Intrapartum
What are false labor contractions called?
Braxton Hicks
How long should rubra lochia last?
1-3
When should kangaroo care be initiated?
within the first 60 minutes of birth (if mother & infant are stable)
True or false: You can give a patient butorphanol when they are 9cm dilated
False
By what day should you see more than 6 voids in a 24-hour period? (Newborn)
Day 4
What causes variable decelerations?
Cord compression
What is the REEDA scale used for?
Assessing the perineum
True or false: you should withhold oral feedings if baby’s respiratory rate is greater than 60 breaths/min
True
Which medication is contraindicated in patients with asthma?
What is the name for a flat vascular birthmark?
Pout wine stain
What are the 3 Breech presentations?
Complete (buttocks; legs tucked)
Frank (buttocks; legs extended up near face)
Footling (one or both feet first)
Postpartum hemorrhage:
Blood loss greater than ____ mL after a vaginal birth or
greater than ____ mL after a cesarean birth
500; 1,000
What is the source of acquired, natural, & passive immunity?
Acquired: vaccination
Natural: exposure
Passive: transmission from mother
Why is magnesium sulfate given to a patient with eclampsia?
Prevents maternal seizures
What is it called when you stroke the sole of a baby’s foot and their toes fan out?
Babinski reflex
What fetal position is considered “sunny side up”?
Occiput Posterior (OP)
What are some positive signs of bonding?
Holding the baby, recognizing the baby’s cry & responding to the need, referring to the baby by name, speaking positively about the baby, asking questions about the baby’s care
What is Kernicterus?
Abnormal accumulation of bilirubin within the brain
What medication is given to suppress preterm labor contractions?
Terbutaline
What is a secondary postpartum hemorrhage?
Significant bleeding after the first 24 hours after delivery
Which medication should you have at the bedside during epidural placement?
What time frame is the risk of postpartum hemorrhage greatest in?
1st hour after birth
What is the APGAR score? Is the baby stable?
pink body, HR 95, cry is strong, some flexion in arms & legs, irregular cry
2, 1, 2, 1, 1 = 7
score: 7-10 is stable
Name the 2 medications given to a newborn within the first hour after birth
Vitamin K & Erythromycin
What are the 5 components scored in bishop scoring?
Dilation, Effacement, Station, Cervical consistency, Cervical position