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From Flashcardlet > (3) Exam 2-🍼 Timing Contractions & Client Teaching > Flashcards

(3) Exam 2-🍼 Timing Contractions & Client Teaching Flashcards

0
Q

What must occur with any internal monitoring?

A

Rupture of the membranes (Water has to break)

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1
Q

External Fetal Monitor (Topa Monitor) is placed at the top of the fundus and the lower monitor is placed where?

A

Where the baby’s back is.

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2
Q

What method to assess uterine activity requires screws going into the baby’s head?

A

Internal Scalp Electrode Monitor

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3
Q

What is frequency?

A

Measurement from the beginning of one contraction to the beginning of another.

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4
Q

Frequency is measured using what unit of time?

A

Minutes

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5
Q

What is duration?

A

How long a contraction lasts from start to end.

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6
Q

Duration is measured using what unit of time?

A

Seconds

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7
Q

What uterine activity is measured by palpating the firmness of the abdomen and cant be determined by monitoring unless an IUPC is used?

A

Intensity

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8
Q

What goes into the uterine cavity to determine the exact strength of contractions?

A

Intrauterine Pressure Catheter (IUPC)

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9
Q

When reading the fetal monitor to determine uterine activity, how is one minute represented?

A

Red Line to Red Line = 1 minute

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10
Q

When reading the fetal monitor tracing strip to determine uterine activity, what does a small box represent?

A

10 seconds

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11
Q

What is tachysystole?

A

Contraction every minute to two minutes averaged over a 30 minute time frame

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12
Q

What is reflective of fetal oxygen status?

A

FHR

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13
Q

How does the sympathetic and parasympathetic system control the FHR?

A

Parasympathetic decreases the FHR and Sympathetic increases the FHR

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14
Q

What is the normal range for a FHR?

A

110-160 bpm

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15
Q

When do you assess the FHR to determine a baseline?

A

Between contractions

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16
Q

What is the most important aspect of predicting the fetal status and is a predictor of the baby’s neuro status and how well it is being oxygenated?

A

Variability

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17
Q

What are the 4 categories of variability?

A

Marked
Average
Minimal
Absent

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18
Q

Variability >25 is what type of variability?

A

Marked Variability

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19
Q

What is the range of average variability?

A

5-25

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20
Q

What is it called when theres an increase of 15 bpm in FHR that stays up for at least 15 seconds?

A

Accelerations

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21
Q

What is it called when there is a decrease FHR from baseline?

A

Decelerations

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22
Q

What are the 3 categories of decelerations?

A

Early
Late
Variable

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23
Q

What type of deceleration mirrors contractions, is caused by fetal head compression and is usually seen at the end stage of labor when pushing begins?

A

Early Decelerations

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24
Q

In what deceleration does FHR dip down slightly during peak of contraction and return to baseline when contraction is over?

A

Early Deceleration

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25
Q

What deceleration begins at the peak of contractions, is uniform in shape, and is caused by uteroplacental insufficiency resulting from decreased blood flow and oxygen transfer to the fetus during contractions.

A

Late Deceleration

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26
Q

What is the first intervention with late decelerations?

A

Shut Pitocin off

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27
Q

After Patocin is shut off, how is the patient repositioned for better perfusion when late decelerations occur?

A

Repositioned to the left side.

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28
Q

After Pitocin is shut off and the patient is repositioned, what is the next intervention that is initiated to increase the baby’s O2 and increase fluid around the baby to correct late decelerations?

A

Increase IV Fluids

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29
Q

When late decelerations occur, oxygen is administered via mask at what rate?

A

10L

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30
Q

What interventions are needed to correct late decelerations?

A
  1. Shut Pitocin off
  2. Reposition to L. Side
  3. Increase IV Fluids
  4. Administer Oxygen at 10L via mask
31
Q

Preparation for C-Section occurs at what point of late decelerations?

A

When they’re happening with every contraction.

32
Q

What type of medication may be given when late decelerations occur?

A

BP Medications

33
Q

What is Terbutaline used for?

A

To stop contractions

34
Q

What type of deceleration is either caused by cord compression or is also seen in cases of oligohydraminos?

A

Variable Decelerations

35
Q

An abrupt drop in FHR with a quick return to baseline and has the shape of a U, V, or W on the monitor is characteristic of what deceleration?

A

Variable Deceleration

36
Q

What is the priority intervention for Variable Decelerations?

A

Repositioning

37
Q

What intervention can decrease severe Variable Decelerations if an IUPC is being used?

A

Infuse IV Fluids into uterus through the IUPC

38
Q

What is a Nuchal Cord?

A

Cord is wrapped around the baby’s neck

39
Q

Cord blood is taken from where because fetal and maternal circulation are separate and does not take part in transfer or interexchange of nutrition and oxygen?

A

Artery

40
Q

When is the FHR considered tachycardia?

A

> 160 bpm for 10 mins

41
Q

When is the FHR considered Bradycardia?

A

<110 for 10 mins

42
Q

Hypoxemia, Anemia, Prematurity, Maternal Conditions, and Medications are causes for what type of changes in FHR?

A

Tachycardia

43
Q

Maternal Positioning, Hypotension, and Cord Compression are causes for what type of changes in FHR?

A

Bradycardia

44
Q

What is considered an emergency situation due to stress being put on the umbilical cord?

A

Prolapse

45
Q

What uses 4 steps in palpating the uterus through the abdomen in order to determine the lie and presentation of the fetus?

A

Leopold’s Maneuver

46
Q

What are the 4 Leopold Maneuvers?

A
  1. Palpate fundus (Determine which end is up)
  2. Palpate sides (Determine where the back is)
  3. Above symphysis pubis (Determine presenting part)
  4. Is it engaged?
47
Q

When teaching breast feeding, do you want to bring baby to mom or mom to baby?

A

Bring baby to mom

48
Q

For breasts that collapse, what is needed so that baby can latch?

A

Breast Shield

49
Q

What is a suggested position for mothers with larger breasts?

A

Football Hold

50
Q

How long is the infant expected to breastfeed on the first day?

A

3-5 mins

51
Q

How should infants be positioned after feeding to prevent aspiration and SIDS?

A

On their back

52
Q

What type of feeding is the infant held with the head higher than the stomach?

A

Bottle Feeding

53
Q

Why don’t you want the baby close to you when bottle feeding?

A

They fall asleep

54
Q

When bottle feeding, how can you determine a successful sucking process?

A

You will see bubbles

55
Q

How much time should you allow the infant to burp?

A

A couple minutes

56
Q

When should the infant be burped when breastfeeding?

A

Halfway through feeding and at end of feeding

57
Q

When should the infant be burped when bottle feeding?

A

After 1/2 - 1 ounce taken and at end of feeding/ or when necessary.

58
Q

What is the goal of the “Back to Sleep” Campaign?

A

Prevent SIDS

59
Q

How do you determine that the baby is getting enough to eat?

A

If they have a wet diaper & stool.

60
Q

How often will babies want to eat?

A

Q3 Hours

61
Q

When can infants go into baby baths?

A

When umbilical cord falls off

62
Q

What is the goal when bathing a newborn?

A

Maintain warmth

63
Q

When bathing a newborn, where do you want to start?

A

Shoulders and Chest

64
Q

What do you want to do before washing the infants hair?

A

Lotion and cover them with a blanket

65
Q

What needs to be assessed after bathing a newborn?

A

Umbilical Cord fro bleeding, foul smell, drainage, and normal atrophy

66
Q

Why are mothers taught not to use powder?

A

Infants can inhale it

67
Q

When should the infant have “tummy time”

A

When mom is awake

68
Q

What should the mother and family be taught about sleeping rules and arrangements for the infant?

A

Baby needs to sleep separate

Nothing in bed with baby (pillows, stuffed animals, etc)

Infant on back when sleeping

69
Q

What is the best way to teach a mother to assess the environment in which the child spends most of its time for safety hazards?

A

Get down and crawl on the floor to see at baby’s level to look for hazards.

70
Q

How long should crowds be avoided with a newborn?

A

2 months

71
Q

What technique is taught so that the infant is not forgotten in the car?

A

Put the diaper bag in the front seat or purse beside the car seat.

72
Q

What type of harness is needed with car seats?

A

5 Point Harness

73
Q

Who can mother and family be instructed to call to find out about car seat recalls?

A

Fire Department or Hospital

74
Q

Why should you encourage making an appointment with the fire department related to car seats?

A

They can teach car seat safety and check placement

75
Q

What type of clothing should not be on the infant when in a car seat?

A

Large Coats

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