Operative Deliveries Flashcards

0
Q

Types of episiotomy

A

Midline, mediolateral (to the side)

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1
Q

Episiotomy

A

Surgical incision of the perineum to enlarge the area to allow for a safe delivery preventing a tear

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2
Q

Indications of episiotomy

A

Prevent damage to perineum, sphincter and rectum, prevent jagged tears, reduce risk to fetus, protect bladder, prevent future over stretching

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3
Q

Complications with episiotomy

A

Blood loss, infection, pain, discomfort, painful intercourse

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4
Q

Methods to reduce need for episiotomy

A

Kegel exercises, massage, avoid lithotomy position when pushing, side lying, warm compresses, breathing techniques

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5
Q

Nursing care for episiotomy

A

Offer support and comfort, available for surgical needs, document, maintain sterility

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6
Q

Care to episiotomy

A

Ice, assess pain, assess perineum, teach care, sitz bath, topical creams

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7
Q

Cesarean section

A

A surgical procedure with an incision through the transabdominal site to remove a fetus

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8
Q

C section purpose

A

Preserve life or health of mom and baby, prevent further complications

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9
Q

Types of c section incisions

A

Vertical through skin and uterus
Horizontal though skin, vertical through uterus
Horizontal through skin and uterus

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10
Q

What type of c section is the only kind that can be considered for future vaginal birth?

A

Horizontal

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11
Q

Indications for c section

A

Malpresentation of fetus, prolapsed cord, implanted placenta, herpes/HIV, pelvic disproportion, failure to progress

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12
Q

Number one issue for mortality

A

Hemorrhaging

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13
Q

Major complications of c section

A

Aspiration, PE, would infection, dehiscence, thrombophlebitis, hemorrhage, uti, injury to bowel or bladder

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14
Q

Preop nursing care

A

Education of possible c section, if scheduled do labs, vs, shave, bath, h&p, decide on anesthesia, npo 8 hrs, antacids, consent

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15
Q

Immediate preop prep

A

IV, catheterization, remove dentures and stuff, allergies, npo, consent, explain procedure, emotional support

16
Q

In trap nursing care

A

Time out, I’d patient, sterile field, assist with counts, positioning, safety, assist father, baby care

17
Q

Post op nursing care

A

Assess fundus, lochia, vital signs, dressing, pain, foley, IV, deep breathing, anti thrombotic stockings

18
Q

Estimated blood loss for vaginal delivery

A

500ml

19
Q

Estimated blood loss for c section

A

1000ml

20
Q

Daily care and assessment of c section

A

BUBBLIE

Peri care, homan sign, assess incision, sutures, vs, oob, bonding, pain Meds

21
Q

Systemic analgesia

A

Crosses placental barrier, blood brain barrier, stadol

22
Q

Nerve block analgesia

A

Local injection of xylocaine into perineal tissues or pudendal nerve block

23
Q

Epidural anesthesia

A

Into subarachnoid space

24
Q

General anesthesia

A

Unconsciousness, not usually choice

25
Q

Nursing responsibilities r/t epidural

A

Assess IV, we’ll hydrated, maintain sterility, support patient, assess for hypotension, decrease respirations, fetal hr, loss of sensation

26
Q

Complications with epidurals

A

Hypotension, bradycardia, dura tear, spinal headache, catheter migration, abscess, hematoma

27
Q

Post delivery care

A

Assess for hypotension and resp depression, stress incontinence, spinal headache, itchiness, n/v

28
Q

General anesthesia care

A

Not done unless emergency

Assess anesthesia, cricoid pressure, roll pt hip to relieve aorta and vena cava

29
Q

VBAC

A

Vaginal birth after cesarean section- must have had horizontal incision, good pelvis, risk for uterine rupture