Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NUR 359: OB > Intrapartum Complications > Flashcards

Intrapartum Complications Flashcards

(61 cards)

Start Studying
1
Q

def Pre-term labor/birth

A

cervical changes and uterine cxns bx 20-37 wks gest

-any birth before completion of 37 weeks

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

what is considered low birth wt

A

<2500 g

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

what do biochemical markers do

A

predict whether or not a mom is going into pre-term labor

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

name the biochemical markers

A

fetal fibronectins

salivary estriol

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

what is the endocervical length

A

cervical length and fibronectins together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what criteria makes mom a high risk for pre-term labor

A

less than 30 mm

test positive for fibronectins

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

how do you collect fibronectins

A

cervical swab and send off to lab

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

causes of pre-term labor and birth

A

infecs
preg complications
sociodemo factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

sociodemographic factors that cause pre-term labor

A 
poverty
low edu level
lack of social support
smoking
little/no prenatal care
dv
stress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

prevention of pre term labor

A

address risk factors

edu pts abt s/s

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

dx of pre-term labor

A 
gest age bx 20-37 wks
cxns (uterine activity)
progressive cervical changes
      effacement 80%
      dilation 2 cm or >
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

activities that could result in preterm labor

A 
sex
long car rides
carrying heavy loads
standing more than 50% of the time
heavy housework
climbing stairs
hard physical work
not being able to stop and rest when tired
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what may be prescribed by MD to prevent pre term labor

A

bed rest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

describe home care of high risk preg pt

A
  • modify env for conveniences
  • home uterine monitoring system
  • home nurse may come to check monitor
  • pt may be taught to put it on, take it off, or check monitor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what med may be given to suppress uterine activity

A

tocolytics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

tocolytics allows …

A
  • opportunity to begin admin antenatal glucocorticoids
  • accel fetal lung maturity
  • reduce severity of sequelae in preterm births
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

name a tocolytic

A

terbutaline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what med promotes fetal lung maturity

A
  • antenatal glucocorticoids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

when can you not give antenatal glucocorticoids?

A
  • cord prolapse
  • chorioamniotitis
  • abruptio placenta
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

name an antenatal glucocorticoid

A

betamethasone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what criteria makes a pre term birth inevitable

A

dilation of 4 cm or more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

how many doses of antenatal glucocorticoids can mom receive

A

up to 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

def Premature ROM

A

rupture of amnio sac and leakage of amnio fluid beginning at least 1 hr before onset of labor at any gest age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

def Preterm Premature ROM

A

membranes rupture before 37 weeks gest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
PPROM is often preceded by
infec
26
when is a PPROM dx'd
after woman c/o sudden gush or slow leak of vaginal fluid
27
def dystocia
long, difficult, or abnormal labor
28
dystocia can prevent the normal progression of
- cxns - dilation - effacement - descent
29
what factors incr risk for uterine dystocia
- body build - uterine abnormalities - malpresentation and position of fetus - cephalopelvic disproportion - overstim of oxytocin - maternal fatigue - dehydration - electrolyte imbalance - fear - inappropriate timing of analgesics - dysfx uterine cxns
30
what is cephalopelvic disproportion
when the babys head is bigger than opening to the pelvis
31
name the classification of dysfx uterine cxns
- hypertonic (primary dysfx labor) | - hypotonic (secondary uterine inertia)
32
name 2 alterations in pelvic structure
- pelvic dystocia | - soft tissue dystocia
33
def pelvic dystocia
contractures of pelvic diameters that reduce capacity of bony pelvis, inlet, midpelvis, or outlet
34
def soft tissue dystocia
obstruction of birth passage by an anatomic abnormality other than the bony pelvis
35
fetal causes of dystocia
``` anomalies CPD- cephalopelvic disproportion malposition malpresentation multifetal preg ```
36
what else can cause dystocia
hormones and NT's
37
def precipitous labor
labor lasting less than 3 hrs from onset of cxns to birth
38
medical mgmt of dystocia
``` external version internal version trial of labor induction/augmentation w/ oxy cervical ripening amniotomy ```
39
what is oxytocin
a hormone that stim uterine cxns
40
where is oxy produced
posterior pituitary
41
what is oxy used for
induce or augment labor due to inadequate uterine cxns
42
what situations do we use oxy cautiously?
``` multifetal position breech presentation presenting part above pelvic inlet abnormal FHR polyhydramnios grand multiparity maternal cardiac disease ```
43
def augmentation of labor
stim of uterine cxns after labor has started but progress is unsatisfactory
44
indications for augmentation of labor
hypotonic uterine dysfx
45
common augmentation methods
oxy infusion amniotomy nipple stim
46
what is the McRoberts maneuvre?
moms legs up | press on pelvis and apply pressure to get baby out
47
what is zavanelli's maneuvre
push baby back in for c sec
48
what is the mortality rate for zavanelli's maneuvre
50%
49
post term maternal risks
- risks related to excessively large infant - dysfx labor - birth canal trauma - fatigue - psych rxns
50
post term fetal risks
``` prolonged labor shoulder dystocia birth trauma asphyxia from macrosomia aging placenta ```
51
when should a post-term mom be induced?
41-42 weeks | some allow up to 43 weeks
52
when would a HCP allow the mom to continue preg for up to 3 weeks
- assesment tests of fetal well being normal
53
def shoulder dystocia
head is born nut shoulder cannot pass under pubic arch
54
a newborn is likely to experience birth injuries from _______
shoulder dystocia
55
what are the mothers risks if shoulder dystocia occurs
- excessive blood loss - lacerations - extension fo episiotomy - endometritis
56
if prolapsed cord is discovered, what should we have mom do?
put mom facing down with hips high | - modified sims position
57
what factors contribute to cord prolapse
- long cord - malpresentation (breech) - transverse lie - unengaged presenting part
58
most frequent causes of rupture of uterus
- separation of scar of previous c sec - uterine trauma: accidents, surgery - congenital uterine anomaly
59
other causes of rupture of uterus
- intense spontaneous cxns - labor stim- oxy, prostaglandins - overdistended uterus: multifetal gest - malpresentation - internal or external version - difficult forceps assisted birth
60
rupture of the uterus is more common in which women
multigravida
61
s/s of amnio embolism
- acute dyspnea | - severe hypotension

NUR 359: OB (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions