Signs and Symptoms of Labor
1st Stage of Labor
Labor Assessments
Pain Management Techniques
Nursing Interventions
100

What are the components of vaginal exam?

Dilation

Effacement

Station

100

What phase of the first stage of labor correlates with a vaginal exam of 6/80%/-1?

Stage 1- Active Phase

4-7 cm is active labor

100

What is the name of the test performed to determine if the membranes have ruptured?

Nitrazine- least reliable

Fern

Amnisure- most reliable test 

100
Name an example of non-pharmacological pain relief methods during labor and delivery.
What is aromatherapy, massage, touch, walking, hydrotherapy, music, childbirth classes, deep breathing, meditation, imagery, heat/cold.
100

What intervention would improve gravitation pull to help bring the baby into the pelvis?

Upright (standing, sitting on the birth ball,etc.)
200

What test would indicate the water is broken?

Amnisure, Fern, or Nitrazine

200

What emotions are experienced in the 1 stage of labor latent phase? 

Excited and anxious

Excited to be in labor and anxious about how it will go.

200

What is a normal fetal heart rate?

120-160 bpm (book)

110-160 (ATI) 

200
What has been found to be the most important factor for pain control during labor and delivery, according to research?
What is attendance of mother in childbirth preparation classes.
200

What is the MOST helpful intervention that a nurse can perform during labor and delivery?

Labor support (being present and educating)
300

What is "bloody show?"

dark pink, brown, or bright red spotting to light bleeding during labor
300

Name 2 of the P's of labor.

P's:

Passenger, passageway, powers, position, and psychological response

300

Tachysystole is when contractions are how often?

Closer than 2 minutes apart over a ten minute window.

300
Why can you not receive medications at any time during labor or delivery?
What is some medications can slow or even stop labor, and some medications can even impact the fetus if administered too close to the birth.
300

When would a nurse initiate skin-to-skin contact?

What is immediately after birth.

400

What is "lightening?"

This is dropping of the fetal head into the lower pelvis. This prepares the fetus for the first stage of labor.

It is a premonitory signs of labor:

Backache, weight loss, lightening, contractions, incresed vaginal discharge or bloody show, "nesting", gastrointestinal changes.

400

What phase of labor in the first stage is the most intense and shortest? 

Transition - is the shortest and most intense due to the strength and frequency of contractions.

400

What part of the vaginal exam tell you how low the baby is in the pelvis?

Fetal Station

400
What is an epidural?
What is a form of anesthesia that is administered to mothers in labor both for vaginal and cesarean births that helps to numb the pain of labor without affecting the mother's ability to push.
400

Name a complication that could occur during the process of labor and delivery that a nurse must intervene for?

What is bleeding, slow progression of labor, appearance of cord, decrease in fetal heart rate.

How would you intervene for these things?

500

How many minutes apart is ideal for contractions?

2-3 minutes apart, lasting 45-90 seconds long, and strong to palpation

500

What dilation is assoicated with 1st stage of labor- Latent phase?

0-3 centimeters

500

What is restitution?

What is return of the baby's head to the front-facing position once the head has passed the mother's vaginal opening during birth.

Cardinal Movements

500

What assessment finding would keep you from administering stadol or fentanyl for pain relief?

Respiratory rate lower than 12 bpm.

500

Name 3 interventions to improve fetal heart rate decelerations? 

Turn pt to their side

IV bolus

Oxygen

Turn Oxytocin off if they have that drip

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