High-Risk Ante
When the placenta is implanted low in the uterine segment, possibly covering the cervix. What is important to teach your patients.
Placenta previa
normal fetal HR on a strip
110bpm-160bpm
What are the labor hormones? and what do they do?
oxytocin-stimulates uterine contractions
relaxin- relaxes ligaments and softens cervix
endorphins-act as natural pain releif
prolactin-prepares the body for lactation
a rare, unpredictable, and often fatal obstetric emergency where amniotic fluid enters the maternal bloodstream, triggering a severe allergic-like reaction
AFE
causes rapid cardiorespiratory collapse and excessive bleeding (DIC)
Cytotec/Cervidil how they work and why to use them
What drugs classifications are considered safe during pregnancy?
Category A:substances like prenatal vitamins, folic acid, vitamin B6, and some thyroid medications. Category B (Generally Safe):Acetaminophen Categories C, D, and X: These should be avoided unless absolutely necessary and under strict doctor supervision
on a fetal strip, deceleration that indicates cord compression
variable decel
Pre-term Labor
occurs when a baby's head or body is too large, or the maternal pelvis is too small/shaped incorrectly, preventing safe vaginal delivery
CPD
If someone comes in reporting SROM, what other information do you need to know?
fetal Death after 20 weeks
IUFD
on a fetal strip decel that indicates head compression
early deceleration
tell me the stages of labor
stage 1 Dilation and Effacement, active phase 6-8cm
stage 2: Pushing and Delivery of the Baby
stage 3 delivery of the Placenta
stage 4 ecovery (Fourth Stage)
obstetric emergency occurring when a baby’s shoulder becomes trapped behind the maternal pubic bone after the head delivers
Shoulder Dystocia
used to stimulate a slow or stalled active labor by strengthening, lengthening, or increasing the frequency of contractions to help labor progress and avoid a cesarean section
augmentation of labor
The placenta tearing away from the uterine lining causing painful bleeding. An obstetric emergency?
placental abruption
on a fetal strip, deceleration that indicates placental insufficiency
late deceleration
one of the seven cardinal movements
The fetal chin tucks down toward the chest, reducing the head diameter to better fit the pelvis
flexion
rare but catastrophic emergency where the muscular wall of the uterus tears during pregnancy or labor, often along a previous C-section scar, leading to potential expulsion of the fetus into the abdominal cavity
uterine rupture
tell me reasons a primary cesarean section may be waranted
discuss
fetal death prior to 20 weeks gestation
abortion
what is another way to monitor fetal heart rate besides external monitors? When would this be needed? When would this be contraindicated? What needs to have been done before placing?
FSE. ...
After the head is born, it rotates to align with the shoulders, which are rotating inside the pelvis.
External Rotation (Restitution)
why might a vacuum or forceps be used in labor? What kind of documentation and assessment data do you need? What do you watch for?
discuss
maternal exhaustion
fetal intolerance
assessing for tears, newborn head, know time, pulls, pressure, pop offs
discuss post op nursing interventions after a cesarean section. recovery and after
discuss meds, rubbing fundus, scd's, bleeding monitoring, vitals, ekg, ambulation, foley, urination, diet, pain managment