Patterns in FHR
Labor
Fetal Monitoring
Pain Management and Other Medications
Nursing Interventions
100
When FHR is less than 110 beats/minute for 10 minutes or longer?
What is bradycardia?
100
It occurs when the fetus descends into the pelvis about 2 weeks before delivery.
What is lightening or engagement?
100
What is the device that is placed on the abdomen to monitor the uterine contractions?
What is the tocotransducer?
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 is the name of the test performed to determine if the membranes have ruptured?
What is the Fern test or the Nitrazine Paper Test.
200
When FHR is more than 160 beats/minute for 10 minutes or longer?
What is tachycardia?
200
What labor does not produce dilation, effacement, or descent?
What is false labor?
200
What is the normal FHR of a term pregnancy?
What is 110 - 160 bpm?
200
What is given to mothers if they are Rh -? When is the medication given?
What is RhoGam?
200
When reviewing the contractions, what three things should the nurse be documenting?
What is frequency, duration and intensity?
300
What are caused by conditions that restrict flow through the umbilical cord; these fall and rise abruptly with the onset and relief of cord compression?
What is a variable deceleration?
300
When the fetus usually becomes engaged in the pelvis and begins to descend?
What is true labor?
300
What internal monitors are used for FHR and contractions?
What is FSE and IUPC?
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 tracing shows a uniform shape and mirror image of uterine contractions?
What is an early deceleration?
400
When contractions occur regularly, become stronger, last longer, and occur closer together?
What is true labor?
400
This performed to determine on which side the fetal back is located, and the ultrasound transducer is placed over this area?
What is Leopold’s maneuvers?
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
What are interventions the nurse can initiate during the Latent Phase?
Encourage mother and partner to participate in care. Assist with comfort measures, change of position, and ambulation. Keep mother and partner informed of progress. Offer ice chips. Encourage voiding every 1 to 2 hours.
500
What are the nursing actions for a nonreassuring FHR?
Identify the cause. Discontinue oxytocin (Pitocin) infusion. Change the mother’s position. Administer oxygen by face mask at 8 to 10 L/minute and infuse intravenous fluids as prescribed. Prepare to initiate continuous electronic fetal monitoring with internal devices if not contraindicated. Prepare for cesarean delivery if necessary. Document the event, actions taken, and the mother’s response. Notify the physician
500
When cervical dilation is complete and uterine contractions occur every 2 to 3 minutes, lasting 60 to 75 seconds, and are of strong intensity?
What is second stage of labor?
500
What areas on the baby should be avoided when placing an FSE?
What are fontels, face and sutures?
500
What medications would be administered to a mother in preterm labor and why?
What is MagSulfate? What is Betamethasone?
500
Name the nursing interventions throughout stage 1?
Monitor maternal vital signs. Monitor FHR via ultrasound Doppler, electronic fetal monitor. Assess FHR before, during, and after a contraction, noting that the normal FHR is 110 to 160 beats/minute. Monitor uterine contractions by palpation or tocodynamometer, determining frequency, duration, and intensity. Assess status cervical dilation and effacement. Assess fetal station presentation and position by Leopold’s maneuvers. Assist with pelvic examination and prepare for a fern test.
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