True vs. False Labor
Contractions stop with comfort measures
What is false labor?
Applying ________ relieves muscle ischemia and increases blood flow to the area of discomfort.
What is heat?
RN should perform this if a laboring patient reports a sudden need to have a bowel movement.
What is a vaginal exam/cervix check?
This is a visually apparent, abrupt onset increase in fetal heart rate and is a sign of fetal well-being.
What is an acceleration?
This drug should be kept nearby to treat anesthesia related respiratory distress.
What is naloxone?
This stage of labor begins with delivery of the placenta and lasts through the first two hours of recovery.
What is stage four?
Incision to enlarge the vaginal outlet
Episiotomy
Contractions are more intense with walking
What is true labor?
Used in epidurals, this drug is a potent, short-acting synthetic opioid that has less neonatal and maternal side effects.
What is Fentanyl?
This vaccine is standardly given around 27 weeks gestation.
What is Tdap?
Visually apparent decrease in fetal heart rate that begins after a contraction.
What is late deceleration?
This alternative pain medicine is patient-controlled and delivered via facemask.
What is nitrous oxide?
This stage of labor includes laboring down and the active pushing phase.
What is the second stage of labor?
Also referred to as delayed pushing, laboring down, or passive descent
Latent phase
Contractions are felt in the back or the abdomen above the umbilicus
What is false labor?
This drug should be avoided with opioid dependent patients.
What is nalbuphine?
This one is an agonist-antagonist analgesic and can cause withdrawal symptoms in those with opioid addiction.
The nurse knows to assess this with epidural patients before getting them up.
What is bilateral leg movement?
Visually apparent change in fetal heart rate that mirrors contractions.
What is/are early decelerations?
Pregnant women should avoid lying flat on their back to prevent what?
Supine hypotension
Use a side-lying position, or put a pillow/blanket/wedge under one hip
This stage begins with regular contractions and ends with complete dilation and effacement.
What is the first stage of labor?
Occurs when the widest part of the head (parietal diameter) distends the vulva just before birth
Crowning
Contractions start in the back and radiate to the front lower abdomen
What is true labor?
This is the fastest, most reliable treatment for a spinal headache.
What is a blood patch?
This position uses gravity to help with fetal descent.
What is upright?
This is a fetal heart rate baseline that is less than 110 bpm for at least 10 minutes.
What is bradycardia?
This stage of labor lasts from the time the baby is born until the delivery of the placenta.
What is the third stage of labor?
Burning sensation of acute pain as vagina stretches and crowning occurs
Ring of fire
This is the only true indicator of labor.
What is cervical change?
This is a rapid infusion given in preparation for epidural placement.
What is bolus?
A bolus should be given to counteract hypotension caused by epidural placement
A priority action when a patient's membranes rupture.
Obtain fetal heart tones
This is a fetal heart rate baseline greater than 160 bpm for at least 10 minutes.
What is tachycardia?
Exhaling during contraction that helps maintain oxygenation of mother and fetus
Open glottis pushing