Labor Stages
She thinks her mucous plug came out and feels mild cramping every 20 minutes
What is latent phase?
This pain control technique requires steady pacing
What is Breathing Technique?
The baby has officially entered the mother's pelvis
What is Engagement?
Used for cervical ripening, placed at the posterior of the cervix
What is misoprostol?
Fluctuations of the FHR: minimal, moderate, marked, absent
What is baseline variability?
Delivery of the placenta
What is the Third Stage of labor?
A patient has been pregnant 3 times, had 1 SAB, 1 full term delivery, with a twin delivery (GTPAL)
What is G3P1012?
The perineum becomes bulging with the pressure of the posterior shoulder
What is Expulsion?
Administered via IV drip, induces strong uterine contractions
What is Pitocin?
The approximate mean FHR rounded to increments of 5BPM during a 10-minutes segment
What is Baseline?
Pushing can take anywhere from 30 minutes to 4 hours
What is the Second Stage of labor?
Actions performed for intrauterine resuscitation
What is: changing maternal position, IVFB, oxygen administration, turning the Pitocin down or off?
The smallest diameter of the baby's head presents into the pelvis and the chin meets chest
What is Flexion?
Requires Penicillin treatment during labor so as not to pass on to the fetus during delivery
What is Group Beta Streptococcus (GBS)?
Onset to nadir <30 seconds, rapid decent and does not last for more than 2 minutes.
What is a Variable?
Pain is increased and cervical change is noted every hour to hour and a half to be about 1cm
What is Active Phase?
29 y.o female at 38 2/7 days pregnant G1P0 presents with a headache 7/10 that is not resolved by acetaminophen, upper abdominal pain, and increased swelling of her hands and face. Her vital signs are: BP 145/90, HR 99, RR 18, Temp 36.8 C.
What are the signs and symptoms of pre-eclampsia?
A pause in the movement to allow baby to turn either to the left or right and alignment of the shoulders occur
What is External Rotation?
To prevent seizures; patient needs frequent blood draws while one this drip to identify toxicity
What is Magnesium Sulfate?
A visually apparent gradual decrease and return to baseline associated with a uterine contraction
What is a Late Deceleration?
When the mother looks extremely uncomfortable and irritable
What is Transition Phase?
A medical emergency that requires immediate movement to delivery via cesarean section, usually noted with deep variables in FHR and a soft jelly-like sensation is noted during a cervical exam
What is a Prolapsed Cord?
As the head, face, and chin are delivered
What is Extension?
Used for hemorrhage, contraindicated for patients with asthma
What is Hemabate?
Usually observed due to head compression
What is an Early Deceleration?