q

FHR bradycardia

A

Baseline below 110; r/T profound hypoxia, anesthesia, Beta adrenergic blocking drugs

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13
Q

Interventions for late decelerations

A

Roll mom to L side for perfusion =priority
Stop oxytocin and inc IVF and O2

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14
Q

Differences between intermittent vs continuous monitoring

A
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15
Q

Epidural complications

A
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16
Q

Prevention for epidural complications

A
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17
Q

Epidural

A
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18
Q

First stage of labor

A

dilation 0cm-10cm
Latent phase=0-3cm
Active phase=4-7cm
Transition phase=8-10 cm

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19
Q

How many stages of labor

A

Four

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20
Q

Phases of first stage of labor

A

Latent, active, and transition phase
Stage of cervical dilation-Starts with onset of regular contractions and ends with complete dilation

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21
Q

Describe second stage of labor

A

Stage of expulsion- Begins with complete cervical dilation and ends with delivery of fetus

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22
Q

Describe the third stage of labor

A

Delivery of neonate and placenta(- begins immediately after fetus is born and ends when placenta is delivered

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23
Q

Describe the fourth stage of labor

A

Maternal homeostatic stabilization stage-begins after the delivery of the placenta and continues for one to four hours after delivery

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24
Q

VBAC

A
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25
Q

Qualifications for VBAC

A
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26
Q

What is OP position?

A
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27
Q

What will help with back labor

A
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28
Q

Fetal fibronectin test

A
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29
Q

Bishop score

A
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30
Q

What is Bishop score used for

A
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31
Q

What score is best for induction(Bishop)

A
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32
Q

Describe pain management in labor

A
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33
Q

Pharmacologic pain management in labor

A
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34
Q

Non-pharmacologic pain management in labor

A
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35
Q

Contractions

A
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36
Q

How are contractions measured

A
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37
Q

Duration-contractions

A
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38
Q

Resting phase-contractions

A
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39
Q

Strength-contractions

A
40
Q

Frequency-contractions

A
41
Q

How are contractions measured

A
42
Q

Chorioamnionitis

A
43
Q

Tx for chorioamniotis

A
44
Q

Diagnostics for chorioamniotis

A
45
Q

5 P’s of labor

A

Passenger, passageway, powers, position, psychological

46
Q

What causes variable decelerations

A

Cord compression

47
Q

When is a vacuum delivery indicated?

A
48
Q

What medications are needed in the room for birth- medications mom and baby

A
49
Q

What happens during uterine rupture

A
50
Q

S/s uterine rupture

A
51
Q

True vs false labor

A

True labor has cervical change!

52
Q

Signs of true labor

A

Bloody show, contractions that increase with intensity, presenting part of infant engages, CERVICAL CHANGE

53
Q

Where do we listen for FHR? What if baby is breech?

A
54
Q

What are tocolytics

A
55
Q

When are tocolytics used

A
56
Q

When is oxytocin given

A
57
Q

When is oxytocin contraindicated

A
58
Q

What is GBS screening done for

A
59
Q

GBS screening

A
60
Q

Why is it important to know? -GBS screening

A
61
Q

What is station

A
62
Q

How is station measured

A
63
Q

How do we facilitate descent of fetus

A
64
Q

Precipitous delivery

A
65
Q

What do we need to monitor for in precipitous delivery

A
66
Q

When is mag sulfate given

A
67
Q

When is it no longer safe to give/use mag sulfate

A
68
Q

Signs of labor

A
69
Q

Cord prolapse

A
70
Q

Interventions for cord prolapse

A
71
Q

What is betamethasone for

A
72
Q

What is a doula how do they assist?

A
73
Q

Effleurage

A
74
Q

When is effleurage done

A
75
Q

What is ROM? What needs to be documented

A
76
Q

Important to know about ROM

A
77
Q

What are Leopold’s done for?

A
78
Q

Leopolds maneuer

A
79
Q

C section indications

A
80
Q

7 cardinal movements

A
81
Q

Acceleration-FHR

A

Increase in FHR from baseline by 15bpm lasting 15 seconds or more; determinant of fetal wellbeing

82
Q

Deceleration-FHR

A

Decreases in FHR from normal baseline: variable, early,late, prolonged

83
Q

Management for variable deceleration

A

Maternal repositioning -L side=best

84
Q

Management for early deceleration

A

Identify labor progress

85
Q

Management for acceleration

A

No interventions

86
Q

Late deceleration management

A

Execute interventions—PERFUSION FIRST

87
Q

Passenger- 5 P’s

A

Presentation, lie(relationship brown maternal and fetal spine-transverse/parallel), attitude(relationship btwn fetal body parts-flexion=normal,extension), fetal position, station

88
Q

Fetal station-5 P’s

A

Fetal head relation to mother’s ischial spine -3 to+3

89
Q

Passageway-5 P’s

A

Birth canal- bony pelvis, pelvic floor, vagina, vaginal opening

90
Q

Powers-5P’s

A

Uterine contractions(causes effacement and dilation)
Involuntary urge to push
Voluntary bearing down

91
Q

Position-5P’s

A

Occiptoposterior=normal, occiptotransverse=okay
Occipitoanterior=makes things slower

92
Q

Psychological-5P’s

A

Mental state influences course of labor
Relaxed=more tolerant of pain
Anxiety and fear—>release catecholamines->inhibit contractions and divert bloodflow from placenta

93
Q

Variable deceleration interventions

A

Change position first (r/t cord compression)

94
Q

Late decel intervention

A

Roll mom to L side, stop oxytocin, inc IVF and O2 immediately (r/t utero-placental insufficiency)

95
Q

Early decel interventions

A

Labor check- how far along is mom, intervention not necessary

96
Q

Prolong decel interventions

A

Lasts greater than 2 minutes-intervention Necessary! Reposition mom, inc IVF, stop oxytocin , OR prep

Peds/OB (11 decks)

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