Labor & Birth Processes
Nursing Care L&B
Fetal Assessment
Non-Pharm Pain Manage
Pharm Pain Manage
100

Thinning and Shortening of cervix. Measured in percentage.

Effacement

100
When should sterile vaginal exams be performed during labor? 

When there is a change in condition.

Feels pressure

Feels urge to push

Ruptured bag of water with decrease in fetal HR

100

Expected parameter for fetal heart rate

110-160 beat per minute

100

Light stroking of abdomen during a contraction

Effleurage

100

Which pain medication requires a 1:1 nurse/patient ratio? 

Ultiva

200

Infant's descent in birth canal and is documented as negative and positive

Station

200

How often should a woman's temperature be assessed once the membranes rupture?

Every 2 hours

200

Increase in fetal heart rate by 15 beats for 15 seconds

Acceleration

200

Focusing on an object in the room during a contraction

Distraction

200

Name 1 safety measure to implement while giving pain meds during labor.

Side rails up (3)

Assistance with ambulation

300

Infant is presenting as head first

Cephalic

300

What is the intensity of a contraction if the abdomen feels like the chin

Moderate

300

Moderate variability

6-25 beats

300

Thinking about being in another place during a contraction

Imager

300

If an opioid pain med is given within 4 hours of delivery, what newborn assessment is important? 

Respiratory status

400
The widening of the cervical opening and is measured in centimeters. 

Dilation

400

Name 2 characteristics of True labor

Regular contractions

Felt in lower back/abdomen

Blood show present

Become stronger and more frequent

Become more intense with walking

400

Fetal heart rate begins to decrease at the beginning of a contraction. 

Early Deceleration

400

Breathing techniques during labor should always begin and end with one of these

Cleansing breath

400

Which anesthesia method is used for pain relief during labor? 

Epidural

500

When can a woman start pushing? 

10 cm

500

How often should maternal vital signs and assessments be performed during the 4th stage of labor? 

Every 15 minutes 

500

Fetal heart rate begins to decrease at the peak of the a contraction and returns to baseline after the contraction ends

Late Deceleration

500

Name 2 signs/symptoms of hyperventilation

Lightheaded

Dizzy

Tingling fingers

Numbness around the mouth

500

What intervention should be implemented before insertion of epidural or spinal anesthesia? 

IV Bolus

600

Movements made by infant to maneuver through birth canal

Mechanism of Labor/Seven Cardinal Movements

600

Should a vaginal exam be performed if there is active vaginal bleeding? 

No

600

Fetal heart rate abruptly decreases and returns to baseline caused by cord compression

Variable deceleration

600

Name 2 interventions for hyperventilation

Breath into paper bag or cupped hands

Help client slow breathing rate

Help client regain focus

600

Which medication is administered to the infant after delivery with respiratory depression? 

Narcan