Exam 1
When would contraction stress be contraindicated?
If they are preterm
Placenta previa
Previous c-section
If vaginal birth is not an option
What should be done if the biophysical is less than 4?
Delivery the baby
What is happening during the transition phase of labor?
8cm-10 cm
Shortest phase
Very uncomfortable
What tests are done to check if water broke?
Fern test
Ph
Amnisure
What is a minimal, moderate and marked FHR variability?
Minimal- 0-5 bpm
Moderate 6-25
Marked- Less than 25
What equipment do you need for a contraction stress test?
Fetal monitor
Heart Monitor
Oxytocin/Nipple stimulation
How many fetal kicks should the mother feel?
10 kicks in two hours twice
When is the second stage of labor?
Begins at 10 cm cervix
Ends with birth of baby
What are the cardinal Movements of labor in order?
1. Descent of the baby
2.Engagements of baby at 0 station
3.Flexion of the fetal head
4. Internal rotation of the baby
5. Extension of the fetal head
External rotation of baby
Expulsion of baby
What can cause a late deceleration?
Position
Tachysystole
Placental insufficiency
When is a biophysical profile done?
When the baby HR is non reactive
What does the first stage consist of?
The cervix starting to change and ends in complete dilation
What is the third stage of labor?
Begins with birth of baby
Ends with delivery of placenta
What would be the next step if you check the fundus and notice the uterus is elevated above the umbilicus and to the side?
What are nursing interventions for late deceleration?
Move mom on side
Medications
Fluids
How is the biophysical scored?
Either 2 or zero points
8-10 good results
4 or less - bad
What is the latent phase of labor?
Longest stage of labor
Not in a lot of pain
Dilated 0-6cm
What is the fourth stage of labor?
Stage of physical recovery
Uterus can be felt at or below the umbilicus
Make sure mom is comfortable
Massaging the fundus if its boggy
Assessing BP, HR and RR every 15 minutes every hour
How is the APGAR scored?
0-2 scale
HR is scored
Respiratory effort
Muscle tone
Relex
Color
What causes variable declarations and interventions?
Cord compression, positioning
Reposition
IV lactated ringers
Oxytocin
Oxygen
Give tocolytic
What is biophysical testing for?
Fetal breathing movements
Gross body movements
Fetal tone- opening and closing of hand
Amniotic fluid volume
Reactive stress test
What is the active phase of labor?
1 cm an hour
What the fours p's of the birthing process?
Power( Contractions)
Passage( Maternal pelvis)
Passenger(Fetua)
Psyche (Emotional repsonse
What is tachysystole?
5 or more contractions in a 10 minute strip
What is a category 1 finding?
Baseline is 110-160
Moderate variability
No variables or late
Can have early