Deck 1 Flashcards

1
Q

First stage of labor starts when:

A

Onset of labor and ends with complete dilation

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2
Q

Latent stage of labor

A

0-5 cm contraction are 30-45 seconds

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3
Q

Active phase of labor

A

6-10 cm contractions are 40-90 seconds

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4
Q

Second stage of labor

A

Full cervical dilation to the birth of the fetus.

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5
Q

During what stage of labor will the mom say she has to poop?

A

Second stage of labor and you want to tell her to push

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6
Q

Third stage of labor

A

From birth of fetus to when the placenta is delivered.

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7
Q

How long does the third stage of labor last?

A

5-30 minutes

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8
Q

Fourth stage of labor

A

First two hours after birth. (Stabilize vitals)

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9
Q

What are the most favorable positions for delivery?

A

ROA and LOA

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10
Q

LOA is?

A

Left Occiput Anterior

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11
Q

Leopoldo’s maneuvers?

A

Help determine the presentation, position, and lie of the fetus

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12
Q

What are some indications for the induction of labor?

A

Hypertension, gestational diabetes, post term, prolonged rupture of membranes

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13
Q

What interventions should the nurse take if they observe frequent variable decelerations down to 80 beats per minute?

A

Change position, give 02, fluids/maintain IV line (prepare for C-section) shut off oxytocin

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14
Q

Why do you give an IV fluid bolus when you prepare a client for an epidural? How much do you give?

A

To prevent hypotension and bradycardia, 1000 ml

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15
Q

What position do you place the client in for an epidural?

A

Either lateral laying, or sitting straight up

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16
Q

Why do we use oxytocin?

A

When there’s no cervical progression, and to stimulate uterine contractions.

17
Q

What is the FIRST thing a nurse should do when assessing a client directly after AROM?

A

Check FHR

18
Q

When should you discontinue an oxytocin infusion?

A

Uterine hyperstimulation, if the contraction is every 1-2 minutes.

19
Q

Understand each Category. 1, 2, and 3 & interventions if needed.

A

Good strip-no interventions

20
Q

What is augmentation of labor?

A

The stimulation of hypotonic contractions once labor has spontaneously begun but progress is inadequate.