Labor Process
The smallest diameter of the fetal head entering the pelvis.
What is vertex presentation
Method to determine fetal position, presentation and lie.
What is Leopold's maneuvers
Light stroking of the abdomen during contractions
What is effleurage
Assessment parameters of EFM tracing include the following
What is baseline rate and variability, presence of accelerations and decelerations.
Category 3 tracing nursing intervention
Change maternal position, administer oxygen, increase IVF's, discontinue oxytocin, notify provider
Relationship of the fetal presenting part to the ischial spines.
What is station
How often are maternal vs obtained during the active phase of labor?
Every 30 minutes
Nursing intervention prior to administration of regional anesthesia
What is administration of a 500-1000ml IV bolus
The interplay between the sympathetic and parasympathetic fetal nervous system
What is variabilty
Intervention for an LOP presentation
Sacral counterpressure
Fetal back lying on the maternal right, occiput facing the symphysis pubis.
What is ROA
Frequency of maternal temperature assessment after rupture of membranes.
What is every 2 hours
Massage increases the production of ________
What are endorphins
A gradual decrease of the fetal heart rate after the peak of the contraction, returning to baseline after the end of the contraction
What is a late deceleration
Prolapsed umbilical cord
Push presenting part off of cord, place in Trendelenburg or knee chest position
Entrance of the largest diameter of the fetal presenting part into the pelvic inlet.
What is engagement
Assessments after SROM/ AROM
What is fetal heart rate and TACO
Most common adverse affect after epidural administration
What is hypotension
Nursing intervention for an early deceleration
Document and continue to monitor.
Measure to help widen the pelvic outlet.
What is the use of the peanut ball or birthing ball
Realtionship of the fetal cephalocaudal axis to the maternal axis
What is fetal lie
Upon admission to the birthing unit after obtaining maternal VS and FHR it most important to review____________
Review the prenatal record
Medication to treat post regional anesthesia hypotension.
What is ephedrine
What type of deceleration results from cord compression
What is a variable deceleration
Encouraging the patient to void every 2 hours will assist with this
Fetal descent