Test 2 C/S Flashcards
1 Reason
Reasons for C/S
Labor arrest Dilation Stops
Nonreassuring fetal tracing Cat 2 or 3
Malpresentation Breech, Transverse, Occoput posistion
Multiple gestation
Maternal/fetal reasons
Preeclampsia
Maternal request
C/S Increased Risk
Maternal/ Infant
Infection 5 - 20x
Hemorrhage
Urinary tract trauma
Paralytic ileus
Anesthesia (aspiration)
Infant
Transient Tachypnea
Laceration / Trauma
It is recommended that mothers wait at home until True Labor begins then go to the hospital
T or F
T
This will prevent C sections
Walking helps the most
Regular, strong contractions that are occurring every 5 minutes or less, lasting for at least a minute each, for a period of at least an hour, or if her water breaks, regardless of contraction strength
Before giving Pitocin what should the uterus state be…
Ripe
Thinned out
Give misoprostol to ripe the cervix
What would be a good candidate for TOLAC/VBAC
When the last birth was theyes babies fault they couldn’t be born vaginal.
Breech baby / Issues with fetal heart tones
Decrease C section rate most in which type
Nulliparous women with a term, Singleton baby in vertex posistion delivered without C Section
Transient respiratory morbidity is higher in CS than VB why?
Fluid in lungs
Vag birth squeezes the fluid out of the lungs
CS Urgency Time frame
Scheduled
Unscheduled Add-On
Urgent
STAT
Scheduled: Planned preassigned date
Unscheduled Add-On: Non emergency Wait until patient is 6Hrs NPO
Urgent: Decesion to incision time <30 min
STAT: Deceaion to incision <10 min
Home CS prep the night before
NPO Past midnight
Reg meds (sip water)
Diabetic meds esp important (Insulin drip in OR)
NO SHAVING WITH REG RWZOR
SHOWER night before
Hibiclens (Chlorhexidine)
Remove all metal (rings ect)
Prep OP CS Orders
CBC T&S
IV 18 G
INTRADERMAL Lidocaine PRN for IV start
LR 125 cc / hr
500cc Bolus prior to spinal anesthesia
Antibiotic 1 - 2 G Cephalexin
<80KG = 1G / >80Kg = 2G
Bicitra (Sodium citrate) Neutralize Stomach Acid & Nausea. Taste Sour
So not to aspirate Acid contents
SCDs during C/S
Foley?
What does the ElectroCautery ground pad do? LOCATION?
Yes
Yes
Purpose: Prevents electrical burns by dispersing the current over a larger surface area as it exits the body.
Placement: thigh or buttock good skin contact, far from bony prominences, metal implants, and the surgical site
Difference between a Spinal & Epidural
Spinal injects all meds at once
Epidural stays in and continue to infuse
If woman is in labor for 24 hours which procedure is added to the C/S
This procedure wouldn’t be done if it was a scheduled CS
Betadine perineal area
Chlorohexiden wipe on abdominal area will be tinted orange. Explan to mom why orange
Ok
Lower Transverse Cesarean are the typical
Why would a classical be used?
Past vertical scar from surgery and surgeon wants to use the same entry
