Baby Watching
These can only be used for fetal monitoring once membranes are ruptured
What is a fetal scalp electrode and intrauterine pressure catheter>
Most accurate and reliable tool for monitoring uterine contractions.
What is intrauterine pressure catheter?
Most important sign of true labor
Nonpharmacological intervention for pain from occipital posterior fetus
What is counterpressure?
Fetal buttocks are felt on vaginal exam
What is a breech presentation?
Hypoxia, CNS depression, and facial bruising can occur in this labor and birth that occurs within 3 hours
What is precipitous delivery?
Abrupt deceleration of fetal heart rate with or without contractions
What is variable decelerations?
Fetal heart baseline normal
What is 110-160 bpm?
Stage of cervical effacement and dilation
What is the first stage of labor?
Pregnant patient has increase in braxton-hicks, lightening, surge of energy, loss of mucous plug, bloody show, slight weight loss, diarrhea, nausea
What are premonitory signs of labor
Severe epigastric pain, malaise, hepatic rupture, nausea and vomiting can be an indicator of this severe condition
What is HELLP Syndrome?
Position to immediately place patient in if shoulder dystocia is indicated
What is McRobert's maneuver?
More than 5 contractions in a 10-minute period
What is tachysystole?
A deceleration of fetal heart rate that begins when contraction begins and ends when it ends. Uniform in shape.
What is an early deceleration?
Score done to assess the favorability of the cervix before induction of labor
What is a Bishop score?
Patient will often say, "I can't take it anymore!" and panic
What is the transition phase of the first stage of labor?
Hourly output, deep tendon reflexes and respirations should be obtained with this medication
What is magnesium sulfate?
Antidote for magnesium toxicity
What is calcium gluconate?
Intrauterine resuscitation
What is turn patient, apply oxygen, administer IV bolus, discontinue oxytocin?
Indicates a healthy fetal/placental exchange and an intact fetal CNS
What is a FHR acceleration?
Usually clear with flecks of vernix or lanugo
What is amniotic fluid?
Intervention to decrease incidence of post-epidural hypotension
What is pre-hydrate with 500 to 1000ml of IV fluid?
Laceration that extends through the rectal mucosa
What is a 4th degree laceration?
Only cure for pregnancy induced hypertension
What is delivery of the baby and placenta?
Nurses responsibility for fetal monitoring
Usual cause of temporary decrease in variability on the fetal monitor
What is fetal sleep cycle?
Assessment of fetal station is by this landmark
What is the ischial spines?
AROM
What is artificial rupture of membranes?
Non-reassuring FHR and loss of fetal station on vaginal exam may indicate this complication
What is uterine rupture?
Pregnancy that lasts more than 42 completed weeks can have this complication
What is meconium staining?
Assessment of frequency of contractions
What is the beginning of one contraction to the beginning of the next contraction counted in minutes?
Palpation of contraction-feels like touching finger to forehead
What is a strong contraction?
Fetal heart rate and maternal blood pressure may both drop after this procedure
What is epidural or spinal placement?
Anxiety, fear and tension can do this to labor
What is slow labor down and decrease placental blood flow?
New onset grand mal seizure in pregnant woman with preeclampsia
What is eclampsia?
Intervention for fetal bradycardia after rupture of membranes
What is look for prolapsed cord and do vaginal exam to feel for prolapsed cord?
Pressure-sensitive device placed on mother's abdomen to measure uterine contractions
What is tocodynamometer?
Can often minimize or correct cord compression and improve uterine blood flow
What is turn the patient to left or right lateral?
Least favorable pelvic shapes for vaginal delivery
What is android and platypelloid?
Patient will often be excited and chatty. Feel like labor is 'no big deal'
What is the latent phase of the first stage of labor?
Priority intervention for magnesium toxicity if patient receiving magnesium sulfate
What is stop the magnesium?
Most accurate way to measure blood loss
Weigh all bloody, pads, towels and drapes