UNIT 3 CARE OF A WOMAN IN LABOR Flashcards
1
Q
STAGES OF LABOR
A
- The time woman experience true signs of labor to full cervical dilation.
- To full cervical dilation to delievery of the baby.
- To delivery of the baby to the delivery of the placenta.
2
Q
Monitor vital signs every ___ hours
A
4
3
Q
Monitor temp every ___ hours
A
2 hours
4
Q
Assess VS in ____
A
in between contractions
5
Q
encourage to void every____
A
2 to 4 hours
6
Q
For pain characreristics, assess ____, ____, _____
A
Intensity, Location and radiation
7
Q
FHR
Beggining labor
A
every 30 minutes
8
Q
FHR
Active Labor
A
every 15 minutes
9
Q
FHR
Second Stage of Labor
A
every 5 minutes
10
Q
AF is Green or Black
A
Meconium StainedFluid, sign of fetal distress
11
Q
AF is absent
A
Membranes might have ruptured already
12
Q
Normal FHR
A
120-160 bpm
13
Q
Fetal Bradychardia
A
Below 120 bpm for 10 minutes
14
Q
Moderate Bradychardia
A
100-119 bpm
15
Q
Marked Bradychardia
A
less than 100 bpm
16
Q
Fetal Tachycardia
A
160 bpm or faster for 10 minutes
17
Q
Moderate tachycardia
A
161-180 bpm
18
Q
Marked tachycardia
A
greater than 180
19
Q
The average rate of fetal heart beat per minute
A
BASELINE FHR
20
Q
On baseline FHR, the rate flcutuates slightly (__ to __ bpm) when the baby moves
A
5 to 15
21
Q
It is one of the most reliable indicators of fetal well-being.
A
VARIABILITY
22
Q
It is a light irregularity or “jitter” to the wave.
A
VARIABILITY
23
Q
Are fluctuations in the FHR of more than 2 cycles per minute
A
VARIABILITY
24
Q
What type of Variability: Beep-to-beep
A
Short Term Variability
25
What type of Variability: Differences in heart rate over the 20-minute period time
LONG TERM VARIABILITY
26
fluctuations in the FHR, of 6 to 10 bpm, that occur 3 to 10 times per minute
LONG TERM VARIABILITY
27
Temporary normal increase in FHR
caused by fetal movement or
compression of the umbilical vein
during contraction
ACCELERATIONS
28
an abrupt increase
in FHR above baseline with onset to
peak of the acceleration less than 30
seconds, and less than 2 minutes in
duration.
ACCELERATIONS
29
The ________ is defined as the time
from the initial change in heart rate
from the baseline to the time of return
to the FHR to baseline.
duration of the
acceleration
30
Normal periodic decreases in the FHR
resulting from pressure on the fetal
head during contractions
EARLY DECELERATIONS
31
delayed decrease in the FHR until 30
to 40 sec after the onset of a
contractions and continue beyond the
end of the contraction.
LATE DECELERATIONS
32
this sign may result from marked
hypertonia caused by administration of
Oxytocin.
LATE DECELERATION
33
It is an ominous sign of fetal hypoxia
caused by utero-placental
insufficiency
LATE DECELERATION
34
Unpredictable decrease in FHR of ≥
15 beats per minute measured from the
most recently determined baseline
rate
VARIABLE DECELERATIONS
35
This is a sign of umbilical cord
compression probably due to
stretching of cord, a nuchal cord,
prolapsed cord, a true knot, or it may
also be because the fetus is lying on
the cord
VARIABLE DECELERATION
36
decelerations of more than 15 beats per minute
measured from the most recently
determined baseline rate that last
longer than 2 or 3 minutes but less
than 10 minute
PROLONGED DECELERATION
37
color of amniotic fluid
CLEAR
NORMAL
38
color of amniotic fluid
YELLOW
STAINING
39
color of amniotic fluid
GREENISH
MECONIUM
40
2 Ways of Monitoring Uterine Contractions
a. Manual Palpation
b. Cardiotocography
41
It tells how strong is the contraction
INTENSITY
42
INTENSITY
a. Easily pressed- mild
b. Firm- Moderate
c. Hard as a board- severe
43
start of contraction to start
of the next contraction.
FREQUENCY
44
start of contraction to end of
each contraction
DURATION
45
end of contraction to start of
another contraction
INTERVAL
46
VAGINAL/ INTERNAL EXAM
____________ first
Every __ hours.
BED: _____________ Position
DR BED:_____ Position
Abdominal examination
4
Dorsal Recumbent
Lithotomy
47
Touch the cervix. Note for:
1.
2.
3.
1. CONSISTENCY
2. DILATATION
3. EFFACEMENT
48
Nitrazine paper test:
When the
Nitrazine paper turns blue-green or gray to deep blue
AMNIOTIC FLUID HAS PASSED THROUGH THE VAGINA
49
Fern Test:
Amniotic fluid will show a fern pattern
DRIED AND EXAMINED IN THIS WAY
50
_____ is the opening of the cervix
DILATION
51
Cervical Dilation Scale
Index finger =1 cm
Middle finger =1.5 cm.
Both enter cervix =2.5 to 3 cm.
Double the width of the 2 fingers =5 to 6 cm.
Four times = 10 cm
52
It is the Thinning of the cervix
EFFACEMENT
53
Effacement Scale
Prelabor = 2 to 2.5 cm thick
1 cm thick = 50% effaced
Tissue paper thin = 100% effaced
54
Cephalic Presentation
head is sharply flexed (good attitude)
- parietal bones or the space in b/n the fontanelles (vertex) presents
- suboccipitobregmatic diameter
VERTEX
55
Cephalic Presentation
Head is moderately flexed (Moderate attitude)
-brow or sinciput presents
-occipitofrontal diameter = 11- 12 cm
BROW
56
Cephalic Presentation
fetus has extended the head (Poor attitude)
- face presents
- Supraoccipitomental diameter = 13.5 cm
FACE
57
Cephallic Presentation
Fetus has completely hyperextended (Very Poor
Attitude)
- Chin presents
- Occipitomental diameter
MENTUM
58
Breech Presentation
both the buttocks and the
tightly flexed knees present (good
attitude)
COMPLETE
59
Breech Presentation
Buttocks only (moderate
attitude)
FRANK
60
Breech Presentation
neither the thighs nor the
lower legs are flexed
FOOTLING (Single footling or Double Footling)
61
presenting part is usually one of the 2
shoulders (acromion process), an iliac
crest, a hand, or an elbow
SHOULDER PRESENTATION
62
0 Station
ENGAGEMENT
63
the
presenting part is at the
perineum and can be seen if
the vulva is separated
(crowning)
+3 OR +4 STATION
64
Relationship of the presenting part to a
specific quadrant of a woman’s pelvis
FETAL PRESENTATION
65
Four Quadrants:
1. Right anterior
2. Left anterior
3. Right posterior
4. Left posterior
66
4 Part of the Fetus used as landmarks:
O= OCCIPUT
M= MENTUM
Sa= SACRUM
A= ACROMION PROCESS
67
Tool for monitoring the progress of
labor
PARTOGRAPH
68
Guides birth attendant to identify
women whose labor is delayed and
therefore decide on appropriate actions
PARTOGRAPH
