Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB > Care During Labor & Complications (exam 2) > Flashcards

Care During Labor & Complications (exam 2) Flashcards

1
Q

reasons a pregnant woman should go to the hospital

A
  • contractions
  • ROM
  • bloody show
  • no fetal movement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

cervical changes and UC occurring after 20 week but before 38 weeks

A

preterm labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

any birth occurring before completion of 20 to 36.6 weeks

A

preterm birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

risk factors for preterm labor

A
  • diabetes
  • cardiac disease
  • preeclampsia
  • over distention of the uterus
  • placenta previa
  • infection (especially UTI)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

bishops score rating system to indicate readiness for induction

A
  • dilation
  • effacement
  • station
  • cervical consistency
  • position of cervix
  • each criteria scored 0-3
  • score of 8 or more indicates readiness
  • should be done before ripening agents are applied or induction started
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

chemical cervical ripening

A

Prostaglandin E - to increase cervical readiness for induction of labor

  • Misoprostol (Cytotec)
  • Dinoprostone (Cervidil)

some clients go into labor after admin of prostaglandin and will not need oxytocin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

mechanical cervical ripening

A

Balloon catheter

Hydroscopic dilators

  • Laminaria Tents (seaweed based)
  • Lamicel (magnesium sulfate)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Nitrazine paper/swab

A
  • fluid from vaginal area placed on paper or swab
  • turns blue for amniotic fluid (alkaline)
  • stays yellow if urine (acidic)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  • fluid from vaginal area placed on slide

- if amniotic fluid, it looks like fern leaves

A

fern test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

oxytocin to initiate UC

A
  • Favorable Bishop score >8 (5 for multiple)
  • EFM
  • Hydrate client
  • Pitocin piggybacked into most proximal primary port next to client
  • infusion pump - titration
  • 1-2 mU/min to begin and increasing at increments of 1-2mU every 30-60min (or based on hospital protocol)
  • max amount is based on hospital protocol

oxytocin MUST be on a pump

after birth, pump pitocin up to 250mL/hr to prevent bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

when to stop pitocin

A
  • UC frequency less than 2 minutes
  • duration >240 seconds
  • indication of fetal distress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

more than 5 contractions in 10 minutes, averaged over a 30 minute window

A

tachysystole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

amniotomy to induce labor

A
  • AROM when the condition of cervix is favorable
  • presenting part of fetus must be engaged to prevent cord prolapse and compression
  • no active infections present in maternal genital tract
  • once AROM is performed, committed to labor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

nursing observations for AROM

A
  • note FHR and pattern
  • note color, consistency, amount, and odor of the fluid
  • note presence of meconium or blood
  • record time of rupture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

risk factors for cord prolapse

A
  • may occur at any time during labor
  • presenting part not completely engaged
  • very small fetus
  • abnormal presentation
  • hydramnios
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

symptoms of cord prolapse

A
  • cord can be seen or palpated
  • fetal bradycardia with variable decels during UC
  • variability decreased (minimal or absent)
17
Q

cord prolapse interventions

A
  • place client in knee-chest position
  • O2
  • apply firm upward pressure to raise head off cord
  • prepare for emergency CS
18
Q

pelvic dystocia notes

A
  • breech diagnosis by palpation/vaginal exam and confirmed with US
  • preferred delivery is cesarean
  • descent is slow (breech not a good dilating wedge)
  • ROM increases risk of cord prolapse
  • meconium not necessarily sign of distress in breech
  • CPD (cephalopelvic disproportion)
19
Q

shoulder dystocia

A
  • head delivered but shoulders impacted above maternal symphysis pubis
  • head outside/chest inside -> preventing respirations
  • McRoberts maneuver may straighten the pelvic curve
  • suprapubic pressure
20
Q

McRoberts maneuver

A

thighs flexed sharply against abdomen

21
Q

tear of the perineum

A

laceration

documented by degree

22
Q

laceration that extends through the skin & vaginal mucous membrane (NO fascia or muscle involved)

A

1st degree laceration

23
Q

laceration that extends through fascia and muscle but not the anal sphincter

A

2nd degree laceration

24
Q

laceration that involves the external anal sphincter

A

3rd degree laceration

25
Q

laceration that extends completely through rectal mucosa

A

4th degree laceration

26
Q

a cut of the perineum

A

episiotomy

documented by type

27
Q

types of episiotomies

A
  • Midline (directly down the middle)
  • Left Mediolateral
  • Right Mediolateral
28
Q

positive episiotomy

A

used to enlarge the vaginal outlet

- easily repaired

29
Q

negative episiotomy

A

can extend into a 3rd or 4th degree laceration

30
Q

a widespread, pro-inflammatory, anaphylactic-like reaction that can occur when amniotic fluid enters the maternal blood circulation

A

Anaphylactoid Syndrome of Pregnancy (ASP)
aka Amniotic Fluid Embolism (AFE)

  • a rare but serious complication of pregnancy in which maternal and neonatal mortality rates are dismal

OB (35 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions