Intrapartum Flashcards

1
Q

Oxytocin

A

primary hormone/ factor that initiates labor

made by post pituitary gland

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2
Q

relaxin

A

made by the placenta

makes the placenta irritable

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3
Q

prostoglandin

A

made by fetal membranes that make the uterus contract at any stage of pregnancy

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4
Q

lightening

A

decent of fetal head into the pelvis

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5
Q

braxton-hicks

A

strong iregular uterine contractions

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6
Q

signs of oncoming labor

A

dilation to 10cm
effacement
blood tinged cervical mucus
ROM

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7
Q

False VS True Labor

A

false: irregular, stops with activity/change, no decent
true: regular, does not stop, pink mucus, progressing

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8
Q

5 P’s of labor

A
passageway
passenger
powers
position
psychological response
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9
Q

powers define

A

how strong are the contractions

10cm= 4inches

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10
Q

pelvic inlet size

A

must be 11cm

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11
Q

pelvic cavity (transverse) sizes

A

should be 10.5cm. critical spot to navigate around

approx width of fist

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12
Q

Fetal Head Bones/ Fontanelles

how many, what kind

A

2 frontal
2 parietal
1 occipital
2 fontenelles

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13
Q

separation of fontanelles

A

the bones are not fused together yet to allow for passage. separated by sutures

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14
Q

Molding

A

overlapping of head bones to allow for passage

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15
Q

Stations related to birth

A

crowning: +3
birth: +4
station 0: ischial spine

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16
Q

Stages of Labor (4)

A

1: onset of labor, 10cm
2: 10cm to birth
3: birth, then delivery of placenta
4: 2 hours after placenta delivery

17
Q

Stage 1 labor

A

0-3 cm: admision, all the workup, paperwork, etc
4-7cm: still monitoring, paperwork, etc
5cm: epidural
8-10: irritable, may vomit, worst part of stage 1, wants to be alone

18
Q

Stage 2 labor

A

crowning, mother is pushing with the contractions

19
Q

Episiotomy

A

surgical incision into perineal space to allow for extra space

20
Q

Stage 3 Labor

A

placental seperation

repair of episiotomy

21
Q

Stage 4 Labor

A

monitor vitals, HR, assess for bleeding (rubra, serosa, alba) and fundal heights
give warm blanket to help with shakes
keep in L&D for approx. 1 hr
give the patient a partial bath

22
Q

APGAR SCORING

A

give at min1 and min5 of life

aim for 7-10

23
Q

Eye Care of newborn

A

give erythromycin after bonding

24
Q

care of the cord post birth

A

clamp for 24 hours, then unclamp

run with alcohol to help dry out and prevent infection

25
Q

Vitamin K

A

must be given because intestinal flora is not yet present

done right after baby bath

26
Q

HR Monitoring

A

brady: less than 120
tachy: over 160

27
Q

Fetal HR Patterns (decels) (3)

A

Type I: early decels (head compression)
Type II: late decels (most problematic)
Type III: variable (cord compression)

28
Q

Assisting in birth (tools)

A

forceps used to pull out/rotate the head

vacuum: attached to the head to pull out using negative pressure

29
Q

Emergency Birth (C-Section)

A

in life threatening situations