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MCN (Theory) > Unit 2: NURSING CARE OF THE CLIENT EXPERIENCING A HIGH RISK OR WITH COMPLICATIONS DURING LABOR AND DELIVERY > Flashcards

Unit 2: NURSING CARE OF THE CLIENT EXPERIENCING A HIGH RISK OR WITH COMPLICATIONS DURING LABOR AND DELIVERY Flashcards

1
Q

Is defined as long, difficult or abnormal labor.

A

Dystocia

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2
Q

5P’s during Labor and Delivery

A 
Power
Passenger
Passageway
Psyche
Position
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3
Q

During hypotonic uterine contraction s resting tone of uterus remains at less than _____

A

10 mmHg

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4
Q

During hypertonic uterine contractions resting tone of uterus increase at more than than _____

A

15 mmHg

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5
Q

Hypotonic contraction occurs at the ___ phase of labor while hypertonic contractions occur at the __ phase of labor

A

Active

Latent

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6
Q

Is a constriction ring between a woman’s thickened
upper contractile uterine segment and thinned lower
uterine segment.

A

Pathologic uterine (Bandl’s ring)

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7
Q

Occurs when uterine contractions are so strong a woman
gives birth with only a few ,rapidly occurring contractions,
a labor that is completed in fewer than 3 hrs.

A

Precipitate Labor

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8
Q

-cervical dilatation that occurs at a
rate of 5cm or more/hour in primipara or 10 cm/hour in
multipara

A

Precipitate Dilatation

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9
Q

Is the chemical or mechanical
initiation of uterine contractions before their spontaneous
onset

A

Induction of labor

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10
Q

is the stimulation of uterine
contractions after labor has started spontaneously but
progress is not effective

A

Augmentation of labor

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11
Q

What should be the woman’s Bishop score indicating that the cervix is ready for birth and should respond to induction of labor

A

8 or greater

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12
Q

Term for when the cervix is ready for dilatation

A

Ripe cervix

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13
Q

Hormones used to ripen the cervix (20

A

Prostaglandin E1 and E2

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14
Q

Is an artificial rupture of membranes (AROM); it is used when the condition of cervix is favorable (ripe)
or used to augment labor if the progress begins to
slow.

A

Amniotomy

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15
Q

Preterm birth is any birth that occurs before the completion of _____weeks of pregnancy or uterine contractions
and cervical changes occurring between ___weeks of pregnancy.

A

37
20 and
37

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16
Q

A biochemical marker to predict preterm labor. This are glycoproteins found in plasma and
produced during fetal life. They appear in the cervical canal early in
pregnancy and then again in late pregnancy.
Their appearance between 24 and 34 weeks of gestation predicts labor.

A

Fetal fibronectins

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17
Q

Is a form of estrogen produced by the fetus that is present in plasma at 9 weeks of gestation. Levels have been shown to
increase before preterm birth.

A

Salivary Estriol

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18
Q

Agents that inhibit contractions of

myometrial smooth muscles

A

Tocolytics

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19
Q

Examples are betamethasone and dexamethasone, given
as intramuscular injections to the mother
to accelerate fetal lung maturity.

A

Antenatal glucocorticoids

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20
Q

A post term , postmature or postdate pregnancy is one that extends beyond the end of ___ weeks gestation.

A

42

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21
Q

Occurs when uterus undergoes more strain than

it is capable of sustaining

A

Uterine rupture

22
Q

2 primary presenting signs of uterine inversion

A

hemorrhage,

shock and pain

23
Q

What type of uterine inversion?

a smooth mass will be palpated through the dilated
cervix

Inverted fundus may lie within the uterine cavity or
vagina

A

Partial

24
Q

What type of uterine inversion?

A large, red, rounded mass protrudes from the vagina

A

Complete

25
Q

Occurs when amniotic fluid containing particles of
debris ( vernix , hair, skin cells or meconium )is forced
into an open maternal uterine blood sinus through
some defect in the membranes or after membranes
rupture or partial premature separation of placenta.

A

Amniotic fluid embolism

26
Q

In the process of fusion, or in one of the first cell
divisions, the zygote divides into two identical
individuals.

These twins have one placenta, one chorion,
two amnions, and two umbilical cords.

A

Monozygotic Twins

27
Q

Known as nonidentical or fraternal twins.

Accounts for two thirds of twin births

This result from fertilization of two separate
ova by two separate spermatozoa.

Double ova twins have two placentas. two
chorions, two amnions, and two umbilical
cords

A

Dizygotic twins

28
Q

Term for when a fetal head presenting at a different angle

than expected.

A

Asynclitism

29
Q

Macrosomia is when the fetus weighs more than

A

4000 to 4,500

grams (9 10lbs)

30
Q

When the head appears on the perineum
crowning ) but the head retracts with each
contractions instead of protruding with each
contraction, a manifestation of anencephaly

A

Turtle sign

31
Q

A technique where pressure is applied directly
posteriorly and laterally above the symphysis
pubis

A

Mazzanti technique

32
Q

A technique where pressure is applied obliquely

posteriorly against the anterior shoulder

A

Rubin technique

33
Q

A maneuver where the woman’s legs are
flexed apart, with her knees on her abdomen.
This maneuver causes the sacrum to straighten,
and the symphysis pubis rotates toward the
mother’s head; the angle of pelvic inclination is
decreased, freeing the shoulder. Suprapubic
pressure then can be applied at this time.

A

Mc Robert’s Maneuver

34
Q

A maneuver having the woman move to a

hands and knees position

A

Gaskin maneuver

35
Q

Is the placenta that has one or more accessory
lobes connected to the main placenta by blood
vessels.

A

Placenta succenturiata

36
Q

The fetal side of the placenta is

covered with chorion

A

Placenta circumvallata

37
Q

A placenta where the cord is inserted

marginally rather than centrally.

A

Battledore placeenta

38
Q

The cord, instead of entering the placenta
directly, separates into small vessels that reach
the placenta by spreading across a fold of amnion.

This type of cord is most frequently found with
multiple gestations.

The problem with this type is the fetal blood
supply will be insufficient thus associated with
fetal anomalies.

A

Velamentous insertion of the cord

39
Q

, the umbilical vessels of a
Velamentous cord insertion cross the cervical os
and therefore deliver before the fetus.

A

Vasa previa

40
Q

Is an unusually deep attachment of the placenta
to the uterine myometrium so deeply the
placenta will not loosen and deliver.

A

Placenta accreta

41
Q

Is the narrowing of the anteroposterior diameter of the pelvis

A

Contracted inlet

42
Q

It is the narrowing of the transverse

diameter of the pelvis

A

Contracted outlet

43
Q

Is an attempt to turn the fetus from breech or shoulder to

cephalic presentation before birth.

A

External Cephalic version

44
Q

Comprises a series of maneuvers
performed prior to breech extraction to
deliver the fetus within a persisted
transverse lie in the second stage of labor.

A

Internal podalic version

45
Q

forceps are applied after the

fetal head is at a +2 station or more

A

Low Forceps birth

46
Q

forceps are applied after the fetal

head is engaged but at less than +2 station

A

Mid forceps birth

47
Q

Forceps applied when the fetal head has
reached the perineal floor and its scalp is visible
between contractions.

A

Outlet forceps delivery

48
Q

Forceps performed when the baby’s head is

not yet engaged

A

High forceps delivery

49
Q

Type of CS where the incision is made

vertically through both the abdominal skin and the uterus.

A

Classic Cesarean Incision

50
Q

commonly referred to as low transverse uterine incision and a
Pfannenstiel skin incision, Misgav Ladach or a “bikini”

A

Low segment Cesarean Incision

MCN (Theory) (8 decks)

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