Fetal Monitoring
This is the start of 1 contraction to the start of another contraction.
What is frequency?
During early labor these are alternative means of pain relief you can suggest to the patient.
What are walking, shower, exercise ball/bouncing or hands and knees positioning?
+Fetal Heart tone
+Ultrasound
Palpable fetal movement
What is POSITIVE sigs of pregnancy?
Painless, bright red bleeding
What is Placenta Previa?
You will educate your patient on this when they tell you they eat deli subs and sushi for lunch every day.
What is avoid deli meats, hot dogs & raw fish during pregnancy?
This is the time from the start of a contraction to the end of the contraction.
What is duration?
Your patient is walking the halls and reports her water broke. This will be the priority.
What is assess color and consistency of the fluid?
(Check for blood, meconium and foul order)
Amenorrhea
Sore, tender, enlarged breasts
N/V
Fatigue
What are PRESUMBTIVE signs of pregnancy?
Rigid abdomen, painful dark red bleeding
What is placental abruption?
At her 36 week appointment, you know the patient will have this test done.
What is GBS vaginal and rectal cultures?
During a non-stress test, you note 3 incidence of the fetal baseline going up by 15bpm lasting about 15 seconds. You will report the findings to the physician as this.
What is a reactive NST?
During shift change you are told your patient is 10cm and 100% effaced. You know this is what stage of labor.
What is Stage 2 (fully dilated and completely effaced until baby is born)?
+pregnancy test
+Goodell, Chadwick and Hagar signs
+Ballotment
What are PROBABLE signs of pregnancy?
Failure of the cervix to remain closed until the fetus is mature enough to survive outside the uterus
What is incompetent cervix?
In the first trimester, mom's insulin demands go _____, this sets her up for risk of _________.
What is down and hypoglycemia?
While looking at the fetal monitor, you note the baby's heart rate drops during a contraction and returns to baseline after the contraction. You know this is ________ type of deceleration and caused by _______
What is an EARLY decel and caused by head compression?
You are assessing your patient with pre eclampsia and note she is progressing into HELLP based on these objective findings.
What are Hemolysis, elevated liver enzymes and low platelets?
Using Naegel's Rule, you know the EDD is this based on a LMP of 10/12/24
What is July 19, 2025
Increased BP over 140/90 with protein in the urine along with headache, facial swelling, visual changes and/or epigastric pain
What is pre eclampsia?
Your patient is on Magnesium Sulfate for Pre eclampsia which finding warrants a call to the physician?
A. DTR went from +4 to +2
B. Reports body aches and feels "yucky" and BP is 143/89
C. RR of 11
What is C?
Mag toxicity can cause respiratory depression, decreased urine output.
Your patient is 42 weeks pregnant being induced by Pitocin. She is having "late decelerations" which is caused by __________ and you will do this _______
What is placental insufficiency and you will reposition mom, turn off the Pitocin and start oxygen.
You are educating a new nurse and explain that you should always check a patient's cervix during labor when they state "I need to have a bowel movement" because it is frequently associated with this.
What is pressure from being fully dilated?
You know a positive Hegar sign would estimate your patient to be this many weeks pregnant?
What is 8-12 weeks?
Bleeding and cramping with some passage of tissue
What is incomplete spontaneous abortion?
Doing a Leopold maneuver, you note a soft mass at the top of the fundus, a hard mass at the pubis symphysis and a flat long object on the right. You know the baby is in this position
What is ROA (Right occipital anterior)