Induction
Induction
Most favorable pelvis shaper for a vaginal delivery
Gynecoid Pelvis (half of all women). Head fits well.
incision used in emergencies, no common and causes higher risk for uterine rupture in future pregnancies
classic (vertical) incision
What is considered a normal fetal heart rate baseline
110-160
Epidural
Strengthening contractions in a labor that has already begun
augmentation
Describes how far the baby is descended into the pelvis
Fetal Station
the most common type of uterine incision, preferred and compatible with VBAC
Low-transverse
How long must the fetal heart rate remain at least 15 bpm above baseline to qualify as an acceleration in a fetus ≥32 weeks
15 seconds
Medication is injected directly into the spinal space, producing a rapid, dense block of feeling.
Medications that help soften and thin the cervix to get it ready for dilation
Cervical ripening agents
(discuss further)
Contractions become stronger, longer, and more frequent
Pain often starts in the back and radiates to the hips or abdomen
Cervical change occurs (e.g., dilation from 3 cm to 4 cm)
True Labor
List atleast five indications for a cesarean section
Malpresentation, CPD, NRFHT, placenta previa, abruption, uterine rupture, genital herpes, previous cesarean section, prolapsed cord
Which type of deceleration is associated with fetal head compression
Early Decel
Considered a last resort, results in complete unconsciousness, drugs cross the placenta, and is often used in emergencies
General Anesthesia
More than five contractions in 10 minutes for over a 30-minute period
Tacysystole
Tell me the four stages of labor and the three phases of stage 1
Stage one (dilation 0-10) -phase 1 (Latent phase 0-3cm)- phase 2 (active phase 4-7cm)- phase 3 (Transition phase 8-10)
Stage two is pushing, complete dilation to delivery of fetus
Stage Three is from delivery of fetus to delivery of placenta
Stage Four is from delivery of placenta to 2 hours of recovery
Preop medications given prior to cesarean section
Bicitra, pepcid, reglan, tylenol, antibiotics, ancef
Which type of deceleration is most concerning for uteroplacental insufficiency
Late decel
IV pain medication that can be given in labor crosses the placenta and should not be given during the transition phase.
Stadol
List five reasons for a Medical induction
Hypertension, IUGR, preterm rupture of membranes, post term pregnancy, gestational diabetes, NRFHT,
Passage: maternal pelvis
Passenger: Fetus, membranes, placenta
Powers: Forces that move the fetus down
Position: How the birthing person is positioned
Psyce: Emotional, mental, psychological state of birthing person
Rn responsibility during c/s and in recovery
C/S: roll patient back, count OR, get HT, position for spinal, prep the patient, working IV, SCD's hooked up,grounding pad, foley, time out, counts during surgery
recover: vitals, ekg, cardiac, respiratory status, bleeding, incision, iv maintenance, consiousness, return of movement, foley, bonding with baby, ambulating for first time, post op complicaitons, EDUCATION
What is the most common cause of variable decelerations
Cord compression
Tell me atleast five non-pharm pain measures that may be used
Dim lights, distraction, music, warm blanket, fan, pillows, ice, heat, clenching a comb