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OB > Test 2 Blueprint (1) > Flashcards

Test 2 Blueprint (1) Flashcards

1
Q

What is it called when the fetus’ head is at the ischial spines?

A

Engaged

0 station

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2
Q

Above the ischial spines… + or - ?

A

-

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3
Q

Below the ischial spines… + or - ?

A

+

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4
Q

What are the 3 names of the lochia?

A

Rubra
Serosa
Alba

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5
Q

What days is lochia rubra normally seen?

A

1 - 3 days

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6
Q

What does lochia rubra look like?

A

bright red, bloody, small slots

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7
Q

What causes lochia rubra to increase?

A

breastfeeding

standing up

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8
Q

What days is lochia serosa normally seen?

A

4 to 10 days after delivery

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9
Q

What does lochia serosa look like?

A

pinkish brown

serosanguineous

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10
Q

What days is lochia alba normally seen?

A

11 days to 6 weeks after delivery

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11
Q

What does lochia alba look like?

A

yellowish, white, creamy color

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12
Q

What are the 3 phases of the first stage of labor?

A

Latent
Active
Transition

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13
Q

What defines the First Stage?

A

12.5 hr
Onset of labor
Complete dilation

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14
Q

What defines the Latent Phase?

A 
4-6 hr
Cervix 0 cm to 3 cm
- Irregular contractions
- 5-30 min frequency
- 30-45 sec duration
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15
Q

What are maternal characteristics of the Latent Phase?

A

Some dilation and effacement

Talkative and eager

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16
Q

What defines the Active Phase?

A 
2-3 hr
Cervix 4 cm to 7 cm
- More regular contractions
- 3-5 min frequency
- 40-70 sec duration
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17
Q

What are maternal characteristics of the Active Phase?

A

Rapid dilation and effacement
Some fetal descent
Feels helpless
Anxious and restless, increases as contractions get stronger

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18
Q

What defines the Transition Phase?

A 
20-40 min
Cervix 8 cm to 10 cm
- Strong to very strong contractions
- 2-3 min frequency
- 45-90 sec duration
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19
Q

What are maternal characteristics of the Transition Phase?

A 
Most difficult part of labor
Tired, restless, irritable
Feels out of control, "cannot continue"
N/V
Urge to push
Rectal pressure, feeling of bowel movement
Increased bloody show
20
Q

What defines the Second Stage?

A

5 min to 2 hr

Full dilation to Birth

21
Q

Maternal characteristics of the Second Stage?

A

pushing = birth of fetus

22
Q

What defines the Third Stage?

A

5 - 30 min

Delivery of neonate to delivery of placenta

23
Q

Maternal characteristics of the Third Stage?

A

Placental separation & expulsion

24
Q

What defines the Fourth Stage?

A

1 - 4 hr

Delivery of placenta to maternal vitals stabilize

25
Q

Maternal characteristics of the Fourth Stage?

A

Vitals stabilize

Lochia scant to moderate

26
Q

Expected fluctuations of the baseline that are an indicator of fetal well being:

A

variability

27
Q

What are the 4 classifications of variability?

A

Absent
Minimal
Moderate
Marked

28
Q

Absent variability…

A

0 bpm, undetectable

29
Q

Minimal variability…

A

0-5 bpm

30
Q

Moderate variability…

A

6-25 bpm (desired range)

31
Q

Marked variability…

A

> 25 bpm (baby in v-fib)

32
Q

What defines accelerations?

A

Abrupt, temporary increase in FHR
15 x 15 for 33 wks or greater
10 x 10 if 32 wks or less

33
Q

The accel lasts longer than 2 min, but less than 10 min is called…

A

prolonged acceleration

34
Q

What happens when a prolonged accel is longer than 10 min?

A

Resets the baseline

35
Q

How many accels do you want on a 10 min strip?

A

at least 2

36
Q

What defines decelerations?

A

Decrease in FHR that drops below the baseline with or without a contraction

37
Q

Name the 3 types of decels?

A

Early
Variable
Late

38
Q

What is a periodic decel/accel?

A

occurs WITH a contraction

39
Q

What is a non-periodic decel/accel?

A

occurs WITHOUT a contraction

40
Q

Looks like a mirror image of a contraction, gradual descent from baseline and returns to baseline by the end of the contraction. Must be PERIODIC.

A

EARLY decel

41
Q

Abrupt rise and fall from baseline; looks like a V or W; at least drop of 15x15 but less than 2 min. PERIODIC or NON-PERIODIC.

A

VARIABLE decel

42
Q

FHR decreases often at the peak of contraction and returns to baseline AFTER the contraction has already ended. PERIODIC.

A

LATE decel

43
Q

What causes EARLY decels? Intervention?

A

head compression

no interventions

44
Q

What causes VARIABLE decels? Intervention?

A

cord compression, short cord, knot in cord prolapsed cord
Observe for prolapsed cord (emergency c-section if prolapsed)
Big 5 interventions

45
Q

What causes LATE decels? Intervention?

A

Uteroplacental insufficiency…fetus not reoxygenated quickly following contraction
Big 5 interventions

OB (12 decks)

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