Labor & Birth Processes
Thinning and Shortening of cervix. Measured in percentage.
Effacement
When there is a change in condition.
Feels pressure
Feels urge to push
Ruptured bag of water with decrease in fetal HR
Expected parameter for fetal heart rate
110-160 beat per minute
Light stroking of abdomen during a contraction
Effleurage
Which pain medication requires a 1:1 nurse/patient ratio?
Ultiva
Infant's descent in birth canal and is documented as negative and positive
Station
How often should a woman's temperature be assessed once the membranes rupture?
Every 2 hours
Increase in fetal heart rate by 15 beats for 15 seconds
Acceleration
Focusing on an object in the room during a contraction
Distraction
Name 1 safety measure to implement while giving pain meds during labor.
Side rails up (3)
Assistance with ambulation
Infant is presenting as head first
Cephalic
What is the intensity of a contraction if the abdomen feels like the chin
Moderate
Moderate variability
6-25 beats
Thinking about being in another place during a contraction
Imager
If an opioid pain med is given within 4 hours of delivery, what newborn assessment is important?
Respiratory status
Dilation
Name 2 characteristics of True labor
Regular contractions
Felt in lower back/abdomen
Blood show present
Become stronger and more frequent
Become more intense with walking
Fetal heart rate begins to decrease at the beginning of a contraction.
Early Deceleration
Breathing techniques during labor should always begin and end with one of these
Cleansing breath
Which anesthesia method is used for pain relief during labor?
Epidural
When can a woman start pushing?
10 cm
How often should maternal vital signs and assessments be performed during the 4th stage of labor?
Every 15 minutes
Fetal heart rate begins to decrease at the peak of the a contraction and returns to baseline after the contraction ends
Late Deceleration
Name 2 signs/symptoms of hyperventilation
Lightheaded
Dizzy
Tingling fingers
Numbness around the mouth
What intervention should be implemented before insertion of epidural or spinal anesthesia?
IV Bolus
Movements made by infant to maneuver through birth canal
Mechanism of Labor/Seven Cardinal Movements
Should a vaginal exam be performed if there is active vaginal bleeding?
No
Fetal heart rate abruptly decreases and returns to baseline caused by cord compression
Variable deceleration
Name 2 interventions for hyperventilation
Breath into paper bag or cupped hands
Help client slow breathing rate
Help client regain focus
Which medication is administered to the infant after delivery with respiratory depression?
Narcan