Complications
What is cephalopelvic disproportion
Normal baseline fetal heart rate
What is 110-160 bpm
The hormone that stimulates uterine contractions during labor
What is oxytocin
This is the most common cause of postpartum hemorrhage
What is uterine atony
This is the most common indication for cesarean birth
What is labor dystocia
Risk factors for this OB emergency include a prior c-section and uterine hyperstimulation from oxytocin administration
What is uterine rupture
This describes the degree of fluctuation in the baseline fetal heart rate
What is variability
These are the 5 factors essential for a successful vaginal birth
What are Powers, Passage, Passenger, Position, Psyche
This is the priority nursing intervention for a boggy uterus/uterine atony.
What is uterine massage
This condition occurs when the placenta grows too deeply into the uterine wall and can fail to separate after birth, leading to hemorrhage
What is placenta accreta
McRobert's Maneuver is used during what emergency situation during labor?
What is shoulder dystocia
What is an early deceleration
The ideal and most common position of a fetus for labor and birth
What is left occiput anterior (LOA)
This is the second most common cause of postpartum hemorrhage, and is a risk factor of operative birth and precipitous birth
What is a laceration
This must be assessed before labor induction, because it is the most important predictor of whether or not labor induction will be successful
What is cervical status
Often caused by impaired umbilical cord perfusion, these appear as irregular and abrupt decreases in FHR on the monitor
What are variable decelerations
This stage of labor ends with the birth of the baby
What is the second stage
These are the 4 primary causes of postpartum hemorrhage (The 4 Ts)
What are tone, trauma, tissue, thrombin disorders
This is what the acronym REEDA stands for
What is redness, erythema, ecchymosis, drainage, approximation
This condition would be suspected in a pregnant person who has prolonged rupture of membranes, fever, + group B strep status, and fetal tachycardia.
What is intra-amniotic infection (chorioamnionitis)
This is an ominous FHR pattern that requires evaluation because it indicates poor fetal oxygenation.
This FHR pattern can result from what maternal condition or situation?
What is late deceleration.
What is maternal hypotension or hypertension, uterine hyperstimulation/tachysystole, high risk conditions of pregnancy (any are acceptable answers)
During this phase of labor, contractions reach peak intensity and the cervix reaches full dilation
What is the transition phase
A postpartum patient assessment reveals the following:
BP 100/60, Pulse 120, patient is pale with decreased urine output and confusion. This is the condition or complication that could be occurring.
What is hypovolemic shock r/t hemorrhage
This is the most common cause of mastitis in a lactating people
What is milk stasis