Labor
Ouch
Reassuring/Nonreassuring
100
You can tell your patient she is in true labor when you observe these two clinical signs.
Regular contractions and cervical dilation/effacement
100
The labor and delivery nurse closely monitors the patient during and after this invasive procedure.
What is an epidural?
100
Moment by moment changes in fetal heart rate.
What is variability?
200
The escape route can be fraught with challenges to its navigator.
What is the passageway and passenger?
200
Opioid analgesia during late active labor can lead to this possible neonatal effect.
What is neonatal respiratory depression?
200
Moderate is measured at 6 to 25 bpm
What is moderate variability?
300
The patient's cervix is now 100% effaced and 10 cm dilated.
What defines the start of Stage 2?
300
A pudendal nerve block is an option during this stage of labor.
What is stage 2?
300
Fetal heart rate that drops as the contraction begins to subside.
What are late decelerations?
400
The nurse observes a fetal monitor showing 6 uterine contractions during a ten-minute interval.
What is uterine tachysystole?
400
Nonpharmacological strategies that illustrate the gate-theory of pain management.
What are back massage, acupuncture, acupressure, and intradermal water block?
400
Left lateral position.
Maternal position that enhances the largest amount of blood flow to the uterus.
500
Oxytocin infusion dose is increased during this stage of labor to facilitate delivery of the placenta.
What is stage 3?
500
This can lead to increased pain and ineffective uterine contractions.
What is anxiety?
500
Mnemonic used to remember fetal heart rate patterns and nursing interventions.
VEAL CHOP
600
During the transition phase when the laboring patient is dilated between 8-10 cm she might experience this secondary power of labor.
What is the urge to bear down and push?
600
A pharmacological option for pain management that may cause dizziness and nausea.
What is an inhaled nitrous oxide/oxygen mixture?
600
The nurse's first two responses to this FHR pattern:
Stop oxytocin, reposition patient.
700
The cervix softens as prostaglandins are released, but this primary power is necessary to dilate the cervix and promote fetal descent.
What are contractions?
800
The nurse prepares to send the patient home because her contractions are irregular and her cervix is not changing.
What is false labor?
900
Descent, engagement, flexion, rotation, extension, rotation, expulsion.
What is the order of cardinal movements?