Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

L&D EXAM II > L&D III > Flashcards

L&D III Flashcards

1
Q

what is the nursing responsibility during a version?

A

get NST and BPP to determine if baby is doing well and can tolerate procedure

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

What station does the baby need to be at to use the vacuum ?

A

zero station

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

What are we doing with a category three baby?

A

were going to go ahead and do a c section

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

what are you going to do if the mom is a repeat c section?

A

NST and BPP

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

when are prophylactic antibiotics given before surgery?

A

right before

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

when is classic c section indicated?

A

low lying placenta or placenta previa. possibly shoulder dystocia.

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

what are the criteria for trial of labor after cesarean vaginally

A

two or less low transverse

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

dysfunctional labor is a failure of ______________

tachystystole: turn off ______, (possibly give ______ if baby is really struggeling)

____ –hands in knees –standing up slightly.

A

one of the four Ps, Pitocin, tocolytic, OP

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

_______________ - occurs within 3 hrs of onset
_________________ – no provider present

A

Precipitatous labor, Precipatous birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

postdates is usually from moms who do not have _____________

A

prenatal care.

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

intrapartum emergencies:

Mortality can be ________: bc we can lose mom and baby

A

“200%”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is placenta accreta, increta, percreta?

A

accreta -implanted into uterine wall
increta-myometrium
percreta -through uterus into other organs such as the bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

these are all where the placenta implants too deep

______ is the least worst

_________ is middle worst

_________ is the worst

_____________________ are our biggest concerna

not uncommon for mom to loose _____ of blood with _____

THIS IS A MAJOR BLEEDING RISK

need to get a _________________________

A

accreta, increta, percreta, hemmorhage and infection, 3-5 L, percreta, blood transfusion consent

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

what can happen if you pull too hard on the umbilical cord while trying to get placenta out?

A

uterine inversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are s/s of unterine inversion?

A

absent or depressed fundal area
uterus poking through cervis into vagina
massive hemorrhage, shock, severe pain

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

what are risks with uterine ivnersion?

A

bleeding, infection, possible hysterectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are nursing considerations for uterine inversion?

A

Maintain blood volume
Frequent fundal assessments
Observe vital signs and oxygen saturation
Monitor for shock/cardiac dysrhythmias
Foley catheter, intake and output
NPO until stable

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

when can uterine rupture occur? when does it happen most of the time?

A

pre, intra or postpartum. intrapartum

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

what are s/s of uterine rupture?

A

chest/shoulder pain, abd pain and tenderness
absent FHR
cessation of contractions
palpation of fetus outside uterus
hypovolemic shock

20
Q

nursing considerations for uterine rupture

A

stabilize for c section
possible hysterectomy
blood and blood products

21
Q

what do you do for prolapsed umbilical cord?

A

knee chest, trendelenburg, hips elevated with side lying, keep head off cord, prep for c section

22
Q

what are diagnostic criteria for amniotic fluid embolus or anaphylactoid sydrome of pregnancy?

A

sudden onset of cardipulmonaryarrest or hypothension and respiratory compromise
DIC
during labor or within 30 min of placental delivery
afebrile during labor

23
Q

what do patients report right before going into AFE?

A

doom feeling

24
Q

what do late, variable, or prolonged decels indicate?

A

cord prolapse, cord compression, uteroplacental insufficiency

25
Q

What is a sign of shoulder dystocia? what inteventions are indicated?

A

turtle sign,

for interventions -wait until physician tells you to
McRoberts (take moms leg and move knees back as far as we can to open area), suprapubic pressure, supine position, count time

26
Q

what can turtle sign cause?

A

fetal hypoxia —cerebral paulsey

27
Q

what is contraindicated with shoulder dystocia?

A

DO NOT push harder

28
Q

what is the difference between PROM and PROM?

A

PROM -rupture of amniotic sac before true labor

PPROM -rupture of amnitoic sac before true labor and less than 37 weeks

29
Q

What are special considerations with PROM?

A

no SVE and nothing to stimulate contractions, no breast stimulation

30
Q

what is the biggest concern with PROM and PPROM? what are s/s

A

infection -yellow foul smelling fluid and fever

31
Q

what is considered term labor and what is considered pre term labor? what is nonviable?

A

20-37 weeks is preterm
37-41 is considered term
less than 24 is nonviable

32
Q

what can cause perterm labor?

A

infection, GDM, smoking, drug abuse, no preatal care, history of PTL, IVF

33
Q

what is present when labor is about to occur and will tell you if mom is going to go into labor in the next two weeks?

A

fetal fibronectin swab

34
Q

will fetabl fibronectin swab tell you she isnt going to go into labor?

DO NOT DO ___BEFORE DOING A FETAL FIBRONECTIN VAGINAL SWAB

A

no, SVE

35
Q

What do oxytocic drugs do? what do you need to monitor for ?

A

stimulate contractions and prevent hemorrhage.

monitor tachysystole and also continuous FHR monitoring

36
Q

what are the mostcommon oxytocic drugs used to prevent hemorrhage? what is it contraindicated with?

A

methergine (IM), contraindicated with HTN

hemabate (IM, IU) -asthma

37
Q

what is oxytocin primarily used for?

A

induction of labor

38
Q

what is cytotec ?

A

oxytocic given PO or IU

39
Q

*Tocolytics are most likely to be used if ____ weeks… most effective if ____

MOST OF THESE ARE SHORT TERM: GET __________ ON BOARD AND SLOW LABOR PROGRESSION

A

<34, <3cm, CORTICOSTEROIDS

40
Q

Tell me about terbutaline?

A

no long term use

given SQ

tocolytic

41
Q

Tell me about magnesium sulfate?

A

tocolytic

no long term use

calcium gluconate is antidote

42
Q

tell me about nifedipine

A

tocolytic, can be used long term

moms can take on their own

43
Q

what is indomethacin ?

A

tocolytic

44
Q

what do corticosteroids do and when are they indicated?

A

accelerate fetal lung maturity

indicated a birth at 24 to 34 weeks -two administrations

34-37 -single course

45
Q

how much time is ideal for corticosteroids? how are they given?

A

24 hours. IM

L&D EXAM II (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions