Components of the Birth Process
Name the three phases of contractions
1. Increment (increase)
2. Peak (greatest)
3. Decrement (decreasing)
Name one respiratory symptoms you may see in Mom
RR increase
tingling hands and feet, dizzy, numbness (hyperventilation) (respiratory alkalosis
Bluish color of hands and feet that is normal
Extra point what is it caused by?
Acrocyanosis
sluggish peripheral circulation
Name the 4 stages of labor
1. dilation and effacement
2. expulsion of fetus
3. explosion of placenta
4. recovery
Burst of energy shortly before onset of labor
nesting or energy spurt
Diamond shaped area formed by the intersection of four sutures
Anterior Fontanelle
Name two nursing interventions for GI during labor
assess for dehydration
use ice chips,
no food or drink,
rectal pressure and urge to defecate my mean imminent delivery
Name the two medications newborns are give
extra point if you know why they are given
Erythromycin to prevent ophthalmia neonatorum (N Ion)
Vitamin K blood clotting
1 How long is the active phase
2. Cervix Dilation
2 to 6 hours
4 to 7 cm
Act of determining the fetal position and presentation by abdominal palpations
Leopolds maneuver
Name the 3 types of breech presentation
Frank (legs flexed at the hip with but first (common)
full or complete( Reversal of cephalic)
footling (one or both feet)
What does estrogen and progesterone do during labor
Estrogen increases
Progesterone decreases
Name one intervention completed by the nurse in a newborn baby for
A. Thermoregulation
B Cardiorespiratory
A. DRY (Heat loos by evaporation, place in warmer
B. wipe face nose mouth, bulb suction mouth then nose
cut and clamp cord while on mom abdomen and put in warmer
What are the three phases in the first stage of labor
Name the duration in each stage
Name contractions in each stage
Latent 15-40 seconds, E 20 minutes decrease E5M
Active 40 to 60 seconds 2 to 5 min apart
transition 60 to 90 seconds 2 to 3 min apart
Difference between efface and dilate
Thin and open
Explain what the second letter means in fetal presentation and position within the pelvis
Fetal reference point (occiput for vertex, Mentum (Chin) face, Sacrum for breech
Name the two physiology changes of the musculoskeletal system during labor
muscle activity increases
increase joint laxity can cause backaches
What is included in APGAR
HR
Resp Effort
Muscle tone
Reflex response
Skin color
Name three signs of placental separation
1. lengthening of cord
2. uterine funds rises and becomes firm
3. fresh blood expelled from vigina
community of microorganisms both pathogenic and non pathogenic in every human body
Microbiota
Name 5 of the vertex presentations
LOA, ROA, ROT, LOT, OA, OP
Name 5 cardiac nursing interventions during labor
BP between contractions
loc
no laying on back use side lying
open glottis push and not forceful pushing with 2nd state
labs during and post
Monitor FHR frequently (time and duration)
What are the times of the three transitional Phases to adapt to extrauterine life extra point if you know where they take place
1. Birth to 1 hour delivery room
2. 1 to 3 hours in nursery or pp
3. 2 to 12 hours pp or rooming in
During second stage of labor:
What is the cervix dilated to
Contractions
Duration
Intensity
when does second stage end
1. 10
2. Q11/2 to 3 minutes
3 60 to 80 seconds
4. Intensity: firm
5. With birth of infant
What are the 4 variabilities
baseline
moderate
marked
absent