Labour and Delivery
This process refers to thinning and shortening of the cervix and is measured as a percentage.
What is effacement?
This medication provides regional anesthesia during labor and is administered into the epidural space.
What is an epidural?
This medication is the "high-alert" drug commonly used to induce or augment labor contractions
What is oxytocin (Pitocin)?
This obstetric emergency occurs when the umbilical cord slips ahead of the presenting part after rupture of membranes.
What is cord prolapse?
A laboring client receiving oxytocin develops contractions every minute. This is the nurse's first intervention
What is stop the oxytocin infusion?
A primigravida is 5 cm dilated, 100% effaced, and having regular contractions. She is in this stage of labor.
What is the first stage of labor?
A common maternal side effect of epidural analgesia that requires close monitoring of vital signs.
What is hypotension?
Before increasing an oxytocin infusion, the nurse should first assess these two things.
What are contraction pattern and fetal heart rate?
his complication occurs when the fetal shoulders become lodged after delivery of the head.
What is shoulder dystocia?
After a vaginal examination, the nurse documents fetal station. This landmark represents 0 station
What are the ischial spines?
This part of the fetus is used as the reference point when determining fetal position in a vertex (head down) presentation
What is the occiput?
A laboring client received IV fentanyl 20 minutes before delivery. The nurse should closely assess the newborn for this complication.
What is respiratory depression?
This procedure, often called "breaking the water," may be used to induce or augment labor.
What is amniotomy (AROM)?
Failure to progress in labor is a common indication for this surgical birth procedure
What is a Cesarean section
A client receiving an epidural should have this assessed frequently because of the risk of hypotension.
What is blood pressure?
During this cardinal movement, the fetal chin moves toward the chest, allowing the smallest diameter of the head to present through the pelvis
What is flexion?
This non-pharmacological comfort measure involves light, rhythmic stroking of the abdomen during contractions.
What is effleurage?
For a successful induction, a Bishop Score of this value or higher generally indicates a favorable cervix.
What is 6?
Answer: A client has a Bishop Score of 3. Before starting an oxytocin induction, the provider orders Cervidil. The purpose of this medication is to improve this assessment finding.
Question: What is cervical ripening (increasing the Bishop Score)?
Answer: A nurse reviews a Bishop Score of 8 before a scheduled induction. This score suggests the cervix is:
Question: What is favorable or ready for induction?
Answer: A primigravida has a Bishop Score of 2. Based on this finding, the nurse anticipates the client will likely require this intervention before oxytocin is started.
Question: What is cervical ripening with a prostaglandin such as Cervidil?
I really like the "Bishop Score of 3 + Cervidil" scenario for Jeopardy because it links together Bishop Score, cervical ripening, and induction medications, which are all key test concepts.
What is 6?
This complication is a concern with vacuum-assisted delivery due to traction on the fetal scalp
What is a cephalohematoma
Before a scheduled Cesarean birth, the nurse ensures this blood test has been completed in case a transfusion becomes necessary.
What is a type and screen?
A laboring client has strong contractions, an adequate pelvis, and a fetus in an occiput anterior position. Which "P" of labor includes the fetus's position and presentation?
What is the Passenger?
This regional anesthetic provides pain relief to the perineum during the second stage of labor and for episiotomy or repair of lacerations.
What is a pudendal block?
A client receiving oxytocin develops contractions every 90 seconds lasting 100 seconds each. The nurse recognizes this complication
What is uterine tachysystole?
A client is scheduled for a repeat Cesarean. The nurse recognizes this laboratory test must be available due to the risk of this complication
What is hemorrhage?
Following a Cesarean birth, increasing heart rate, decreasing blood pressure, and excessive lochia should make the nurse suspect this complication.
What is hemorrhage?