LABOR & BIRTH PROCESS
To teach patients about the process of labor adequately, the nurse knows that which event is the best indicator of true labor?
CERVICAL DILATION 10CM
EFFACEMENT 100%
REGULAR CONTRACTIONS
The slight overlapping of cranial bones or shaping of the fetal head during labor is called
MOLDING
Rho immune globulin will be ordered after birth if which situation occurs
Mother Rh–, baby Rh+
A normal uterine activity pattern in labor is characterized by
CONTRACTIONS EVERY 2 TO 5 MINUTES.
A recently delivered mother and her baby are at the clinic for a 6-week after birth checkup. The nurse should be concerned that psychosocial outcomes are not being met if the woman
has not given the baby a name
WHAT SHAPED PELVIS IS CONSIDERED THE OPTIMUM FOR VAGINAL BIRTH?
GYNECOID
When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mother‘s right side close to midline. What is the likely position of the fetus?
RSA
Excessive blood loss after childbirth can have several causes; the most common is
Failure of the uterine muscle to contract firmly.
THE 4 MAIN REASONS FOR STALLED LABOR ARE
-SHAPE OF THE PELVIS
-SIZE OF THE BABIES HEAD
-THE FORCE OR PUSHING OF CONTRACTIONS
-THE POSITION OF THE BABY
an intense and pervasive sadness with severe and labile mood swings IS CALLED WHAT?
Postpartum depression without psychotic features
WHAT IS EMTALA?
Federal regulation enacted to
ensure that woman receives
emergency treatment or labor
care
Nurses must be familiar with
their responsibilities
Agencies must have policies
and procedures in place to
ensure compliance
When assessing a woman in labor, the nurse is aware that the relationship of the fetal body parts to one another is called fetal
ATTITUDE
Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the right of the umbilicus?
Assist the patient in emptying her bladder.
Which deceleration of the fetal heart rate would not require the nurse to change the maternal position?
EARLY DECELERATIONS
what type of genital fistula occurs between the bladder and genital tract?
Vesicovaginal
which occurrence is associated with cervical dilation and effacement?
bloody show
The factors that affect the process of labor and birth, known commonly as the four Ps, include all IN ANSWER!
PASSENGERS
PASSAGEWAY
POWERS
POSITION
A woman gave birth to a healthy infant boy 5 days ago. What type of lochia would the nurse expect to find when assessing this woman?
lochia serosa
Most common cause of uterine atony?
what are Rubin's 3 phases of postpartum?
taking in
taking hold
letting go
WHAT ARE THE THREE FETAL POSITIONS OF THE HEAD? WHICH IS THE IDEAL?
VERTEX (BEST)
SINCIPUT (MILITARY)
BROW
What assessment is done to determine the orientation of the fetus and obtain a heart rate?
Leopold's maneuver.
If the patient‘s white blood cell (WBC) count is 25,000/mm on her second after birth day, the nurse should
SVD HEMORRHAGE IS CHARACTERIZED BY HOW MANY ML OF BLOOD LOSS?
500 ML
what medication is used to stop excessive bleeding?
methergine