Assessment
Four distinct maneuvers to help determine fetal position
What is Leopold Maneuvers
Regular contractions with no cervical change
What is false labor
Delivery prior to completion of 37 weeks gestation
What is preterm delivery
SROM
What is spontaneous rupture of membranes
Dose 1-20 milliunits/minute
What is Oxytocin (Pitocin)
Prenatal record review, OB history, medical/surgical history, labor assessment, fetal assessment
What is maternal assessment
Regular contractions with increase in intensity and progressive cervical change
What is labor
May result in a large baby
What is gestational diabetes
SVD
What is spontaneous vaginal delivery
Medication given to preeclampsia patients to prevent seizures
What is magnesium sulfate
Admission, Prior to medication administration to induce contractions or relieve pain, decels in fetal heart rate, urge to push
What is indications for vaginal exam
Parity, membrane status, maternal psyche, pelvic structure
What is factors affecting labor duration
SBP greater than or equal to 140, diastolic greater than or equal to 90, seeing spots/blurred vision, RUQ pain, elevated liver enzymes with or without proteinuria.
What is preeclampsia
LGA
What is large for gestational age
Right patient, medication, dose, route, time
What is the five rights
How to determine your patient is having contractions without monitors
What is palpation
Begins after completely dilated and ends after delivery of the baby
What is Stage 2 of labor
Cause of 70% of OB hemorrhages
What is tone
BBOW
What is bulging bag of water
Can be given PO, PV, SL or PR depending on the situation
What is Misoprostol (Cytotec)
Dilation, effacement, station, cervical consistency, cervical position
What is Bishop Score
Pressure on the cervix releasing oxytocin from the maternal posterior pituitary gland
What is Ferguson Reflex
Outcomes include poor fetal growth, preterm birth, neonatal abstinence syndrome
What is opioid use in pregnancy
IUPC
What is Intrauterine pressure catheter
The antidote for magnesium toxicity
What is calcium gluconate