Nutrition
The recommended weight gain during pregnancy based on a singleton pregnancy
What is 11.3 kg-15.9 kg or 25 lbs -35 lbs
first trimester gain 1-2 kg ( 2.2-4.4 lbs)
2nd and 3rd trimester gain 0.4kg (1 lb) per week
Abnormal fetal heart rate patterns are associated with ______
Fetal Hypoxemia which can than deteriorate to fetal hypoxia if uncorrected.
This phase occurs during the first stage of labor when the contractions become more regular and palpate moderate to strong. The patient may feel anxious and have feelings of helplessness.
Active phase 4cm -7cm
Abdominal palpation of the # of fetuses, fetal presenting part, lie, attitude, descent, and the probable location where fetal tones can be auscultated on the woman's abdomen.
What is Leopolds Maneuver
The definition of sexual assault
What is the act of force in which an unwanted and uncomfortable sexual act has occurred
Underweight women should gain _____ while overweight women should gain ____ during pregnancy
underweight-- 28 lbs-40 lbs
overweight-- 15 lbs - 25 lbs
What is a normal baseline for FHR?
110-160
This is considered the SECOND STAGE of labor
full dilation to birth
maternal characteristics --pushing results in delivery of fetus
Describe 3 methods of an Induction of Labor
What is mechanical or chemical approach (foley balloon/ misoprostol)
Oxytocin
Nipple stimulation (releases endogenous oxytocin)
This position is considered helpful during the second stage of labor to increase the pelvic outlet
What is squatting
These 3 things are important for a nurse to evaluate during a nutritional consult with the pregnant client.
nutritional choices
risk factors
diet history
These are the 5 essential components that are evaluated regularly on the FHR tracing
baseline, variability, accelerations, decelerations, and changes/trends over time.
Considered the THIRD STAGE of Labor
from delivery of neonate to delivery of placenta
maternal characteristics--placental separation and expulsion. Shultz is shiny side delivers first/Duncan dull side delivers first
A method used for augmentation of labor
****Extra 50 points if you can describe the meaning of augmentation****
Amniotomy (AROM- artificial rupture of membranes)
Oxytocin infusion
Augmentation is the stimulation of hypotonic contractions and is considered when labor spontaneously starts but contractions become inadequate and don't provide cervical change
With regard to a spinal and epidural anesthesia, the nurse should know that the patient is at risk for.....
What is post-birth headache from spinal anesthesia
3 items that a pregnant client should increase during pregnancy
calories (340 cal/day) during 2nd trimester and 462 cal/day third trimester
Protein essential for basic growth
Foods high in Folic Acid prevention of fetal neural tube defects
Explain periodic changes versus episodic changes of the fetal heart rate
periodic--during contractions
episodic-- not associated with contractions
This phase of labor occurs during the first stage of labor when contractions are irregular, mild to moderate on palpation. Patient is eager and talkative.
What is the Latent phase of labor (0-3cm)
The Bishop Score
used to determine maternal readiness for labor by evaluating weather the cervix is favorable by rating the following:
dilation, effacement, consistency (firm, medium, soft), position (posterior, mid-position, anterior), station of presenting part. Numerical value of each 0-3 and total score calculated.
During a uterine assessment using IA (Intermittent Auscultation), the nurse should be aware that..
What is placing the hand over the fundus before, during, and after the contraction.
Name 4 risk factors that may affect a pregnant client's caloric intake
Adolescents (poor nutritional habits), Vegetarians due to low protein, etc, N/V, Anemia, Eating Disorders, Appetite disorders of pregnancy (Pica), Excessive weight gain (macrosomia, delivery complications), Inability to gain weight, Financial difficulties
Nursing interventions for category 2 or 3 fetal heart rate pattern
***Extra 50 points if you can name one****
POISON
Position change, O2, IVF bolus, Sterile vaginal exam, Oxytocin off, Notify provider
This occurs during the FIRST STAGE of labor when the patient has the urge to have a bowel movement, feels out of control, often states "they cannot finish", and is considered the most difficult part of labor.
What is the transition phase 8cm-10cm
These FIVE factors affect and define the labor and birth process. Explain each factor.
What are Passenger (fetus/placenta), Passageway (birth canal), Powers (contractions), Position (of the mother), Psychological response
This position is considered when a patient complains of back pain during labor.
What is lean over the birthing ball with her knees on the floor.