Fetal Monitoring
These decelerations are a result of head compression.
What are early decelerations?
These three phases make up the first stage of labor.
What is latent, active and transition phase of labor?
A common skin rash that many healthy newborns get. It usually appears in the first few days after birth and fades within a week.
What is erythema toxicum?
New parents should place their baby on this position for sleep to reduce the risk of SIDS.
What is on their back?
Nursing management of postpartum hemorrhage includes massaging this uterine part to promote contraction and reduce bleeding.
What is the fundus?
To reduce the risk of neural tube defects, nurses teach pregnant patients to take this vitamin daily before and during early pregnancy.
What is folic acid?
These decelerations suggest placental insufficiency, require intervention, and continued surveillance by the nurse, but do not necessarily require immediate delivery.
What are late decelerations?
Regular contractions resulting in cervical change is characterized by this.
What is true labor?
A collection of fluid that crosses the newborns suture line.
What is caput succedenum?
This vitamin is administered to newborns shortly after birth to prevent bleeding disorders.
What is Vitamin K?
You are the nurse assigned to triage for the shift. A client comes in stating that her "water broke". This acronym will assess pertinent information about patient.
What is TACO?
The nurse would anticipate administering this vaccine to a patient that is rubella non-immune during management of postpartum care.
What is the MMR vaccine?
These are indicative of fetal well-being when seen on the fetal monitoring strip.
What are accelerations?
Your labor patients membranes have been ruptured for 24 hours. As the nurse, you would be concerned about this.
What is infection?
An action by the nurse that is the most important intervention in prevention heat loss immediately after delivery.
What/why is drying the newborn?
Teaching about breastfeeding includes informing mothers that the baby should nurse at least this many times in 24 hours during the first week.
What is 8-12 times?
These 2 nursing interventions are in response to a complication related to the baby's body being "stuck", after the head has been delivered.
What is suprapubic pressure and McRoberts Maneuver?
TO decrease incidence of severe hypotension, the nurse would expect to administer the following before an epidural/
What is a fluid bolus?
The term used to describe greater than 5 contractions in 10 minutes.
What is tachysystole?
This is the recommended method of delivery for a patient with placenta previa.
What is a cesarean section?
The term used for describing a cord encircling the fetal neck.
What is a nuchal cord?
Postpartum patients should be taught that this common mood disorder typically begins within the first few weeks after delivery and includes symptoms such as sadness, irritability, and tearfulness that usually resolve within two weeks.
What is the “baby blues”?
At you 15 min postpartum fundal check, you note a boggy uterus and heavy bleeding. Oxytocin has been administered, the bladder is not distended. Vitals are 111/79, 109, 16, and 37.0. This is the medication you would expect to be ordered.
What is Methergine (methylergonovine)?
The component of breastmilk that is high in fat and calories.
What is hildmilk?
This category of fetal heart rate tracing, characterized by absent variability and recurrent late decelerations, suggests fetal acidemia and requires prompt evaluation and potential intervention.
What is a category III tracing?
This placental anomaly is characterized by the placenta growing beyond the normal borders of the uterus.
What is placenta accreta spectrum?
A full-term newborn exhibits hypotonia, poor feeding, a weak cry, and a transverse palmar crease. This chromosomal abnormality should be suspected.
What is Trisomy 21 (Down's Syndrome)?
Parents of an infant discharged after treatment for neonatal abstinence syndrome should be taught to monitor for this cluster of symptoms and be educated on this key approach to soothing the infant at home.
Name at least 3.
What are tremors, irritability, poor feeding, and high-pitched crying — and using low-stimulation environments with swaddling and gentle rocking?
When caring for a mother receiving magnesium sulfate for preeclampsia, nurses must closely monitor for this sign of magnesium toxicity.
What is decreased of deep tendon reflexes (DTRs)?
This is what BUBBLE LER stands for.
What is breasts, uterus, bladder, bowel, lochia, episiotomy/laceration, lower extremities, emotions, rubella.
This internal fetal monitoring technique directly assesses the fetal QRS complex and is used when external monitoring is inadequate or precise heart rate measurement is needed.
What is a fetal scalp electrode?
This rare but life-threatening obstetric emergency during labor is characterized by sudden onset of hypoxia, hypotension, coagulopathy, and often cardiac arrest, typically triggered by maternal exposure to fetal antigens.
What is amniotic fluid embolism?
A newborn is limp, has a slow irregular heartbeat of 80 bpm, weak irregular breathing, and blue extremities but a pink body at 1 minute. Assign the Apgar score.
What is 3?
A postpartum patient with a history of cesarean delivery is considering a trial of labor after cesarean (TOLAC) for her next birth. Teaching should include this most serious potential complication, including signs she should report immediately during labor.
What is uterine rupture?
What is respiratory distress syndrome (RDS)?
The HELLP syndrome is a severe variant of preeclampsia characterized by hemolysis, elevated liver enzymes, and low platelets. This is the recommended definitive treatment.
What is delivery of the fetus?