LABOR & DELIVERY
The name of the procedure used to determine effacement, dilation and presentation.
What is a Sterile Vaginal Exam (SVE)?
Measurement of fetal descent.
What is station?
A labor that last less than 3 hours from onset of contractions to the tinme of birth.
What is precipitous labor?
A drop in the fetal heart rate begining at or after the peak of a contraction and a return to baseline only after the contraction has ended.
What is a late deceleration?
This high-alert medication can be used for augmentation or induction of labor, and is always infused via a pump, piggybacked to a mainline IV solution.
oxytocin
Procedure of assessing labor contractions by placing fingertips on the fundal area during a contraction.
What is Palpation?
An assessment of the cervix to assess cervical readiness for induction.
What is the Bishops Score?
Baseline fetal heart rate of 120, moderate variability and no decelerations.
What is a category I fetal heart rate tracing.
All presentations of the fetus other than cephalic.
What is malpresentation?
Decreased blood supply to the uterus, increased pressure and stretching of the pelvic structures, and cervical dilation and stretching.
What are the sources of the discomfort of labor?
The term used to describe the baby dropping into the true pelvis during the last few weeks of pregnancy.
What is Lightening?
Prostaglandins, balloon catheter, and membrane stripping.
What are methods used to induce cervical ripening?
Irregular drops in the fetal heart rate with no correlation to uterine contractions.
What are variable decelerations?
An abnormally long and difficult labor related to powers, passageway or passenger.
What is dystocia?
Decreased FHR variability, reduced gastric emptying time, pruritus, sedation, and hypotension.
What are some of the adverse effects of opioid analgesia?
This can delay fetal descent during labor.
What is the rationale for encouraging a patient to void every 2 hours during labor?
The baby's head has these which helps it through the birth canal. (two)
What are sutures and fontanelles?
Change maternal position and administer oxygen 8-10 L/minute.
What are 2 nursing interventions for variable or late decelerations?
Turning of the unengaged fetus so that the head is the presenting part.
What is External Cephalic Version (ECV)?
Infection, hemorrhage and thromboembolism.
What are 3 principle sources of complications after a Cesarean birth?
A woman's first awareness of fetal movement within her uterus.
What is Quickening?
The specific fetal part lying nearest to the cervix.
What is the presenting part?
Oligohydramnios, fetal cord compression, variable decelerations, or presence of thick meconium stained amniotic fluid.
What are indications of amnioinfusion?
Sharp flexing of the maternal thighs while pressure is applied above the pubic bone.
What is the McRoberts maneuver?
Ferning, amnisure and nitrazine paper.
What are 3 techniques to confirm presence of amniotic fluid?