VN 34 Test 3 FREEBIE Flashcards
- Cardiac output is at its’ highest at what stage of labor?
immediately after birth
- Guidelines for food/drink during the labor process. I talked about this today
• NO FOOD DURING LABOR but only fluids and ice chips
- Which presentation is most common and least common? (Page 153)
• Most common: Head-Cephalic presentations
• Least common: Shoulder presentations
- Know the four P’s
• Passageway- The passageway consists of the woman’s bony pelvis and the soft tissues of the cervix and vagina
• Passenger- The “passenger” refers to the fetus. The size of the fetal skull and the way the fetus is situated
• Powers-The primary force of labor comes from involuntary muscular contractions of the uterus
• Psyche -When the woman feels confident in her ability to cope and finds ways to work with the contractions, the labor process is enhanced
- What do the stations mean?(page 154)
• Position of the baby’s “presenting part” in relation to the ischial spines in 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? Page 176)
• return of sensory and motor function to the lower extremities and monitoring for urinary retention
- Pain management for early phase of labor
practice effleurage on the abdomen
- Back labor:
counterpressure against the sacrum
- Epidural block: nursing interventions prior. When would they not give more medication? What stage? While monitoring assess for sensory issues. Can they push?
• Nursing care during recovery from epidural anesthesia includes assessment of return of sensory and motor function to the lower extremities and monitoring for urinary retention
• Pre-hydration with IV fluids helps prevent or decrease the severity of this side effect of hypotension
• No more medication
• Second Stage
• Yes you can push
- List nonpharmacological pain management and be able to give examples.
attentionfocusing/look at a picture of a sunset over the ocean
- Look at my slide about nurses role in admission. Imminent labor or not imminent. (Are they about to push out baby?) what is the priority. Side note: look up the term clonus
• 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.
• Monitor maternal and fetal status and labor progress
• Frequent checking of vital signs and FHR
• Check signs of rupture
• Clonus: (rapid involuntary muscle contraction and relaxation)
- Know decels late and early. And their relation to contractions(page 194Figure 10-7
• 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.
• Early deceleration: Mirrors the contraction is caused by head compression and is benign, requiring no interventions
• Late: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.
- no variability question client hyperventilating
help client regain control of breathing techniques
- Freebie: after ibuprofen administration for perineal pain
acetaminophen with codeine
- Best position for delivery in general
hands and knees
