Obstetrical Procedures
Abnormal Labor
Pain
Drugs for L&D
Fetal Circulation
100
Risks associated with an amniotomy (list 1 of 3).
What is prolapsed cord, infection, abruptio placenta?
100
Contractions during the active phase of labor that are coordinated but too weak to be effective
What is hypotonic labor dysfunction?
100
Part of a normal body process, not connected with injury or illness, is self-limiting and rapidly declines after delivery.
What is Childbirth pain?
100
Toxicity symptoms of this medications include: Flushing, sweating, hypotension, depressed DTRs, and CNS depression.
What is Magnesium Sulfate?
100
Directs blood from the pulmonary artery to the aorta bypassing the lungs.
What is the ductus arteriosus?
200
Contraindications for the induction of labor (list 1 of 5).
What is placenta previa, umbilical cord prolapse, high fetal presenting part, abnormal fetal presentation, and previous surgery in the upper uterus?
200
The medication administered for the management of hypertonic labor dysfunction that reduces uterine resting tone and improve placental blood flow.
What is terbutaline?
200
Psychosocial factors that influence pain. (list one)
What is culture, anxiety and fear?
200
Side effects of this intrapartum drug include: Coma, seizures, hypotension, hypochloremia, hyponatremia and water intoxication.
What is Pitocin?
200
About two thirds of the blood goes through the liver, and the rest bypasses the liver and enters this structure.
What is the inferior vena cava?
300
Three nursing interventions for nonreassuring FHR patterns associated with a pitocin induction or augmentation. (must give all 3)
What is stop pitocin (bolus with primary IVF), place patient in side-lying position, give 100% oxygen via face mask 8-10L/min?
300
This fetal position may cause intense back and leg pain.
What is occiput posterior?
300
Nonpharmacological techniques for managing intrapartum pain. (list 1 of 3).
What is massage, mental stimulation, and breathing?
300
A type of rapid acting insulin.
What is insulin aspart (Novolog), insulin lispro (Humalog) and insulin glulisine (Apidra)?
300
This structure constricts when flow of blood from the umbilical cord stops.
What is the ductus venosus?
400
This procedure changes the fetal position from a breech, transverse lie or oblique presentation to vertex.
What is an ECV (external cephalic version)?
400
The category of medications that inhibit uterine contractions and are used to stop preterm labor.
What are tocolytics?
400
Regional pain management technique that is used for intrapartum analgesia, surgical anesthesia or both.
What is epidural, combined spinal epidural, or spinal block?
400
Labs that need to be monitored during anti-coagulation therapy.
What is prothrombin time (PT) with Warfarin and activated partial thromboplastin time (aPTT) with Heparin?
400
Fetal structure that is responsible for blood entering the heart from the vena cava and directed across the right atrium to the left atrium.
What is the foramen ovale?
500
Indications for this type of delivery includes: maternal exhaustion, inability to push effectively, and cardiac and pulmonary disease.
What are indications for forcep or vacuum delivery?
500
Category of medications given to speed fetal lung maturity if birth before 34 weeks seems inevitable.
What are corticosteroids (dexamethasone and betamethasone).
500
Adverse effects of this type of anesthesia includes: Maternal aspiration, respiratory depression, and uterine relaxation.
What is general anesthesia?
500
CNS side-effects of Beta-blockers (list 2 of 11)
What are fatigue, weakness, depression, dizziness, drowsiness, insomnia, memory loss, mental status changes, nervousness, and nightmares.
500
With the first breath, pulmonary and right heart pressures FALL or RISE and systemic pressures begin to FALL or RISE with the removal of the placenta. Hint: Fall and Rise or Rise and Fall?
What is FALL and RISE?