Week 5: Labour at Risk, 4th Trimester and Early Postpartum Flashcards
What age groups are at higher risk for having a preterm labour?
Younger than 18 years old OR older than 35 years old
When would a nurse administer Tocolytics to a patient?
To manage a patient’s hypertension
What is the purpose of the nurse administering Magnesium Sulphate to a patient?
To prevent newborn neurological morbidities (can also be for pre-eclampsia)
How many baby movements should there be?
A) 3-4 movements every 2 hours
B) 4-5 movements every 2 hours
C) 5-6 movements every 2 hours
D) 6-7 movements every 2 hours
C
What medication would you give to a PRETERM patient?
Progesterone (to relax…to “delay” labour…)
What medication would you give to a POSTTERM patient?
Oxytocin (to induce contractions)
What are the natural ways to induce contractions? (2)
- Nipple stimulation
- Intercourse (semen has prostaglandin E)
What is Dystocia?
Abnormally slow progress of labour
What is macrosomia?
Big chubby baby :3 (excessive fetal size; 4000g or more)
What is the difference between Induction of labour and Augmentation of labour?
Induction: Labour never started…no symptoms
Augmentation: symptoms are there…just very slow process (so we need to speed it up!)
What is cord prolapse / prolapsed umbilical cord?
When the umbilical cord is showing first :0
What is the management of cord prolapse?
Release pressure from cord / knee to chest position
What is PROM?
Premature Rupture Of Membranes…Spontaneous rupture of amniotic sac and leakage of amniotic fluid before labour (water breaks before intended labour date)
What is shoulder dystocia?
condition where head is born BUT anterior shoulder can’t pass under the pubic arch (b/c macrosomia baby, pelvic abnormalities…)
What is a first-line intervention for shoulder dystocia?
McRoberts manoeuvre (legs hyperflexed on abdomen…missionary)
