pt 1 Flashcards
what would you encourage in stage 2 of delivery ?
push w/ contractions
place stage of delivery in order (placenta)
1.cord lengthen
2. gush of of blood
3.placental delivery
lady came in and what is happening
5 cm dilation
100% effacement
-2 above
what would you need to report to the HCP
-absent moro reflex
-the umbilical cord only has 2 vessels
-BP above 170
A lady gets an epidural, which assessment finding takes priority?
calves are red and swelling
what is the risk factor for an UTI/hemorrhage?
-bladder retention
-bladder distension
uteroplacental insufficiency
-due to late decelerations
-leads to hypoxia
SATA: you give methergine what do you do?
-monitor their BP
-IM injection
-increases contractions
SATA: about ROM true statements
- positive fern test
-occurs in labor
-can occur before labor
-infx risk after 18-24 hr
SATA: priority question
temp 100.4 F.
pulse over 100
prolonged labor
ROM +18hr
what fetal circulatory changes happen after birth
- closure of the foramen ovale
-ductus venosus
-ductus arteriosus
the amniotic fluid is cloudy what would you expect?
infx
VEAL
what do you expect with early decelerations?
head compression
match the interventions to: early, fetal tachycardia, late decelerations
VEAL
CHOP
MINE
-identify labor(check cervix) for early
- prolly hydrate for fetal tachy
- POISON late decelerations
VEAL
CHOP
match each with specific statements
early - mirror contractions
accelerations- reassuring finding
math 2ml for 200 mg
math infusion: 200 ml hr
what finding would suggest uterine atony
boggy fundus
ordering question regarding preventing hemorrhage
- assess/massage fundus
- check VS
- admin oxytocin
the baby has jaundice what do you do first to treat it
encourage breast feeding
SATA: what are the epidural disadvantages-nursing education
- paralysis of lower body
- hypotension
- dizziness
- headache
