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Flashcards in LABOR and BIRTH Deck (41)
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1
Q

What is the most valid SIGN that a woman is in LABOR?

A

The onset of REGULAR-PROGRESSIVE CONTRACTION

2
Q

What is DILATION?

A

The OPENING of the CERVIX that goes from 0 - 10 cm.

3
Q

What is EFFACEMENT?

A

THINNING of the CERVIX (goes from thick to 100%)

A woman begins labor from thick and close /thick to zero cm.

4
Q

What is STATION?

A

The RELATIONSHIP of the FETAL PRESENTING PART to mothers’ ISCHIAL SPINE

5
Q

What is ISCHIAL SPINE?

A

Is the SMALLEST DIAMETER through which the baby has to fit to be born vaginally. The NARROWEST part of the PELVIS.

6
Q

What does NEGATIVE STATION mean?

A

The PRESENTING PART is ABOVE the NARROWEST part of the PELVIS [-1; -2]
(Positive Station/numbers [+3; +4] means the baby’s presenting part is below/made it through the NARROWEST PART of the Pelvis)
-1,-2,-1,-2 for 17 hrs., after FULLY DILATED and EFFACED
= Head too big - C-Section
+4 +3; +4 +3 for 17 hrs. = Vaginal Delivery
Remember: “Negative numbers are negative news” - baby way up and not coming down
“Positive numbers are positive news” - Baby’s coming out, it won’t be long now

7
Q

what STATION is ENGAGEMENT?

A

Station ZERO (meaning presenting part is at the ISCHIAL SPINE)

8
Q

What is LIE?

A

The RELATIONSHIP between the SPINE of the MOTHER and the SPINE of the BABY (If mom spine and baby’s spine are PARALLEL = GOOD; If mom’s spine and baby’s spine form an inverted “T” shape = Trouble=Transverse

9
Q

What is PRESENTATION?

A

PART of the BABY that ENTERS the BIRTH CANAL first
This is where you get the “Alphabet Soups” = ROA; ROP; LOA; LOP; RMP; RSA; RSP (Fetal Position) e.g. ROA - Right Occipital Anterior

10
Q

What are the 4 STAGES of LABOR and DELIVERY?

A

Stage 1 is LABOR

11
Q

What are the 3 PHASES of LABOR?

A

LATENT = Dilate from 0-4 cm.
Contractions Frequency is 5-30 mins apart
contraction Duration (how long they last) is 15-30 secs.; Intensity of contraction: Mild.
ACTIVE = Dilation from5-7cm.
Frequency is 3-5 mins.
Duration: 30-60 secs.
Intensity: moderate
TRANSITION = Cervical Dilation: 8-10 cm.
Frequency: 2-3 mins.
Duration: 60-90 secs.
Intensity: strong
(Remember the 1st 3 letters of the 1st phase: LAT)
NOTE: Contraction should NOT BE LONGER than 90 secs or CLOSER than EVERY 2 mins.

12
Q

What is STAGE 2 of LABOR?

A

DELIVERY of the BABY

13
Q

What is STAGE 3 of LABOR?

A

DELIVERY of the PLACENTA

14
Q

What is STAGE 4 of LABOR?

A

RECOVERY

15
Q

How long does RECOVERY STAGE last?

A

2 HOURS

16
Q

What is the PURPOSE of the UTERINE CONTRACTION in the 1ST STAGE of LABOR?

A

DILATE and EFFACE the CERVIX

17
Q

What is the PURPOSE of UTERINE CONTRACTION in the 2ND STAGE?

A

PUSH tHE BABY OUT

18
Q

What is the PURPOSE of the UTERINE CONTRACTION in the 3RD STAGE?

A

PUSH the PLACENTA OUT

19
Q

What is the PURPOSE of the UTERINE CONTRACTION in the 4TH STAGE?

A

STOP BLEEDING

20
Q

When does POST PARTUM BEGINS?

A

2 HOURS AFTER DELIVERY OF THE PLACENTA

21
Q

What is the PRIORITY in the 2ND PHASE of LABOR?

A

PAIN MANAGEMENT

22
Q

What is the PRIORITY in the 2ND STAGE of LABOR?

A

CLEARING the AIRWAY

23
Q

What is the IMPORTANT NURSING ACTION engaging in the 3RD PHASE of LABOR?

A

CHECKING DILATION, HELPING with PAIN, HELPING with BREATHING because woman is in the last intense part of labor to dilate

24
Q

What is the MAJOR NURSING ACTION for the 3RD STAGE of LABOR?

A

Watching for Blood Loss, Check membranes in the Placenta make sure they are all intact, Make sure there are 3 vessels in the cord

25
Q

A woman came into a Labor Suite. She is 5 cm., her contraction is every 5 mins. apart and they last for 45 secs. What Phase is she in?

A

ACTIVE PHASE

26
Q

What are the signs of UTERINE TETANY/UTERINE HYPERSTIMULATION?

A

Contraction LONGER than 90 SECS. or CLOSER than EVERY 2 MINS.

27
Q

What PARAMETERS to make you stop PTOCIN?

A

contraction LONGER than 90 SECS. or CLOSER than EVERY 2 MINS.

28
Q

What is FREQUENCY?

A

The BEGINNING of ONE CONTRACTION to the BEGINNING of the NEXT CONTRACTION.

29
Q

What would you teach a woman to time FREQUENCY? (these are 2 contractions)

A

A-beginning to C-beginning (including the contraction)

30
Q

What is DURATION?

A

The BEGINNING to the END of ONE CONTRACTION

31
Q

What NUMBER SEQUENCE would you tell a woman to time for DURATION?

A

A to B or C to D

32
Q

What is INTENSITY?

A

The STRENGTH of CONTRACTION and is purely “Subjective”

Teach woman to PALPATE with ONE HAND OVER the FUNDUS with the PADS of the FINGERS (finger tips)

33
Q

What are the COMPLICATIONS of LABOR?

A

1) PAINFUL BACK LABOR = LOP; ROP (think OP as Ohh Pain)
Mgt.: You POSITION her on a knee-chest position, then PUSH (take your fist and push into her sacrum) ( facing back, knees and chest resting on the surface with buttocks up position)
LOW PRIORITY

34
Q

Another complication of labor?

A

PROLAPSE CORD = is a Meta OB emergency
very bad that Baby can kill itself
- When the cord is the presenting part, (which means to come out first) so when the head comes down and press on the cord, the baby dies.

HIGH PRIORITY
Mgt: PUSH - POSITION = PUSH the HEAD BACK UP
(Head off the cord) then KNEE-CHEST POSITION
- stay that way until they pull it out C-Section
- you have to ride on the cart with the mother

35
Q

What is the INTERVENTIONS for ALL OTHER COMPLICATIONS and LABOR BURDEN?

A
"LION"
L - turn patient on their LEFT SIDE
I - INCREASE I.V.
O - OXYGENATE them
N - NOTIFY PHYSICIAN
36
Q

What do you do for MATERNAL HYPOTENSION?

A

“LION”

37
Q

What do you do for ECLAMPSIA and TOXEMIA?

A

“LION”

38
Q

What is PIT?

A

In an OB CRISIS, if PTOCIN is RUNNING, STOP IT

STOP the PIT then LION

39
Q

What do you DO with PAIN MEDICATION in LABOR?

A

DO NOT ADMINISTER a PAIN MEDICATION to woman in LABOR if the BABY is LIKELY to be BORN when the MEDICATION PEAKS.

40
Q

When does I.V. PUSH MEDICATIONS PEAK?

A

15-30 MINUTES after GIVING.

41
Q

When does I.M. MEDICATION PEAKS?

A

30-60 MINUTES after GIVING