EFM
This term refers to the variation in the fetal heart rate around the baseline, which is an important indicator of fetal well-being.
What is variability?
This medication, used for neuroprotection in preterm labor <32 weeks, must be administered within 24 hours of anticipated delivery.
What is magnesium sulfate?
This condition is characterized by high blood pressure only that develops after the 20th week of pregnancy, typically resolving after delivery.
What is gestational hypertension?
This acronym (please state what each letter stands for) describes the elements at play during the normal course of labor.
What are the 4 P's? Power, passage, passenger, and psyche
A formalized method for communication used to transfer information clearly and effectively.
What is Situation, Background, Assessment and Recommendation?
This type of deceleration, often attributed to umbilical cord compression, may present with a rapid onset and recovery in the fetal heart rate tracing.
What is a variability deceleration?
This is the most appropriate intervention if a patient with PPROM at 30 weeks develops a fever, uterine tenderness, and fetal tachycardia.
What is immediate delivery due to suspected chorioamnionitis?
Women with this chronic health condition, characterized by high blood sugar levels before or during pregnancy, are at an increased risk for developing pregnancy-related hypertension.
What is diabetes?
This position (often considered counterintuitive) promotes fetal descent through the outlet during the second stage.
What is closed knee pushing?
The process by which a provider educates a patient about the risks, benefits, and alternatives to a procedure or intervention.
What is informed consent?
This type of deceleration is characterized by a gradual (AND how do we define gradual?) decrease in FHRT following a contraction.
What is ≥30 secs? Late decel
This is the most appropriate next step if a patient with suspected PROM has a negative nitrazine and ferning test but continues to leak fluid.
What is an Amnisure or ROM Plus test?
Criteria for severe range blood pressure.
AND
Goal for time frame of treatment of severe range pressure.
What is ≥160/110 & 60 minutes?
This hormone potentiates the natural release oxytocin and can be promoted with lowering the lights.
What is melatonin?
This format of communication ensures that information was accurately received from the sender to the receiver.
What is closed loop communication?
This mechanism, involving the parasympathetic nervous system, causes transient decreases in fetal heart rate– often associated with variable decelerations.
What are baroreceptors?
This test, when negative, can help rule out imminent preterm birth in symptomatic patients.
What is an FFN (fetal fibronectin)?
Magnesium sulfate is commonly used to prevent this complication in women with severe preeclampsia.
What is eclampsia?
Midpelvis is defined by a fetal station of...
What is -1, 0, +1?
This is why nurses should avoid writing opinions or judgments in their notes (e.g., “patient is rude”).
What is to maintain professionalism and avoid bias in the medical record?
This assessment tool, used to evaluate fetal heart rate tracings, employs specific criteria to classify the risk of adverse outcomes based on fetal heart patterns and guide intervention.
What are the NICHD FHR categories I, II, and III?
This calcium channel blocker is used for symptomatic management in the setting of preterm contractions or tocolytic therapy in the setting of preterm labor (to allow time for steroid administration).
What is Nifedipine?
This laboratory finding indicates kidney dysfunction and is a marker of severe preeclampsia.
What is Creatinine > 1.1 mg/dL?
This fetal position-- which is increasing due to increasing levels of inactivity among pregnant women— and increases the risk of a c-section by ____ times.
What is occiput posterior? and 2-6 times?
This process reduces high-risk medication errors by having two nurses confirm the medication order, dose, route, lines (including labels), and pump programs.
What is an independent double check?