Birth Process
The 5 interrelated process of labor
The 5 "P" of labor: powers, passage, passenger, position (maternal), psyche
First response to rupture of membranes (SROM or AROM)
What is assess fetal heart rate
THEN
assess color, odor, amount, time
Nursing actions for a prolapsed umbilical cord?
Lift presenting part off of cord
Monitor fetal heart tones
Prepare for cesarean section
Term used to describe uterus that is not firm
What is boggy
Signs and symptoms of impending labor
Cervical change, burst of energy, bloody show, mucous discharge, lightening, rupture of membranes
Side effects of epidural and spinal blocks
Hypotension
Headache
Indicates head compression
What is early deceleration
Medications given to mothers with preterm labor?
What is betamethasone and magnesium sulfate
The Stages of Labor
Stage 1: Latent, Active
Stage 2: Pushing>Delivery of the baby
Stage 3: Placenta delivery
Stage 4: Recovery
Medications used to induce labor
What is uterotonic medication (Misoprostol, Dinoprostone, Oxytocin)
Indicates cord compression
What is variable deceleration
The fetal head nods toward the chest
What is flexion
Signs the placenta is about to be delivered
Lengthening of cord
Bloody show
Definition of an acceleration
Increase of 15 bpm for 15 seconds to 2 min
Assess APGAR Score @ 1 min: Newborn HR 120, vigorus cry when stimulated, minimal flexion/extension, acrocyanosis
8
Optimal birthing presentation
cephalic/vertex
Primary assessment for patient receiving general anesthesia
What is respiratory depression/distress
Intervention for late decelerations
Left-side lying
Stop pitocin
IV fluids
Oxygen (10 L nonrebreather)
Terbutaline
Sterile Vaginal Exam
Notify provider
Risk factors for preterm labor
Age, infection, substance abuse, previous history, trauma, multiparity, hypertension, GDM
McRoberts Maneuver
Position where patient flexes her thighs sharply against her abdomen, which straightens out the pelvic curve. Used to help relieve shoulder dystocia