Giving Birth/ labor & delivery
Intrapartum monitoring/assessment
Pain management
Therapeutic nursing /procedures
Nursing care during labor & delivery
Medications affecting labor & delivery
100
Contractions that help the mother's body prepare for true labor; they do not indicate that labor has begun.
What is Braxton-Hicks contractions
100
Which method of assessing the fetal heart rate requires the use of gel?
Doppler.
method involving ultrasonic transmission of fetal heart rates; it requires use of a gel.
100
Epidurals and Spinals cannot be given when a patients lab results show _________________, which can be seen in cases of PIH and HELLP.
What are low platlets
100
A patient complains of a headache and seeing blurry spots. The nurse knows these are symptoms of what complication?
What is preeclampsia
100
What are some simple thing that a nurse can do to help during labor?
Lighting and temperature
◦ Cleanliness and mouth care
◦ Bladder
◦ Positioning
◦ Water
◦ Providing encouragement
◦ Pharmacologic pain relief
100
What are some general anesthesia, nursing considerations & care?
What is Immediate post-anesthesia nursing care focuses on maintaining ventilation and circulation, monitoring oxygenation and level of consciousness, preventing shock, and managing pain.
200
The 3 phases within the first stage of labor
What is latent, active, and transition?
200
What is the difference between Cervical dilation & effacement ?
What is effacement means that the cervix stretches and gets thinner. Dilatation means that the cervix opens.
200
A form of anesthesia that is administered to mothers in labor both for vaginal and cesarean births which numbs the pain of labor without affecting the mother's ability to push.
What is an epidural?
200
A small cut that prevents tearing during delivery.
What is an episiotomy
200
What are some nursing jobs during labor and delivery?
Initial care and assessment of the newborn,
including calling neonatal staff if indicated
Administration of medication such as oxytocin to
contract the uterus and control blood loss.
200
A patient in preterm labor is receiving betamethasone, what is the indication for this
What is to enhance fetal lung maturity
300
What is the difference between true and false labor?
What is true labor contractions last more than 30 seconds at the onset and get progressively longer, up to 60 seconds, whereas false labor contractions vary in length.
300
Use of a fetal monitor to evaluate fetal well-being where you want to see 2 accelerations in 20 minutes and moderate variability.
What is a non-stress test or NST.
300
What are some Application of Nonpharmacologic Techniques?
What is
General Comfort
Reducing Anxiety and Fear
Relaxation
Mind-Body Stimulation/ massage
Hydrotherapy
Mental Stimulation
Breathing Techniques
Modified-Paced Breathing
300
A patient is to have anamniotomy to induce labor.The nurse recognizes that thepriority intervention after the amniotomy is to ?
What is to assess the fetal heart rate
(FHR)
300
What tool are they utilizing?
300
Medication used to help during and after labor?
What is Oxytocin is a hormone used to help start or continue labor and to control bleeding after delivery
400
What is the “normal” expected- arteries/veins, utilized?
What is The umbilical vessels carry the fetal blood back and forth to the placenta, with the umbilical vein carrying oxygenated blood with nutrients from the placenta to the fetus and the umbilical arteries transporting deoxygenated blood with waste products from the fetus to the placenta
400
Where do you observe for fetal heart rate ?
What is external fetal monitoring, which is most frequently used, involves the placement of two transducers placed on the maternal abdominal wall: one overlying the fetal heart to record the FHR and one over the uterine fundus to record contractions.
The fetal membranes must be ruptured, and the cervix must be at least partially dilated before the electrode may be placed on the fetal scalp
400
Why is Oxytocin utilized?
What is prevents excessive postpartum bleeding by helping the uterus to contract.
400
What is the difference between augmentation and induction?
Cervical ripeningMedical methods (prostaglandins)
Mechanical methods (transcervical catheter, laminaria)Oxytocin administration Diluted in an isotonic solution and given as a secondary infusion
400
Leopolds maneuvers-steps and reason for utilizing a this procedure?
What is It is used to determine the position, presentation, and engagement of the fetus in utero.
Step 1: Fundal grip (Determine the fundal height) ...
Step 2: Umbilical grip (Locate the fetal back) ...
Step 3: Pawlik's grip (Identify the presenting part) ...
Step 4: Pelvic grip (Locate the fetal head)
400
Opioid medications used during labor?
What is , only a few are commonly used for childbirth. They include meperidine (Demerol®), morphine, fentanyl, butorphanol (Stadol®) and nalbuphine (Nubain®).
500
What are the cardinal mechanisms of labor?
List 7 of them
• Engagement: The baby’s head enters the pelvic inlet.
• Descent: The baby’s head descends further into the pelvic cavity. This occurs throughout labor, aided by uterine contractions, amniotic fluid pressure, and maternal pushing.
• Flexion: As the baby’s head descends and encounters resistance from the pelvic bones and soft tissues, it naturally tucks its chin toward its chest, presenting the smallest head diameter to the birth canal.
• Internal rotation: The baby’s head rotates about 90 degrees to align with the long axis of the body as it moves down the pelvis, typically from an orientation where the baby is facing sideways to facing the mother’s back.
• Extension: As the baby’s head passes under the pubic bone, it extends backwards, with the chin leaving the chest, so that the head can fully emerge.
• External rotation: After the head is delivered, it rotates again so that the baby’s face is turned towards one of the mother’s inner thighs, allowing the shoulders to align with the pelvic outlet.
• Expulsion: Following delivery of the head and shoulders, the rest of the baby’s body is delivered relatively easily and quickly.
500
What to observe for in fetal heart monitoring?
(VEAL CHOP)
What is Variable deceleration Cord compression Early deceleration Head compression Acceleration Oxygenation Late deceleration Placental insufficientcy
500
What are some pharmacological pain managments utilized during labor?
What is
Regional Anesthesia
Pudendal Block
Local Infiltration Anesthesia
Epidural Block
Combined Spinal-Epidural Analgesia
Subarachnoid (Spinal) Block
Opioid Analgesics
Adjunctive Drugs
Sedatives
General Anesthesia
500
What is External Cephalic & Internal version
External cephalic version (ECV) is a procedure that tries to turn a breech baby into a head-down position so you can have a normal vaginal birth. An obstetrician will gently press on your abdomen to encourage your baby to turn. It is often, but not always, successful.
500
What is the BISHOP SCORE ?
Dilation
Effacement
Fetal station
Cervical consistency
500
What are some non pharmaceutical interventions during labor and delivery?
What is positioning breathing exercises , comfortable and relaxing environment therapeutic communication , positive reinforcement, relaxation , and therapeutic touch.