Giving Birth/ labor & delivery
How dilated a women should be during the active phase of labor.
What is 4 to 6 cm?
Which method of assessing the fetal heart rate requires the use of gel?
What is a Doppler.
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
A patient complains of a headache and seeing blurry spots. The nurse knows these are symptoms of what complication.
What is preeclampsia?
Some simple thing that a nurse can do to help during labor.
What is adjust Lighting and temperature Cleanliness and mouth care Bladder care, repositioning offer water, providing encouragement, pharmacologic pain relief?
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.
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.
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.
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
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)?
nullipara vs multipara
What is Nullipara (or para 0): A female who has never carried a pregnancy beyond 20 weeks.
Multipara (or multip): A female who has given birth two, three, or four times?
Oxytocin
What is a hormone used to help start or continue labor and to control bleeding after delivery??
Three phases within the first stage of labor
What is latent, active, and transition?
The cervix stretches and gets thinner.
What is effacement ?
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?
A small cut that prevents tearing during delivery.
What is an episiotomy?
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.
A patient in preterm labor is receiving betamethasone, what is the indication for the use of this med?
What is to enhance fetal lung maturity?
Braxton-Hicks contractions
What is Contractions that help the mother's body prepare for true labor; they do not indicate that labor has begun?
observe for fetal heart rate
What is external fetal monitoring FHR
Why is Oxytocin utilized?
What is prevents excessive postpartum bleeding by helping the uterus to contract.
Cervical ripening medical methods (prostaglandins)
Mechanical methods (transcervical catheter, laminaria) Oxytocin administration Diluted in an isotonic solution and given as a secondary infusion.
What is the difference between augmentation and induction?
Leopolds maneuvers-steps and reason for utilizing 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)
Only a few are commonly used for childbirth. They include meperidine (Demerol®), morphine, fentanyl, butorphanol (Stadol®) and nalbuphine (Nubain®).
What is Opioid medications used during labor?
The cardinal mechanisms of labor
List 7 of them
• Engagement:
• Descent:
• Flexion: .
• Internal rotation:
• Extension:
• External rotation:
• Expulsion:
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
Some pharmacological pain managements 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
is a procedure that tries to turn a breech baby into a head-down position so you can have a normal vaginal birth.
What is External Cephalic ?
What is the BISHOP SCORE?
Dilation, Effacement, Fetal station, Cervical consistency
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.