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OB > labor & delivery > Flashcards

labor & delivery Flashcards

1
Q

uterine contractions & pushing effort

A

power

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2
Q

anatomy of mom’s bony pelvis & soft tissues; ability of soft passageway to stretch

A

passageway

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3
Q

fetal factors

A

passenger

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4
Q

maternal state of mind

A

psyche

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5
Q

maternal position

A

position

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6
Q

ideal pelvis shape for birthing

A

gynecoid

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7
Q

soft spots on baby’s head since head bones not fused at birth

A

anterior & posterior fontanel

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8
Q

attitude is ideally ______, which is full flexion

A

vertex

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9
Q

relationship of spine of fetus & spine of mother

A

lie

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10
Q

baby & mom’s spines are parallel

A

longitudinal lie

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11
Q

baby & mom’s spines are perpendicular

A

transverse lie

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12
Q

position of the presenting part of fetus as it comes down the birth canal

A

presentation

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13
Q

what presentation is ideal?

A

cephalic - vertex, brow, face

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14
Q

-3/-2

A

floating station

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15
Q

-1

A

fixed station

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16
Q

0

A

engaged station

17
Q

-5/+5

A

station

18
Q

baby’s head is so far down that its not going back up

A

engagement

19
Q

+1/+2

A

midpelvis

20
Q

+3/+4

A

crowning

21
Q

labor is confirmed by

A

cervical chnsgee/dilation

22
Q

3 types of labor

A

latent, active, transition

23
Q

T/F: you can lay moms flat on their back

A

F

24
Q

opening of cervical os

A

dilation

25
Q

thinning of cervix

A

effacement

26
Q

level of decent of presenting part in relation to mom’s pelvic ischial spines

A

station

27
Q

T/F: vaginal exams are sterile procedures

A

T

28
Q

pink, contains mucous, scant at first, increases with effacement/dilation

A

bloody show

29
Q

positing “pool” of fluid in vagina

A

pooling

30
Q

positive when amniotic fluid turns pH paper dark blue/black

A

nitrazine test

31
Q

smear fluid dried on one side, positive text shows presence of fern-like patterns indicating amniotic fluid crystals

A

ferning

32
Q

concern of meconium-stained amniotic fluid at ROM

A

aspiration of baby

33
Q
  • facilitates uterine contractions
  • control bleeding after placenta delivery
A

pitocin/oxytocin

34
Q

4 stages of labor

A

labor, pushing, placental delivery, recovery

35
Q

engagement, descent, flexion, extension, external rotation, expulsion

A

cardinal movements

36
Q

immediately after delivering the placenta, what does the nurse do?

A

pitocin blous (999)

37
Q

T/F: the uterus contracts after delivery of placenta to prevent PP hemorrhage

A

T

38
Q

vaginal bleeding PP

A

lochia

OB (3 decks)

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