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NCM 107A MCN RLE > UNIT 3 CARE OF A WOMAN IN LABOR > Flashcards

UNIT 3 CARE OF A WOMAN IN LABOR Flashcards

1
Q

STAGES OF LABOR

A
  1. The time woman experience true signs of labor to full cervical dilation.
  2. To full cervical dilation to delievery of the baby.
  3. To delivery of the baby to the delivery of the placenta.
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2
Q

Monitor vital signs every ___ hours

A

4

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3
Q

Monitor temp every ___ hours

A

2 hours

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4
Q

Assess VS in ____

A

in between contractions

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5
Q

encourage to void every____

A

2 to 4 hours

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6
Q

For pain characreristics, assess ____, ____, _____

A

Intensity, Location and radiation

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7
Q

FHR
Beggining labor

A

every 30 minutes

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8
Q

FHR
Active Labor

A

every 15 minutes

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9
Q

FHR
Second Stage of Labor

A

every 5 minutes

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10
Q

AF is Green or Black

A

Meconium StainedFluid, sign of fetal distress

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11
Q

AF is absent

A

Membranes might have ruptured already

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12
Q

Normal FHR

A

120-160 bpm

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13
Q

Fetal Bradychardia

A

Below 120 bpm for 10 minutes

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14
Q

Moderate Bradychardia

A

100-119 bpm

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15
Q

Marked Bradychardia

A

less than 100 bpm

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16
Q

Fetal Tachycardia

A

160 bpm or faster for 10 minutes

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17
Q

Moderate tachycardia

A

161-180 bpm

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18
Q

Marked tachycardia

A

greater than 180

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19
Q

The average rate of fetal heart beat per minute

A

BASELINE FHR

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20
Q

On baseline FHR, the rate flcutuates slightly (__ to __ bpm) when the baby moves

A

5 to 15

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21
Q

It is one of the most reliable indicators of fetal well-being.

A

VARIABILITY

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22
Q

It is a light irregularity or “jitter” to the wave.

A

VARIABILITY

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23
Q

Are fluctuations in the FHR of more than 2 cycles per minute

A

VARIABILITY

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24
Q

What type of Variability: Beep-to-beep

A

Short Term Variability

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25
Q

What type of Variability: Differences in heart rate over the 20-minute period time

A

LONG TERM VARIABILITY

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26
Q

fluctuations in the FHR, of 6 to 10 bpm, that occur 3 to 10 times per minute

A

LONG TERM VARIABILITY

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27
Q

Temporary normal increase in FHR
caused by fetal movement or
compression of the umbilical vein
during contraction

A

ACCELERATIONS

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28
Q

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.

A

ACCELERATIONS

29
Q

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.

A

duration of the
acceleration

30
Q

Normal periodic decreases in the FHR
resulting from pressure on the fetal
head during contractions

A

EARLY DECELERATIONS

31
Q

delayed decrease in the FHR until 30
to 40 sec after the onset of a
contractions and continue beyond the
end of the contraction.

A

LATE DECELERATIONS

32
Q

this sign may result from marked
hypertonia caused by administration of
Oxytocin.

A

LATE DECELERATION

33
Q

It is an ominous sign of fetal hypoxia
caused by utero-placental
insufficiency

A

LATE DECELERATION

34
Q

Unpredictable decrease in FHR of ≥
15 beats per minute measured from the
most recently determined baseline
rate

A

VARIABLE DECELERATIONS

35
Q

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

A

VARIABLE DECELERATION

36
Q

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

A

PROLONGED DECELERATION

37
Q

color of amniotic fluid

CLEAR

A

NORMAL

38
Q

color of amniotic fluid

YELLOW

A

STAINING

39
Q

color of amniotic fluid

GREENISH

A

MECONIUM

40
Q

2 Ways of Monitoring Uterine Contractions

A

a. Manual Palpation
b. Cardiotocography

41
Q

It tells how strong is the contraction

A

INTENSITY

42
Q

INTENSITY

A

a. Easily pressed- mild
b. Firm- Moderate
c. Hard as a board- severe

43
Q

start of contraction to start
of the next contraction.

A

FREQUENCY

44
Q

start of contraction to end of
each contraction

A

DURATION

45
Q

end of contraction to start of
another contraction

A

INTERVAL

46
Q

VAGINAL/ INTERNAL EXAM
____________ first
Every __ hours.
BED: _____________ Position
DR BED:_____ Position

A

Abdominal examination
4
Dorsal Recumbent
Lithotomy

47
Q

Touch the cervix. Note for:
1.
2.
3.

A
  1. CONSISTENCY
  2. DILATATION
  3. EFFACEMENT
48
Q

Nitrazine paper test:
When the
Nitrazine paper turns blue-green or gray to deep blue

A

AMNIOTIC FLUID HAS PASSED THROUGH THE VAGINA

49
Q

Fern Test:
Amniotic fluid will show a fern pattern

A

DRIED AND EXAMINED IN THIS WAY

50
Q

_____ is the opening of the cervix

A

DILATION

51
Q

Cervical Dilation Scale

A

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
Q

It is the Thinning of the cervix

A

EFFACEMENT

53
Q

Effacement Scale

A

Prelabor = 2 to 2.5 cm thick
1 cm thick = 50% effaced
Tissue paper thin = 100% effaced

54
Q

Cephalic Presentation

head is sharply flexed (good attitude)
- parietal bones or the space in b/n the fontanelles (vertex) presents
- suboccipitobregmatic diameter

A

VERTEX

55
Q

Cephalic Presentation

Head is moderately flexed (Moderate attitude)
-brow or sinciput presents
-occipitofrontal diameter = 11- 12 cm

A

BROW

56
Q

Cephalic Presentation

fetus has extended the head (Poor attitude)
- face presents
- Supraoccipitomental diameter = 13.5 cm

A

FACE

57
Q

Cephallic Presentation

Fetus has completely hyperextended (Very Poor
Attitude)
- Chin presents
- Occipitomental diameter

A

MENTUM

58
Q

Breech Presentation

both the buttocks and the
tightly flexed knees present (good
attitude)

A

COMPLETE

59
Q

Breech Presentation

Buttocks only (moderate
attitude)

A

FRANK

60
Q

Breech Presentation

neither the thighs nor the
lower legs are flexed

A

FOOTLING (Single footling or Double Footling)

61
Q

presenting part is usually one of the 2
shoulders (acromion process), an iliac
crest, a hand, or an elbow

A

SHOULDER PRESENTATION

62
Q

0 Station

A

ENGAGEMENT

63
Q

the
presenting part is at the
perineum and can be seen if
the vulva is separated
(crowning)

A

+3 OR +4 STATION

64
Q

Relationship of the presenting part to a
specific quadrant of a woman’s pelvis

A

FETAL PRESENTATION

65
Q

Four Quadrants:

A
  1. Right anterior
  2. Left anterior
  3. Right posterior
  4. Left posterior
66
Q

4 Part of the Fetus used as landmarks:

A

O= OCCIPUT
M= MENTUM
Sa= SACRUM
A= ACROMION PROCESS

67
Q

Tool for monitoring the progress of
labor

A

PARTOGRAPH

68
Q

Guides birth attendant to identify
women whose labor is delayed and
therefore decide on appropriate actions

A

PARTOGRAPH

NCM 107A MCN RLE (2 decks)

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