Birth Process
The four Ps of the birth process.
What is powers, passenger, passage, psyche?
The most common breech position.
What is Frank breech?
The time in which apgar scoring in performed.
1 and 5 minutes
Can be used to promote blood flow and healing in the perineum 24+ hours after birth.
What is a warm pack?
The external device used to monitor contraction intensity and fetal HR.
What is a tocotransducer?
The desired time for the duration of a contraction.
What is < 90 seconds?
The most favorable passenger presentation.
What is vertex (cephalic).
The two medications given to the newborn in the delivery room.
erythromycin eye ointment
vitamin K
This type of pain relief BLOCK is local, does not block contraction pain, and helps ith delivery and episiotomy pnly.
pudendal block
The appropriate intervention to help a woman avoid pushing before her cervix is fully dialted.
Short puffs
The way to measure the frequency of contractions.
Measure the elapsed time from beginning of one contraction to the beginning of the next contraction.
The station numbers in which the fetal presenting part is above the ischial spines.
Negative (-2, -1)
Three nursing interventions to promote infant thermoregulation.
1. dry the infant
2. place infant in warmer
3. place hat on head
4. wrap the infant in warm blankets when removing from warmer
This type of pain management requires the mother to be NPO.
general anesthesia
The most important nursing intervention in the immediate postpartum period.
What is monitor for and prevent hemorrhage?
These four factors can influence the intensity and effectiveness of contractions.
1. Walking
2. Drugs
3. Maternal anxiety
4. Vaginal examination
The change in fetal heart rate that is a "reassuring pattern".
accelerations
This delivery assistance tool can cause facial nerve damage.
forceps
Three contraindications for an epidural.
1. abnormal clotting
2. infection
3. hypovolemia
Medications used to promote cervical ripenining.
prostaglandin (cervidil), then oxytocin
Three signs of impending birth.
1. sitting on one buttock
2. making grunting noises
3. bearing down with contractions
4. stating "the baby's coming"
5. bulging of the perineum or the fetal presenting part visible at the vaginal opening.
*Daily Double*
The cardinal movements of labor in order.
Descent - Engagement - Flexion - Internal rotation - extension - external rotation - expulsion
* Daily Double*
Provide an apgar score for the infant that is pink in color, a heart rate of 115, has flexed body posture, and responds to suction with a strong cry.
10
The appropriate nursing intervention if a mother experiences hypotension after an epidural that causes late decelerations in fetal hr.
Reposition to Left side, Face mask O2, increase fluids, stop pitocin, notify md
Describe the appropriate method in which a laboring woman should push.
When time: take one breath, then take another deep breath and push down while exhaling to a count of 10 & repeat