L&B/Preprocedure/Nursing Interventions Flashcards Preview

OBGYN/LABOR & DELIVERY > L&B/Preprocedure/Nursing Interventions > Flashcards

Flashcards in L&B/Preprocedure/Nursing Interventions Deck (13):
1

Leopold Maneuvers: ABD palpation for? (6)Assessment/Pre-procedure

1) Number of fetuses
2) Fetal presenting part
3) Fetal lie
4) Attitude
5) Descent
6) Probable location of best fetal tones on mothers abd

2

Contraction Patterns: What is used?
(3) Assessment/Pre-procedure

1) External electronic monitoring (tocotransducer) used for FHB (External Fetal Monitoring EFM)
2) Separate transducer applied to abd over the fundus that measures uterine activity
3) Must be repositioned with maternal movements to ensure proper placement

3

Vaginal Exam: To evaluate? (2)
Assessment/Pre-procedure

1) Effacement
2) Dilation
3) State of Membranes

4

Membranes: How to evaluate upon admission?
Assessment/Pre-procedure

1) Vaginal Exam

5

Vital Signs:
Assessment/Intraprocedure

1) Temp q 1-2 hrs if membranes are ruptured
2) FHR via EFM or spiral electrode applied to the fetal scalp. CERVICAL DILATION AND RUPTURE OF MEMBRANES MUST OCCUR BEFORE electrode placement

6

Group B Streptococccus

1) Culture obtained if not screened at week 36 to 37
2) If positive IV prophylactic antibiotic prescribed (EXCEPTIONS: planned C section and intact membranes)

7

Urinalysis: Why (4)

1) Hydration status via specific gravity
2) Nutrition status via ketones
3) Proteinuria4) UTI (Bacteria)

8

Urinalysis:
1) Are ketones usually found in urine?
2) If ketones are present what does it indicate?

1) NO
2) Ketones are a product of fat breakdown when there is to a sufficient account of carbs

9

Urinalysis:
1) Is protein usually found in urine?
2) If protein is present what could this indicate ?

1) NO
2) Preclampsia, kidney damage

10

Blood Tests:
1) Hct level?
2) ABO typing and Rh-factor if not done previously

1) > 33% for pregnant female (Davis 39)

11

Client Education:

Labor and delivery process and procedures(ATI 122)

12

Urine Specific Gravity: Normal Range
(Starts with 1. ; 4 kids total; Age when you had ZIG)

1.001-1.029
(Davis)

13

Upon admission what are the priorities?

1) Orient client to the unit
2) Assess overall health of mother and fetus
3) Maternal: Check membranes, Effacement and Dilation
4) Fetus: FHR, Leopoldo Maneuver

Decks in OBGYN/LABOR & DELIVERY Class (54):