Deck 2 Flashcards
What happens in the transition stage of the first stage of labor?
Contractions are stronger and more frequent. Client will say they feel pressure on their rectum.
Why do we use misoprostol? (Cytotec)
Cervical ripening and post partum hemorrhage
What is a normal heart rate on a category 1 strip?
110-160bpm
What is the Bishop Score used for?
Maternal readiness for labor
How many arteries and veins should the umbilical cord have?
Two arteries, one vein
If the presenting part is at the level of the ischial spines, what station is the baby at?
0 station
Nursing interventions if the client gets an epidural anesthesia block and the client’s blood pressure starts to drop and the fetal heart rate starts to go up.
Lateral position, prop up mom’s hips, O2, fluids
What do you do for a prolapsed umbilical cord?
Use two fingers to elevate the cord away from the fetus (relieving pressure on cord), stay until birth, Put the client in knee-chest, Trendelenburg, or semi-prone position. Prepare for C-section
What is Uterine Atony?
Loss of muscle tone in the uterus
Causes for uterine atony
Prolonged labor, over-distention of uterine muscle, mag sulfate administration.
What postpartum complication can cause a rapid or increasing heart rate due to fluid volume depletion?
Hemorrhage
Why is it important to always check Deep Tendon
Reflexes (DTRs)?
If reflexes are 4+ (hyperactive) this can indicate risk of preeclampsia or seizures. Preeclampsia or seizures can happen postpartum as well.
What is your client at risk for if they’ve received spinal anesthesia?
Hypotension, respiratory depression, RR < 10 = brady → immediate intervention.
What is Mastitis?
An inflammation of breast tissue that sometimes involves an infection
(can happen in just one breast or both) clogged duct
What do you do if you see the fetal head emerging and the provider is not there yet?
Apply perineal pressure
