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Mother-baby > Test 2 > Flashcards

Test 2 Flashcards

1
Q

length of each contraction from beginning to end

A

Duration

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2
Q

beginning of one contraction to beginning of next

A

Frequency

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3
Q

strength of contraction

A

intensity

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4
Q

Four P’s of labor

A
  1. Powers (contractions)
  2. Passage ( the pelvis and birth canal)
  3. Passenger (fetus)
  4. Psyche (response of woman)
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5
Q

Onset of regular uterine contractions and lasts until the expulsion of the placenta

A

Intrapartum period

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6
Q

descent of the fetus into the true pelvis that occurs approximately 2 weeks before term in 1st time pregnancies

A

Lightening (dropping)

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7
Q

Surge in energy

A

Nesting

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8
Q

brownish or blood-tinged cervical mucus discharge

A

Bloody show

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9
Q

shortening and thinning of the cervix

A

Effacement

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10
Q

enlargement or opening of the cervical os

A

Dilation

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11
Q

What triggers the urge to push?

A

Ferguson reflex-activates when the presenting part stretches the pelvic floor muscles

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12
Q

the relationship of fetal parts to one another

A

Fetal attitude or posture

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13
Q

complete flexion of the thighs and the legs extending over the anterior surfaces of the body

A

Complete breech

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14
Q

Complete flexion of thighs and legs

A

Frank breech

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15
Q

Extension of one or both thighs and legs so that one or both feet are presenting

A

footling breech

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16
Q

What is the ideal position of the baby to come out?

A

Occiput anterior

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17
Q

Relationship of the presenting part to the maternal ischial spines

A

Station-measured in cm above or below the ischial spine

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18
Q

begins with the onset of labor and ends with complete cervial dilation

A

Stage 1

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19
Q

begins with complete dilation of cervix and ends with delivery of baby

A

Stage 2

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20
Q

begins after delivery of baby and ends with delivery of placenta

A

Stage 3

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21
Q

begins after delivery of placenta and is completed 4 hour later

A

Stage 4

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22
Q

involves the tearing of perineal skin and vaginal mucous membrane

A

first-degree laceration

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23
Q

tear involves skin, mucous membrane, and fascia of perineal body tear

A

2nd degree laceration

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24
Q

tear involves skin, mucous membrane, and muscle of the perineal body and extends to the rectal sphincter

A

3rd degree laceration

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25
Q

rectal mucosa, and exposes the lumen of the rectum

A

4th degree laceration

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26
Q

advocates birth without fear by education and environmental control and relaxation

A

Dick-Read method (birthing class)

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27
Q

artificial rupture of membranes

A

amniotomy

28
Q

What is noted on the external monitor tracing during a contraction if the nurse suspects umbilical cord compression?

A

Variable decelerations

29
Q

an assessment of the cervix to assess cervical ripeness before induction?

A

Bishop score

30
Q

A score of what is considered favorable using the Bishop score for successful induction of labor?

A

Greater than 6

31
Q

When the greatest diameter of the fetal head passes through the pelvic inlet
Can occur late in pregnancy or early in labor

A

Engagement

32
Q

Movement of the fetus through the birth canal during the fist and second stages of labor

A

descent

33
Q

When the chin of the fetus moves toward the fetal chest
Occurs when the descending head meets resistance from maternal tissue
Results in the smallest fetal diameter to the maternal pelcic dimensions
Occurs in early labor

A

Flexion

34
Q

What are the mechanisms of labor

A 
Engagement
Descent
Felxion
Internal rotation
Extension
External rotation
Expulsion
35
Q

When the rotation of the fetal head aligns the long axis of the fetal head with the long axis of the maternal pelvis
Occurs during second stage of labor

A

Internal rotation

36
Q

Facilitated by resistance of the pelvic floor that causes the presenting part to pivot beneath the pubic symphysis and he head to be delivered
Occurs during second stage of labor

A

Extension

37
Q

The sagittal suture moves to transverse diameter and the shoulders align in the anteroposterior diameter.
The sagittal suture maintains alignment with the fetal trunk as the trunk navigates through the pelvis.

A

External rotation

38
Q

The shoulders and remainder of the body are delivered

A

Expulsion

39
Q

Promotes psychoprophylaxis with conditioning and breathing

A

Lamaze

40
Q

Husband coached childbirth and support by working with and managing the pain rather than being distracted from it

A

Bradley

41
Q

what is the most important predictor of adequate fetal oxygenation and fetal reserve during labor?

A

variability

42
Q

What is the most common reason for primary c-sections

A

Dystocia

43
Q

abnormal labor that results from abnormalities of the power, passenger or the passage

A

Dystocia

44
Q

Uncoordinated uterine activity
Contractions are frequent and painful but ineffective in promoting dilation and effacement
If happens in early labor its known as prodromal labor

A

Hypertonic uterine dysfunction

45
Q

occurs when the pressure of the UC is insufficient to promote cervical dilation and effacement
Less than 25 mm HG

A

Hypotonic uterine dysfunction

46
Q

Labor that lasts fewer than 3 hours from onset of labor to birth

A

Precipitous labor

47
Q

Women is unable to push or bear down

A

Inadequate expulsive forces

48
Q

COndition in which the size, shape, or position of the fetal head prevents it from passing through the lateral aspect of the maternal pelvis or when the maternal pelvis is of a size or shape that prevents the descent of the fetus through the pelvis

A

Cephalopelvic disproportion

49
Q

Five or more UC in 10 mins over a 30 min window
or
Series of single UC lasting 2 mins or longer
or
UCs occuring w/in 1 min of each other

A

Tachysystole

50
Q

Most concerning side effect of oxytocin

A

Tachysystole

51
Q

artificial rupture of membranes to induce or augment labor

A

Amniotomy

52
Q

What should you do immediately after an Amniotomy

A

Check FHR d/t risk of umbilical prolapse

53
Q

Retraction of the fetal head against the maternal perineum after delivery of the head

A

Turtle SIgn

54
Q

hyper flexing the birthing women’s legs onto her abdomen and simultaneously providing suprapubic pressure to assist the fetus in adducting the arms closer to body in an attempt to release the impacted shoulders

A

McRoberts maneuver

55
Q

When the umbilical cord is palpated through the membranes but does NOT drop into the vagina

A

Occult prolapse

56
Q

an embolus that forms when the amniotic fluid that contains fetal cells, lanugo, and vernix enters the maternal vascular system and results in cardio respiratory collapse

A

Anaphylactic syndrome

57
Q

Maternal indications for a c-section

A 
Previous c-section
Placental abnormalities
Dystocia
Previous uterine surgery
failure to progress through labor
pre-existing or pregnancy-related maternal health factors like cardiac disease, HTN, preeclampsia, or severe diabetes mellitus
58
Q

Fetal indication for c-section

A

Malpresentation
Category II or III FHR pattern
Multiple gestation

59
Q

All hospitals should have capability of responding to obstetrical emergencies within how much time?

A

30 mins

60
Q

Mean FHR rounded to increments of 5 beats per minute during a 10 min window, excludes acceleration or decelerations

A

Baseline FHR

61
Q

Baseline FHR > 160 bpm lasting 10 mins or longer

A

Tachycardia

62
Q

Baseline FHR <110 bpm lasting 10 mins or longer

A

Bradycardia

63
Q

FLuctuations in the baseline FHR that are irregular in amplitude and frequency. The flucutuations are visually quantified as the amplitude of the peak to trough in bpm, 10 min window exlcudes accelerations and decelerations

A

Baseline variability

64
Q

Visually apparent, abrupt increase in FHR above the baseline. The peak of the acceleration is greater than or equal to 15 bpm over the baseline FHR for greater than or equal to 15 seconds and greater than 2 mins

A

Accelerations

65
Q

Gradual decrease in FHR below the baseline. The lowest point of the deceleration occurs at the same time as the peak of the UC

A

Early deceleration

66
Q

Abrupt decrease in FHR below the baseline is greater than 15 bp lasting longer than 15 seconds and is less than 2 mins in duration

A

Variable deceleration

67
Q

gradual decerase in FHR beloe the baseline. the lowest point of the deceleration occurs after the peak of the contraction

A

Late deceleration

Mother-baby (2 decks)

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