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Mat&Child 1 > PREFI - EINC - 2 > Flashcards

PREFI - EINC - 2 Flashcards

1
Q

Stage 1 is broken into 3 more phases

A

Latent
Active
Transition

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2
Q

this is marked by:
Dil: 0-3 cm
Dur: 20-40 secs
Inter: 5-10 mins
Inten: mild, short, irregular
Freq: >10 mins

A

Latent Stage

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3
Q

Latent Stage is marked by:

A

this is marked by:
Dil: 0-3 cm
Dur: 20-40 secs
Inter: 5-10 mins
Inten: mild, short, irregular
Freq: >10 mins

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4
Q

this is marked by:
Dil: 4-7 cm
Dur: 40-60 secs
Inter: 3-5 mins
Inten: moderste - strong
Freq: 3-5 mins

A

Active Stage

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5
Q

Active Stage is marked by:

A

this is marked by:
Dil: 4-7 cm
Dur: 40-60 secs
Inter: 3-5 mins
Inten: moderste - strong
Freq: 3-5 mins

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6
Q

this is marked by:
Dil: 8-10 cm
Dur: 60-90 secs
Inter: 2-3 mins
Inten: strong
Freq: 2-3 mins

A

Transition Stage

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7
Q

Transition Stage is marked by:

A

this is marked by:
Dil: 8-10 cm
Dur: 60-90 secs
Inter: 2-3 mins
Inten: strong
Freq: 2-3 mins

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8
Q

these are pain relievers given during labor

A

narcotic analgesics

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9
Q

Examples of narcotic analgesics:

A

meperidine hydrochloride
nalbuphine
fentanyl
butarphonol tartrate

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10
Q

this is the most commonly used narcotic analgesic
it is a sedative and antispasmodic

A

meperidine hydrochloride (demerol)

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11
Q

demerol route and amount

A

IM or IVTT
25-100 mg

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12
Q

time it takes for demerol to take effect and lasts

A

30 mins IM, 5 mins IV
2-3 hours

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13
Q

why should demerol not be given too early?

A

delays labor process

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14
Q

what dilation measurement should demerol be given?

A

6-8 cm

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15
Q

why shouldn’t demerol be given too late? (include time limit)

A

causes respiratory depression in newborn
1-2 hours until delivery

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16
Q

meperidine hydrochloride (Demerol) antagonist

A

Naloxone hydrochloride (Narcan)

17
Q

EIC during 1st Stage:

A

allow to walk if BOW intact
light carbs for food
non-pharmacologic pain relief (effleurage, positioning, diversion)
companion in labor for shorter labor
use of partograph and IE

18
Q

when should partograph be used

A

at 4cm of Active Stage

19
Q

guidelines for IE

A

IE q4h but not more than 5x because of risk of infection

20
Q

Not recommended during 1st Stage:

A

no perineal shaving
no enema
no IV
no NPO
no lying down
no amniotomy
no drug induced labor
no fundal push

21
Q

Latent Nursing Responsibilities

A

assess pt psychological readiness
measure duration of labor
health teaching on breastfeeding, newborn care, relaxation techniques
total IE should be 5 ONLY

22
Q

Active Nursing Responsibilities

A

inform patient on progress of labor
walking is okay as long as BOW intact
anticipate pt needs (ice chips, lip balm)
determine last void of pt
non-pharmacologic pain relief

23
Q

Transition Nursing Responsibilities

A

pant-blow breathing (pursed lip)
VS and FHR q15
check for perineal bulging = prepare for delivery
check room temperature

Mat&Child 1 (4 decks)

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