Brainscape's Knowledge GenomeTM

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


See full index

OB hesi study guide > review of exam 2 > Flashcards

review of exam 2 Flashcards

1
Q

What are the 5 p’s?

A

Passenger
passageway
powers
position
psychological response

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

What are the 2 passengers in pregnancy ?

A

fetus and placenta

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

What is the passageway in pregnancy ?

A

birth canal

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

what are the 2 powers in pregnancy ?

A

primary - contractions
secondary - bearing down (pushing)

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

What does position mean in pregnancy ?

A

how the mom is position to give birth, like she is sitting down, laying down etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the psychological response in pregnancy ?

A

mom stress levels, how she feels, etc

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

How does the baby pass through the cervix into the birth canal ? through like which process?

A

the molding of the fontanels

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

what does fetal presentation mean ?

A

the way fetus is presenting to us, so like is it OA/OP, breech etc

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

Usually the molding of the fontanels fix within a couple of what?

A

days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

when the baby comes out, the fontanels are molded into what shape?

A

a cone head shape

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what does cephalic fetal presentation main?

A

vertex, head first

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

what is brow cephalic fetal presenting?

A

forehead coming out, like the eyebrow coming-out

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

what does breech fetal presentation mean?

A

presenting part is the sacrum
butt or feet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what does shoulder fetal presentation mean ?

A

the shoulder is coming out, scapula presenting

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

why do you think, breech or like shoulder, brow fetal presentation is bad and we end up doing a c-section for these moms?

A

because their isn’t enough pressure to dilate the cervix to push the baby and placenta through

it can lead to severe pain and potential neurologic damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the function of uterine contractions?

A

to help dilate the cervix

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

what are the 3 things we look out for in uterine contractions?

A

duration : how long
frequency : how often
intensity : how strong

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

what is foot lane breech mean?

A

the feet coming out first

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

what is frank breech mean?

A

butt going out first

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

how can we tell when we are having some form of breech?

A

the head is always heard, everything else would most likely be feeling soft

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the best fetal position for birth?

A

OA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what does LOA AND ROA mean?

A

chin down, but the back of head is facing the left or right side of mom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What does LOP and ROP mean?

A

chin up, but the chin is facing the left or right side of mom

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

what is the distinguishing figure to tell you have OA position?

A

diamond shape

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is the distinguishing figure to tell you have OP position?

A

Y shape

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

what does fetal attitude mean?

A

the relation of the fetal body parts to one another

flex or extended

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

what does fetal lie mean?

A

the relation of the long axis ( spine ) of the fetus to the long axis ( spine ) of the mother
lying down/side to side
head down or head up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what is the best fetal attitude for birth ?

A

flexing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

why is the fetal attitude extending not the best for birth ?

A

fontanells won’t properly mold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what is fetal position ?

A

head down
head up
again that OA or OP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what does fetal station mean ?

A

how far the baby has descended into the birth canal to the ischial spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

engagement usually corresponds to what?

A

0 station

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

what is the second best pelvic type?

A

anthropoid
( human shape )

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

what are the 4 pelvis types ?

A

gynecoid
android
anthropoid
platypellpoid

31
Q

what is the best pelvic type?

A

gynecoid
( pumpkin shape )

32
Q

android looks like what ?
platypelloid looks like what ?

A

alien
platepus

33
Q

the android and platypelloid pelvic shape types usually result in what for mothers?

A

c-sections

34
Q

what does effacement mean ?

A

cervix stretches and gets thinner the more we go into labor and the contractions help dilate it

35
Q

what is Ferguson reflex?

A

an eager to wanna bear down and push the baby out

36
Q

what does labor mean?

A

process of moving fetus, placenta and membranes out of the uterus and through the birth canal

37
Q

what are 2 signs of preceding labor ?

A

lightening or dropping
bloody show

38
Q

what are the 2 true labor starts?

A

plug of mucous/blood
amniotic sac ruptures

39
Q

what are true labor contractions?

A

cervix dilates
like the contractions are starting To dilate the cervix open

40
Q

when does the first stage of labor start and end ?

A

onset of regular uterine contractions to full dilation of the cervix

41
Q

what is latent phase of first stage of labor?

A

irregular contractions

42
Q

what is active phase of first stage of labor?

A

regular contractions

43
Q

when does third stage of labor start and end?

A

from the birth of the newborn until the placenta is delivered

44
Q

when does second stage of labor start and end?

A

from the time cervix is fully dilated to the birth of the newborn

45
Q

when does the fourth stage of labor start and end?

A

from the placenta is delivered until the mother is in a stable condition or 1 hour after giving birth

46
Q

what is normal fetal heart rate?

A

110-160bpm

46
Q

mechanism of labor
1. engagement
2. descent
3. flexion
4. internal rotation
5. extension
6. external rotation
7. expulsion

A
47
Q

what is visceral pain?

A

comes from the internal organs
deep squeeze
early first stage of labor

47
Q

what is the best breathing method for patient in labor ?

A

lamas breathing
pattern breathing method

47
Q

what is somatic pain?

A

comes from the skin, muscles and soft tissues

said to be sharp pain usually near birth of child

47
Q

what happens to fetal circulation and respirations when the fetus is born?

A

PDA and formen Ovale closes and the baby breathes just like the rest of us

48
Q

what is effleurage ?

A

circle massage

49
Q

what is counter pressure ?

A

putting pressure on the back where it mainly hurts in women

50
Q

what does sedatives mean ?

A

relieve anxiety
induce sleep
prolonged early phase to promote sleep

51
Q

can opioids cross the placenta?
and how does it affect baby ?

A

yes, so be careful it can make baby become lazy and prolong labor

51
Q

anesthesia and analgesia defintion?

A

relaxations and pain reliever

51
Q

why do we not give opioids when the mom is wanting to push even though she is in a lot of pain?

A

because baby becomes lazy and we want mom to push the baby out

52
Q

what do we want at the bedside if mom is on an opiate?

A

narcan
opidate reversal

53
Q

what are the 3 epidural side effects?

A

respiratory depression
hypotension
thrombocytopenia

54
Q

before epidural, since we know it causes hypotension, what are we gonna do to avoid it?

A

give a bolus 500cc to 1000cc to avoid it

55
Q

if we give an epidural, and mom has a spinal headache, how do we treat it?

A

blood patch

56
Q

we always want to assess mom pain by using what?

A

pain scale

57
Q

what must be maintained to prevent fetal compromise ?

A

oxygen supply

58
Q

what does fetal compromise mean or like what is the goal when we are assessing it?

A

normal or abnormal patterns of baby

59
Q

how do we get a baseline of the fetal heart rate?

A

10mintues segment
there must be 2 minutes of interpreable data

60
Q

what does variability mean in this case?

A

shows healthy nervous system indications

61
Q

what is tachycardia for fetal heart rate?

A

anything above 160

62
Q

what are the 4 causes of tachycardia in fetus?

A

prolong cord compression
umbilical cord prolapsed
morphine
heart abnoramilites

63
Q

how do we fix tachycardia in fetus?

A

side lying
oxygen
iv fluids
reposition uterus

64
Q

what is bradycardia in fetus ?

A

anything elbow 110

65
Q

what is the 5 main causes of bradycardia in fetuses?

A

maternal fever
infection
fetal hypoxia
stimulants
hypothyroidism

66
Q

accelerations are what

A

indications of fetal well being

67
Q

acceleration must be what?

A

15 beats for 15 seconds above baseline

68
Q

VEAL CHOPS say it

A

variable declarations
= cord compression

early decelerations
= head compression

accelerations
= okay

late decelerations
= placental insufficneiy

69
Q

for late decelerations we want to follow the anagram LIONS which is?

A

side lying
iv fluids
oxygen
notify provider
surgery

70
Q

how are we gonna treat variable decerlatiosn ? (3)

A

knee chest
trendelenburg positon
aminofusion
( this is said to help with the cord float around )

71
Q

amniofusion is usually given to patients with what?

A

oligohydraminios
too little amniotic fluid

72
Q

any component is abnormally we are gonna take corrective measure to improve what?

A

fetal oxgentation
intrauterine resuscitation

73
Q

what are the big 2 things we are gonna do for fetal intrauterine resuscitation?

A

side lying ( lateral position )
IV fluids
( oxygen typically too )

74
Q

I forgot to put up top this section
vaginal exam
wanna feel the ischial spine

when the baby hasn’t passed the ischial spine
its negative 1-5

when its passed the ischial spine
its postivie +1-5

VERY IMPORANT WHEN MEASURING THIS
THE FONTANELLS WILL STRECH OUT AND TRICK US INTO BELIEVING ITS LOWER

ALWAYS IMPORTANT TO TRACE FINGERS BACK AND FEEL FOR THE SUTURE LINES TO PROPERLY INDICIATE WHERE THE BABY IS AT.

A

OB hesi study guide (4 decks)

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