Assessment/Intervention
Most favorable pelvic shape
What is gynecoid?
Types of fetal monitoring and devices used
What is external (US and toco) and internal (FSE and IUPC)?
Pharmacological cervical ripening agents
What is cytotec and cervidil?
Classic sign of shoulder dystocia
What is the turtle sign?
Classifications of cesarean birth
What is scheduled and unscheduled (non-urgent, urgent, and emergent)?
3 components of contractions
What is frequency, duration, and intensity?
Definition of an acceleration (< and > 32 weeks)
What is 10X10 for less than 32 weeks and 15X15 for more than 32 weeks?
Cause of meconium- stained amniotic fluid
What is first fetal bowel movement in utero due to stress?
Maternal positions for umbilical cord prolapse
What is Trendelenburg or knee-chest?
Safety check done before administration of anesthesia and start of procedure
What is a time-out?
Stages and phases of labor
What is first (latent, active, and transition phase), second, third, and fourth stage?
Causes of fetal bradycardia and tachycardia
What is supine position, hypotension, uterine rupture, abruption, medications, umbilical cord occlusion, hypoxemia, and hypothermia (bradycardia) & maternal fever/infection, chorio, dehydration, cocaine use, fetal infection/sepsis, fetal arrhythmia, and fetal anemia (tachycardia)?
What is a vacuum-assisted delivery and forceps-assisted delivery?
Maternal assessment findings with uterine rupture
What is hypotension, tachycardia, tachypnea, and pallor?
Risks related to cesarean birth
What is infection, hemorrhage, thromboembolism, placenta accreta, and death?
Characteristics of true labor contractions
What is cause cervical change, closer in frequency, stronger in intensity, continue despite movement/rest, and "wrap around"?
Intrauterine resuscitation measures
What is lateral positioning, IV fluid bolus, discontinue oxytocin, administer oxygen at 10L/min with face mask, modifying pushing, etc.?
Contraindications of labor/oxytocin induction
What is classical uterine scar, placental abnormalities (placenta previa or vasa previa), abnormal fetal position, umbilical cord prolapse, active genital herpes, and pelvic abnormalities?
Classic signs of DIC
What is bleeding from orifices/IV site and bruising/petechiae?
Nursing actions for scheduled cesarean birth
What is admission assessment, review prenatal records, obtain baseline FHR, verify NPO status, sign consents, start IV, administer preop meds, insert Foley, trim area if needed, patient/family education, and emotional support?
2 types of pain management during labor (with examples)
What is nonpharmacological (relaxation, breathing, aromatherapy, massage, acupuncture, hydrotherapy, etc.) and pharmacological (IV push, nitrous oxide, local, regional, and general anesthesia)?
Priority nursing action for early decels, variable decels, and bradycardia
What is continued FHR monitoring, repositioning the patient, and assessing maternal heart rate?
Priority nursing action for amniotomy
What is assess the FHR before, during, and after
Priorities for amniotic fluid embolism
What is managing cardiopulmonary collapse/arrest, hypotension, and coagulopathy?
What is assessment of VS, lochia, sedation, pain, IV, abdominal dressing, I&O, body systems, etc.?