Antepartum
What lab is indicative of electrolyte imbalance/metabolic acidosis
Urinalysis
When should the cervix be checked?
Before pain medications
When you feel like your water broke or need to have a bowel movement/push/bear down
140,000 is a contraindication for this procedure
Epidural
Abbreviation for Hemolysis, Elevated Liver enzymes, Low Platelets
HELLP
What do variable decelerations indicate?
Cord compression
What type of pressure is helpful with back pain from fetal positioning?
Sacral pressure
What does 7/80/-1 mean?
7 cm dilated 80% effaced, head is 1 below ischial spines
Fetal heart tones should be checked during this lab and the bladder should be empty before it
Amniocentesis
This tests for spinal defects in the fetus
MSAFP
These are mirror images of the contractions
Early decelerations
What laboratory values are contraindicated in a patient who is requesting an epidural?
Low platelets
What does it mean if the fetal head is at +1 station?
fetal head is 1 cm above the ischial spines
10.5-11.0 mg/dl is the normal value for this lab
Hemoglobin
This test/lab is commonly done in the doctors office and tests for immunity
Titer
These are ok and do not require intervention
Accelerations
What is a priority to assess during amniocentesis?
Fetal heart tones
What is a positive contraction stress test and its meaning?
late decels with more than 50% of the contractions
8-22 is normal for this lab
BUN
This lab may be done at 24-28 weeks or sooner if there is a risk factor
Gestational diabetes (oral glucose tolerance test)
Late decelerations indicate what?
Uteroplacental insufficiency
How should a patient avoid constipation?
High fiber, fluids, grains, fruits, vegetables
What pain management strategy is the most helpful in transitional labor?
Breathing techniques
150,000- 300,000 is normal for this lab
Platelets
This glucose tolerance test is done if a lab value is above 140 and requires fasting
3 hour glucose tolerance test
This is defined as how much the heart rate moves around the baseline
Variability