VN 34 Test 3 Adjusted (miss D) Flashcards
- Cardiac output is at its’ highest at what stage of labor? (freebie)
immediately after birth
- Guidelines for food/drink during the labor process.
Ice chips or moderate amounts of liquid
- Which presentation is most common and least common? (pg.153)
Most Common: Cephalic presentation
Least common: shoulder presentation
The four P’s of labor (pg.165)
-Passageway
-Passenger
-Powers
-Psyche
- What do the stations mean?
-The relationship of the presenting part of the fetus to the ischial spines of the pelvis
-When the widest diameter of the presenting part is at the level of the ischial spines, the station is zero (0)
-If the presenting part is above the level of the ischial spines, the station is recorded as a negative number and is read “minus.”
- After removal of epidural catheter what is the nurse prioritize? (pg.176)
Assessment of return of sensory and motor function to the lower extremities and monitoring for urinary retention.
- Pain management for early phase of labor (freebie)
practice effleurage on the abdomen.
- Back labor: (freebie)
counterpressure against the sacrum
- Epidural block: nursing interventions prior. (pg.175,176)
When would they not give more medication? What stage?(ATI pg.73) While monitoring assess for sensory issues. Can they push?
- prehydration with IV fluids helps prevent or decrease the severity hypotension side effect
-Monitor maternal vital signs and fetal heart rate frequently during the procedure. - Maternal vital sign assessments should be continued until the woman is completely recovered from the effects of anesthesia.
-They wouldn’t give anymore medication in stage 2
-Yes they can push with epidural block
- List nonpharmacological pain management and be able to give examples. (freebie)
attention focusing/look at a picture of a sunset over the ocean
- Imminent labor or not imminent. (Are they about to push out baby?) what is the priority. Side note: look up the term clonus (pp slide 8)
If birth is not imminent the nurse will conduct a thorough obstetric, medical- surgical & social hx & a complete physical assessment, determine labor status & the woman’s labor and birth preferences.
-throughout the labor process, monitor maternal & fetal status and labor progress.
-Check signs of rupture
-Clonus: (rapid involuntary muscle contraction and relaxation).
- Early decelerations late & their relation to contractions (pg.194)
Early: If the dip in the FHR tracing occurs in conjunction with and mirrors a uterine contraction
-Early decelerations are caused by pressure on the fetal head as it meets resistance from the structures of the birth canal. The contraction pushes the fetal head downward, causing pressure, which in turn leads to a slowing of the FHR.
12b. Late decelerations & their relation to contractions (pg.195)
-The most ominous type of nonreassuring periodic change is a pattern of late decelerations.
- These decelerations appear smooth and U shaped on the EFM tracing,they begin late in the contraction and recover after the contraction has ended.
-Late decelerations are associated with uteroplacental insufficiency, diminished or deficient blood flow to the uterus and placenta.
13.No variability question client hyperventilating: (freebie)
help client regain control of breathing techniques
- After ibuprofen administration for perineal pain (freebie)
acetaminophen with codeine
