Labor & Delivery Flashcards Preview

352-OB/Geriatrics Midterm > Labor & Delivery > Flashcards

Flashcards in Labor & Delivery Deck (16)
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1
Q

5 P’s affecting Labor

A
  1. passenger
  2. passageway
  3. power
  4. position
  5. psychological response
2
Q

Passenger (slapp)

A
  1. fetal size
  2. fetal lie
  3. fetal attitude
  4. fetal position
  5. fetal presentation
3
Q

fetal presentation

A

what part is lowest in pelvis (closest to cervix)

cephalic (head)
breech (feet)

4
Q

fetal lie

A

vertical or horizontal orientation of fetus

5
Q

fetal attitude

A

level of flexion- curled not extended

6
Q

fetal position

A

how baby rotates

7
Q

Passageway

A

o upper pelvis= false, no part in child bearing (fundus)

o lower pelvis= true pelvis (ischium)

8
Q

Pelvis shapes

A

Gynecoid= good

android, anthropoid, patypelloid

9
Q

Power

A
  • involuntary contracting of the uterine muscle

* voluntary efforts of the mother to expel the fetus at the time of delivery

10
Q

Psychiological response

A

 release of catecholamine (adrenal hormones) increase fear and anxiety and actually impede contractions, slowing labor

11
Q

Stages of Labor (4)

A
1st stage- start of contractions to 10cm
(latent 0-3cm, active 3-8cm, transitional 8-10cm)
2nd stage-delivery of baby
3rd stage- delivery of placenta
4th stage- 2 hours after
12
Q

Medications

A
•	Opioid agonist analgesics
o	Demeral
o	Fentanyl
•	Opioid agonist-antagonist analgesics		
o	Stadol
o	Nubain
•	Tranquilizers
o	Vistaril
o	Phenergan
•	Opioid antagonists
o	given to counteract effects of narcotics
o	Narcan
13
Q

anesthesia (4)

A
  1. pudenal block
  2. spinal
  3. epidural
  4. general
14
Q

fetal heart rate assessment (tsdd)

A
  • The time of onset
  • The shape of the deceleration
  • The depth of the deceleration
  • The duration of the deceleration
15
Q

Interventions for decelerations

A
change mom position
Correct hypotension, increase IV rate
Discontinue oxytocin
Administer O2 at 8-10 L/min via MASK
Vaginal exam with scalp stimulation and to assess for cord prolapse
Contact provider
16
Q

APGAR

A

respiration, heart rate, ski color, muscle tone, reflexes