week 4

Question 1

Even if patient is epiduralized, patient should be evaluated by phone or in person by CNM how often?

Answer 1

2-4 hours

Question 2

Fasting increases the concentration of _____

Answer 2

HCL

Question 3

What are varneys 12 basic management decisions?

Answer 3

1. PO intake
2. IV access
3. position or ambulation limitations
4. medications
5. epidural
6. maternal VS
7. FHR assesment
8. Freq of SVE
9. labor partners
10. AROM
11. collaboration
12. prep for deliveryy

Question 4

position the mom on whatever side you want the baby to _____ to

Answer 4

rotate

Question 5

what is the dosage of morphine to be given in labr?

Answer 5

10-15mg IM or IVP

Question 6

what is the dosage of fentanyl to be given in labor?

Answer 6

25-50 mcg IVP

Question 7

what are the two risks for amniotomy?

Answer 7

cord prolaspe and intrauterine infection

Question 8

the urge to push develops with _____ ______ of the ____ _____

Answer 8

progressive distention of the pelvic floor

Question 9

premature urge to push is common with ___ & ____ presentations

Answer 9

OT and OP

Question 10

If there is a complete lack of urge to push, then she should _____ ____ for one hour

Answer 10

labor down

Question 11

Midwife pearl……rotate her to _____ side and stay close

Answer 11

left

Question 12

evidence shows that an upright position shows better ____

Answer 12

pH

Question 13

Midwife pearl…..use open _____ pushing

Answer 13

glottal