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Nurse it like You Mean it - Study Guide > Labor & Delivery Review > Flashcards

Labor & Delivery Review Flashcards

1
Q

Select the 1st Stage of Labor?

a. Placenta is delivered, patient is in recovery for 4 hours postpartum.

b. Complete dilation (10cm) and baby is delivered

c. Regular contractions and cervix is dilated to 10cm.

d. Baby is delivered and placenta is delivered.

A

c. Regular contractions and cervix is dilated to 10cm.

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2
Q

Select the 2nd Stage of Labor?

a. Placenta is delivered, patient is in recovery for 4 hours postpartum.

b. Complete dilation (10cm) and baby is delivered

c. Regular contractions and cervix is dilated to 10cm.

d. Baby is delivered and placenta is delivered.

A

b. Complete dilation (10cm) and baby is delivered

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3
Q

Select the 3rd Stage of Labor?

a. Placenta is delivered, patient is in recovery for 4 hours postpartum.

b. Complete dilation (10cm) and baby is delivered

c. Regular contractions and cervix is dilated to 10cm.

d. Baby is delivered and placenta is delivered.

A

d. Baby is delivered and placenta is delivered.

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4
Q

Select the 4th Stage of Labor?

a. Placenta is delivered, patient is in recovery for 4 hours postpartum.

b. Complete dilation (10cm) and baby is delivered

c. Regular contractions and cervix is dilated to 10cm.

d. Baby is delivered and placenta is delivered.

A

a. Placenta is delivered, patient is in recovery for 4 hours postpartum.

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5
Q

What signs indicate respiratory distress in an infant (SATA).

a. nasal flaring
b. pink skin
c. grunting
d. retractions

A

a. nasal flaring
c. grunting
d. retractions

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6
Q

GTPAL meaning

A

Gravida - The number of pregnancies including the current one.

Term - Infants delivered after 37 weeks,

Preterm - Infants delivered between 20 weeks - 36.6 weeks.

Aborta - Pregnancy losses before 20 weeks.

L - Living Children.

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7
Q

Infant Heart Rate Range

A

110-160 BPM

100 if sleeping
180 if crying

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8
Q

Infant Axillary Temperature Range

A

36.5-37.5
97.7-99.5

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9
Q

Infant Respiratory Rate Range

A

30-60 breath/min

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10
Q

Infant BP Range (not done routinely)

A

60-80/40-50

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11
Q

Infant Mean Arterial Pressure (MAP)

A

equal to the # of weeks gestation or higher

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12
Q

Which medication stimulates uterine contractions?

a. Magnesium Sulfate
b. Terbutaline (Brethine)
c. Misoprostol (Cytotec)
d. Nifedipine (Procardia)
e. Oxytocin (Pitocin)

A

e. Oxytocin (Pitocin)

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13
Q

Which medication ripens the cervix?

a. Magnesium Sulfate
b. Terbutaline (Brethine)
c. Misoprostol (Cytotec)
d. Nifedipine (Procardia)
e. Oxytocin (Pitocin)

A

c. Misoprostol (Cytotec)

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14
Q

Which medication(s) HALTS uterine contractions (STAT)?

a. Magnesium Sulfate
b. Terbutaline (Brethine)
c. Misoprostol (Cytotec)
d. Nifedipine (Procardia)
e. Oxytocin (Pitocin)

A

b. Terbutaline (Brethine)
d. Nifedipine (Procardia)

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15
Q

Which medication prevents and controls seizures in patients with preeclampsia/eclampsia?

a. Magnesium Sulfate
b. Terbutaline (Brethine)
c. Misoprostol (Cytotec)
d. Nifedipine (Procardia)
e. Oxytocin (Pitocin)

A

a. Magnesium Sulfate

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16
Q

What medication class is oxytocin (pitocin)?

A

Uterotonic

17
Q

What medications listed below are considered tocolytics? (SATA)

a. Magnesium Sulfate
b. Terbutaline (Brethine)
c. Misoprostol (Cytotec)
d. Nifedipine (Procardia)
e. Oxytocin (Pitocin)

A

a. Magnesium Sulfate
b. Terbutaline (Brethine)
d. Nifedipine (Procardia)

18
Q

A uterine rupture is when the wall of the uterus breaks open and is commonly caused by pressure. What nursing interventions will be implemented? What are possible medical interventions?

A

Nursing Intervention
Blood Transfusion
IV Fluids
Oxygen
Infant evaluation

Medical Interventions
STAT delivery
Possible Hysterectomy

19
Q

What amount of blood loss would indicate a postpartum hemorrhage for a vaginal birth?

a. >1000mL within 48 hours
b. >250mL within 36 hours
c. >750mL within 96 hours
d. >500mL within 24 hours

A

d. >500mL within 24 hours

20
Q

What amount of blood loss would indicate a postpartum hemorrhage for a cesarean birth?

a. >1000mL within 24 hours
b. >250mL within 36 hours
c. >750mL within 96 hours
d. >500mL within 48 hours

A

a. >1000mL within 24 hours

21
Q

When a postpartum patient is experiencing a postpartum hemorrhage, what nursing interventions will the nurse implement?

A

Monitor Vitals
Massage uterus
Ensure patients bladder is empty
administer uterotonics
administer IV fluids
Administer blood products
Prepare for surgery

22
Q

What is the treatment for eclampsia (preeclampsia with seizures)?

A

BP control
administer Magnesium Sulfate
Birth of infant

23
Q

When assessing an infant HR, where and how long should the nurse assess for?

A

Apical for minimum of one minute.

24
Q

A variable deceleration can occur during or after a contraction and there is a decrease in the fetal HR of 15bpm or more that lasts at least 15 seconds up to two minutes. A variable deceleration is indicative of?

a. placental insufficiency
b. head compression
c. cord compression
d. nothing, normal fetal oxygenation

A

c. cord compression

25
Q

An early deceleration occurs before the peak of a contraction, where the decel lasts for 30 seconds or more. An early deceleration is indicative of?

a. placental insufficiency
b. head compression
c. cord compression
d. nothing, normal fetal oxygenation

A

b. head compression

26
Q

A late deceleration occurs after a contraction, the decel must last 30 seconds or more. A late deceleration is indicative of?

a. placental insufficiency
b. head compression
c. cord compression
d. nothing, normal fetal oxygenation

A

a. placental insufficiency

27
Q

An acceleration is indicative of?

a. placental insufficiency
b. head compression
c. cord compression
d. nothing, normal fetal oxygenation

A

d. nothing, normal fetal oxygenation

28
Q

APGAR stands for?

A

Activity (absent, flexed arms & legs, OR active)

Pulse (0, <100, >100)

Grimace (reflex irritability) (floppy, minimal response to stimulation, OR prompt response to stimulation)

Appearance (skin color) (blue/pale all over, pink body with blue extremities, OR pink)

Respiration (effort) (no breathing, slow & irregular breathing, OR vigorous cry)

29
Q

When is an APGAR completed?

A

1 minute, 5 minutes, and 10 minutes (if needed)

30
Q

An APGAR score of 7-10 is indicative of?

a. full resuscitation
b. no interventions (baby is doing well)
c. some resuscitation assistance (oxygen, suction, stimulation)

A

b. no interventions (baby is doing well)

31
Q

An APGAR score of 4-6 is indicative of?

a. full resuscitation
b. no interventions (baby is doing well)
c. some resuscitation assistance (oxygen, suction, stimulation)

A

c. some resuscitation assistance (oxygen, suction, stimulation)

32
Q

An APGAR score of 0-3 is indicative of?

a. full resuscitation
b. no interventions (baby is doing well)
c. some resuscitation assistance (oxygen, suction, stimulation)

A

a. full resuscitation

33
Q

Fetal Monitoring Acronym

V - C
E - H
A - O
L - P

A

V: Variable Deceleration = C: Cord Compression

E: Early Deceleration = H: Head Compression

A: Accelerations = O: OK (normal)

L: Late Deceleration = P: Placental Insufficiency

Nurse it like You Mean it - Study Guide (27 decks)

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