Surgical Interventions
This surgical intervention may be required during vaginal birth to widen the vaginal opening.
What is an episiotomy?
This setting is the most popular in the United States for delivering newborn.
What is a hospital?
This non-pharmacologic method uses warm water immersion to reduce labor pain and promote relaxation.
What is Hydrotherapy
This term is used when a concurrent disorder, pregnancy-related complication or an external factor that jeopardizes the health of the fetus, or the pregnant woman.
This may be characterized by dilation of more than 5 cm in one hour, a complete labor in 3 hours, and a higher risk for subdural hemorrhage in the fetus as well as premature separation of the placenta and hemorrhage.
What is precipitate labor?
This may be performed by the insertion of internal electronic fetal monitoring or while obtaining fetal blood samples, or when checking for evidence of meconium staining.
What is an Amniotomy( artificial rupture of membranes during labor )?
This role can be filled by the patient's partner or a trusted friend.
This type of breathing technique helps manage pain by promoting relaxation and oxygenation during contractions.
What is Patterned Breathing
What is right-sided heart failure?
This is characterized by stabbing and sudden pain accompanied by large amounts of vaginal bleeding.
What is abruptio placentae?
Cesarean birth is accomplished through abdominal
incision into the uterus and has multiple indications. Name two of the four you learned.
What is Cephalopelvic disproportion, Breech presentation, Multiple gestation or Failure of labor progression?
This role is to offer comfort measures, help with self-advocacy, and provide resources for healthy parenting and transitions, but they do not perform clinical medical tasks or offer medical advice.
What is a doula?
This method of pain relief uses medication injected into the space around the spinal cord and blocks pain during labor.
What is an epidural?
It is generally recommended that the patient complete a three-hour glucose challenge test when the results of the one-hour glucose challenge are higher than what number?
What is 140mg/dL.
Some providers use 130mg/dL as the cutoff
Calcium gluconate is known as the reversal agent for this medication, which can augment labor.
What is Magnesium sulfate?
Nurses monitor this closely post-Cesarean to detect signs of hemorrhage or infection.
What is blood pressure?
Some examples include tailor sitting, pelvic rocking,squatting, and kegel.
What are exercises that will increase and strengthen the abdomen and pelvic muscles?
These medications are typically halted when the patient is in the transition phase of labor, which is typically 30-120 minutes before the birth.
What are opioids or narcotics?
Conditions of this include coarctation of the aorta, mitral stenosis, and mitral insufficiency.
What is left-sided heart failure?
Placing the patient in the knee, chest, or Trendelenburg position is done if this is suspected.
What is a prolapsed umbilical cord?
This acronym refers to the nursing care protocol used to assess post-operative recovery, including pain, incision site, and mobility.
What is REEDA (Redness, Edema, Ecchymosis, Discharge, Approximation)?
This setting stresses no mandated universal prep, no enemas, no IVs, allows beverages and food, free movement of the patient, and uses monitoring only periodically throughout labor.
What is a MotherFriendly Hospital?
This regional anesthesia is often used for rapid pain relief during late labor or before delivery.
What is a Spinal Block
There are a multitude of Risk factors for gestational diabetes. Name four that you were taught.
What is advanced maternal age(over 25Y), obesity, History of large babies(over 10lbs), unexplained fetal loss, history of congenital anomalies in past pregnancies, history of polycystic ovary syndrome, family history of diabetes, and a member of a population with a high risk for diabetes?
Neither of these is indicated if there is a chance of cephalopelvic disproportion.
What are forceps-assisted birth and vacuum-assisted birth?