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Flashcards in Dystocia Deck (31)
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1

What is dystonia

dystonia is a long difficult labor

2

Dystonia problems related to primary power

abnormal uterine contractions preventing normal cervical dilation and effacement

3

dystonia precipitous powers

labor lasting less than 3 hrs; hypertonic contractions

4

hypertonic uterine dysfunction related to dystonia

painful, frequent contractions that occur in the first phase of labor that are usually uncoordinated contractions where the uterus does not completely relax

5

hypotonic uterine dysfunction related to dystonia

after active progression of labor progression becomes weak or stops all together

6

cause for precipitous labor

multipara, large pelvis, small fetus, previous precipitous births, cocaine abuse

7

treatment for precipitous labor

maternal uterine rupture, laceration of the birth canal, amniotic fluid embolism, fetal hypoxia, intracranial hemorrhage

8

pelvic dystocia

contractures of the pelvic diameters reducing the capacity of the outlet

9

causes for pelvic dystocia

congenital abnormalities, maternal malnutrition, neoplasm, lower spinal disorders

10

fetal causes for dystocia

hydrocephalus, tumors, neural tube defects, cephalopelvic disposition, malposition, malpresentation, multifetal pregnancy

11

what symptoms is present with fetus malposition (occipitoposterior)?

prolonged 2nd stage of labor, severe back pain

12

treatment for malposition

rotate the fetus externally or c-section

13

prolonged labor lasts....

more than 24hrs

14

risks for prolonged labor

fatigue, pain, over distended uterus hemorrhage, hypoxic baby

15

treatment of dystonia

positioning, augmentation of labor, monitor FHR, maternal VS, maternal comfort measures, communication and support

16

cervical repening

chemical, mechanical or amniotomy

17

chemical cervical repening

prostaglandin E (misoprostol) to soften an thin the cervix. this decreases the need to augment labor

18

Mechanical Cervical Repening

Use of dilators and Foley catheters to stimulate and dilate the cervix

19

Amniotomy cervical ripening

Artificial rupture of membranes

20

mechanical ripening

mechanical dilators or Foley catheters to stimulate and dilate the cervix

21

amniotomy

the artificial rupturing of membranes

22

oxytocin

a chemical to induce labor that is produced in the posterior pituitary gland

23

Complications with oxytocin

water intoxication, tetanic contractions, premature separation of the placenta, rupture of uterus, post partum hemorrhage

24

prolapsed umbilical cord

when the cord lies below the presenting part of the fetus

25

factors contributing to a prolapsed cord

long cord, fetal malpresentation, transverse lie, unengaged presenting part

26

forceps-assisted birth

done to shorten the second stage of labor in the case of dystocia

27

maternal risks and complications related to forceps-assisted birth

laceration of the birth canal, increased swelling, bleed, bruising, hematoma, pelvic floor injuries, increased urinary and rectal incontinence

28

infant risks and complications related to forceps-assisted birth

cephalhematoma, hyperbilirubinemia, bruising on the face, facial paralysis, retinal hemorrhage, corneal abrasion, other ocular damage

29

indication for vacuum assistance birth

prolonged second stage of labor, non reassuring heart rate pattern on the fetal strip, relives woman's pushing efforts when fatigue interferes

30

prerequisites for vacuum suction delivery

vertex presentation, ruptured membranes, absence of CPD