Test 2 - Nursing Care during delivery PPT Flashcards
If the fetus is at the ischial spines what station is that?
zero
If the fetus is not past pelvic bone and ballottement occurs what station is that?
-3
If the fetus is engaged and ballottement does not occur what station is that?
+3
Term for the degree of descent presenting above of below the ischial spines?
Fetal Station
When the head is no longer moving in and out when the mom is pushing is is considered: ________
Engaged
3 descriptors of Lochia:
Rubra
Serosa
Alba
The type of lochia seen immediately after birth and for about 3 days following?
Rubra
The type of lochia that becomes pink or brown after 3-4 days?
Serosa
The type of lochia 10-14 days after birth when the drainage becomes yellow to white?
Alba
When does “lightening” occur?
2-3 weeks before onset of labor
-Uterine contractions: feels like tip of nose -Uterine contractions: feels like chin -Uterine contractions: feels like forehead
Mild
Moderate
Strong
What do you do if you do not have a resting tone between contractions?
Stop Pitocin
Give Fluids
Explain Leopold’s Maneuver Box 19-5 pg 441
- palpate fundus (fetal part) 2. determine fetal back
- fetal presenting part
- cephalic prominence, ID attitude of head
nitrazine test:
If there is fluid to be found the strip will turn:
If only urine, the strip will turn:
used to detect the presence of amniotic fluid in vaginal secretions.
Blue
Yellow
With ROM immediately check ____ for ___?
FHR
change in variability
The longer the membranes are ruptured, the greater risk for____?
Infection!
After rupture of membranes temp is checked q ___ hours
2
If membranes are ruptured what is woman given after 24 hours?
prophylactic antibiotics
What do we do less of after rupture of membranes?
Sterile vag exam
What is the word for artificial rupture of membranes?
amniotomy
Normal amniotic fluid looks like:
Pale straw colored flecks of vernix caseosa Scalp hair Characteristic Odor
Amniotic fluid that is another color means:
Green/brown:
Dark yellow stained:
Port Wine Color:
Thick, cloudy, foul odor:
- Meconium
- infection
- Bleeding, possible abruption, premature separation of the placenta
-infection
Begins with onset of regular uterine contractions cervical effacement and dilation
Ends with cervix 100% effaced and dilated to 10 cm.
First Stage of Labor
Three Phases of first stage of labor:
Latent phase: up to 3 cm of dilation
Active phase: 4 to 7 cm of dilation
Transition phase: 8 to 10 cm of dilation