labor process
These are the five factors that affect labor
Passenger, passagewa, powers, position, and psychological response
Normal basline fetak heart rate?
110-160 bpm
Pain during first stage labor is primarily what type?
Visceral pain
Priority when a woman arrives in labor
Maternal vital signs, fetal heart rate, contraction pattern, membrane status, and cervical dilation
Preterm birth occurs before how many completed weeks?
37 weeks
Which P includes fetal size, presentation, lie, position, and attitude?
Passenger
These are reassuring because they indicate fetal well beinb
Accelerations
Somatic pain occurs during which stage
Second stage of labor
During second stage of labor, what assessment is performed after every contraction
Fetal heart rate
Meditation given to mature fetal lungs
Betamethasone/dexamthasone
Name the cardinal movements of labor in order
Engagement, descent, flexion, interna, rotation, extension, external rotation (restitution), and expulsion
Variable declarations usually indicate
Umbilical cord compression
Which spinal nerves transmit visceral labor pain
T10-L1
Name the four stages of labor
Onset of labor -> complete dilation
complete dilation -> birth
birth -> placenta delivery
placenta -> recovery
Shoulder dystocia is an emergency because of what complication?
The fetal shoulder becomes impacted behind the maternal pubic bone, risking:
Which pelvic type is considered most favorable for vaginal birth?
Gynecoid pelvis
A prolonged fetal heart rate below 110 bpm is called
Fetal bradycardia
Name three nonpharm pain management techniques
Breathing techniques, position changes, massage, hydrotherapy,counter pressure, relaxation, music, birthing ball, and cold/heat therapy
What should the nurse assess during the fourth stage to detect postpartum hemorrhage?
Priority nursing actions during umbilical cord prolapse?
What hormone stimulates the uterine contractions and helps initiate labo?
Oxytocin
Nursing interventions for recurrent late declarations
Reposition to left (or righ) side, stop oxytocin, increase IV fluids, administer oxygen if indicated by provider/protocol, notify provider, and prepare for possible operative birth if unresolved
Major nursing concern after administering an opioid
Maternal and neonatal respiratory depression
A boggy uterus usually indicates what
Uterine atony -> massage the fungus
Name four risk factors for preterm labor.