Factors affecting labor
Provide 3 signs of false labor
What are irregular contractions, no cervical change, activity does not increase contractions, sedation can decrease contractions.
Stage of placental separation and expulsion
What is the third stage of labor
Name at least 4 items to include on an initial maternal assessment
What are vital signs, FHT, contractions, vaginal exam, membrane status, EDD, known maternal or fetal complications
The average heart rate over a period of at least 2 minutes
What is the Baseline
Combination of an opioid and local anesthetic that is injected into the epidural space
What is Epidural anesthesia
What are the 4 points to assess concerning contractions?
What are frequency, duration, strength and resting tone
What stage is from complete dilatation to delivery of fetus?
What is the second stage of labor
Provide 3 methods of assessing contractions
What are TOCO, IUPC, palpation
The most reliable indicator of fetal well being
What is Variability
Side effect of epidural and spinal anesthesia, and how it is prevented/treated
What is Hypotension- IV fluid bolus
What refers to the relationship of the presenting part of the fetus into the levels of the ischial spines of the mother's pelvis?
What is Station
What phase are contractions at peak intensity occurring every 2-3 minutes?
What is Transition
Dilation, effacement, station, membrane status, and fetal presenting part.
What are the important items to note when performing a vaginal exam.
Deceleration that requires immediate attention, usually a sign of utero-placental insufficiency
What are Late decelerations
Provide 5 examples of non-pharmacological pain relief
What are focused imagery, breathing techniques, hypnosis, aromatherapy tabs, massage, distraction, hot/cold, music, position changes
Provide 4 signs of true labor
What are regular contractions, cervical change, sedation does not diminish contractions, increase in intensity and frequency.
What phase begins at the onset of regular contractions, mild, lasting 20-40 seconds.
What is the Latent phase
What is the maneuver used to determine the fetal presentation upon palpation
What is Leopold's maneuver
3 interventions for late decelerations
What are position change, fluid bolus, stop oxytocin infusion, oxygen administration
What is a side effect of the mother being administered an IM, or IV pain medication close to delivery?
What is Respiratory depression in the newborn
Passage, Passenger, Power, and Psyche
What are the 4 Ps that affect labor?
What stage is from initiation of true labor to complete dilatation?
What is the First stage
Name 2 methods for determining if membranes have ruptured
What are Nitrazine paper, ferning, ROM+
Usually indicates cord compression. Abrupt decrease in fetal heart rate at unpredictable times in relation to a contraction
What are Variable decelerations
What is the goal of pharmacologic pain medication administration during labor?
What are to relax and relieve discomfort and have minimal systemic effects on uterine contractions, pushing effort or fetus.