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?
Instruct patient to pant-blow and notify the provider that the delivery is imminent
What is the nursing interventions for the patient in the late active phase of labor when they appear anxious and want to push?
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, 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?
Mature the preterm baby's lungs before delivery
What is betamethasone?
Category II Fetal Heart Rate Tracing
What is, when this pattern is recognized, the nurse will move the patient to the left lateral position?
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?
Before and immediately after Artificial Rupture of membranes
What is assess the fetal station before and monitor fetal heart rate afterwards?
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?
Complete dilation of cervix
What assessment tells the nurse that the client has entered the second stage of labor?
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 interventions for magnesium toxicity if patient receiving magnesium sulfate
What is stop the magnesium, call the provider and administer calcium gluconate?
Most accurate way to measure blood loss
What is Quantitative blood loss (weighing all pads, towels, gauze with blood on them)?