Problems with
Labor
Labor
What is the term used for a very fast birth?
What is
Precipitous labor or precipitous delivery
This is the digital separation of the chorionic membrane from the wall of the cervix & lower uterine segment during a vaginal exam.
What is
Stripping of membranes
What is it when the head is born, but the anterior shoulder cannot pass under the pubic arch?
What is
Shoulder dystocia
What does VBAC stand for?
What is
Vaginal Birth after Cesarean
This is a pale green, watery fluid that is observed when the amniotic membranes are ruptured.
What is
Meconium-stained amniotic fluid
What term used when the pressure of the uterine contraction is insufficient to promote cervical dilation and effacement?
What is
Hypotonic uterine dysfunction
A procedure where the provider artificially ruptures the membranes.
Amniotomy
Name 4 types of obstetrical emergencies that require immediate delivery of the fetus.
What are
Shoulder dystocia, Umbilical cord prolapse, Uterine rupture, and Amniotic fluid embolism
What are the advantages of performing a vacuum-assisted delivery over a forceps assisted delivery?
What are
Easier application, Less anesthesia required, Less maternal soft tissue damage, Fewer fetal injuries
The term used for post-term fetuses that have a greater chance of developing complications related to larger body size (> 4,500 g or 10 lbs).
What is
Macrosomia
This maneuver involves sharply flexing the thigh into the maternal abdomen to straighten the sacrum in order to release the impacted fetal shoulders.
What is
McRoberts manuver
What is the primary nursing intervention performed immediately after a provider breaks the mother's bag of water?
What is
Check the fetal heart rate
A position the mother is placed in if an umbilical cord prolapse is present.
What is
Trendelenburg or Knee-chest
Which type of previous C-section incision is contraindicated for a VBAC?
What is
Vertical (Classical) or T-shaped uterine incision
An associated risk to the mother with a stillbirth may lead to the development of ________ putting her at a higher risk for infection that could lead to sepsis or endometritis.
What is
DIC (Disseminated Intravascular Coagulation)
What are two possible risk factors that can lead to the second-stage arrest of labor?
What are
Maternal exhaustion & Epidural anesthesia
What is a medication used to ripen the cervix for labor induction?
What is
Misoprostol (Cytotec) or Cervidil
What is a symptomatic disruption and separation of the layers of the uterus or previous uterine scar?
What is
Uterine rupture
What fetal position makes vaginal delivery impossible?
What is
Transverse lie or shoulder presentation
What complications are multiple gestation pregnancies at a higher risk for, during the intrapartum period?
What are
Preterm birth, preeclampsia, & hemorrhage.
What is Cephalopelvic Disproportion (CPD)?
What is
The disproportion between the size of the fetus and the size of the mother's pelvis
What are the 5 categories of the Bishop score that assess for cervical readiness?
What are
Cervical dilatation, Effacement %, Consistency of cervix, Position of cervix, Station
This can cause a sudden, acute onset of hypoxia, hypotension, cardiovascular collapse, and coagulopathy.
What is
Amniotic Fluid Embolism
An elective procedure performed in nonlaboring women at 36 or 37 weeks of gestation that rotates the fetus from the breech to the cephalic presentation.
What is
ECV (External Cephalic Version
A foul-smelling bacterial infection where the prolonged rupture of membranes is one of the possible causes.
What is
Chorioamnionitis (Intraamniotic Infection)