Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NUR 103A > Maternity 3 - Birth, PP, Newborn > Flashcards

Maternity 3 - Birth, PP, Newborn Flashcards

(41 cards)

Start Studying
1
Q

Gate Control Therapy

non pharm interventions pain

A
  1. position change - movement
  2. breathing techniques
  3. massage - counter pressure & effleurage (strokes abdomen gently)
  4. relaxation: heat/cold applications
  5. Guided imagery
  6. Hydrotherapy
  7. Acupuncture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Assessments prior to medication

A
  1. VS stable
  2. no contraindications
  3. close to delivery - dilation, effacement, station
  4. position/presentation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Fetal Assessments

A

FHR - 110-160
accelerations
fetal movement

late or variable decelerations

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

Side effects of Epidural

A
  1. low BP
  2. loss of bladder sensation - urine retention - foley
  3. low back pain
  4. increased maternal temp
  5. decreased mobility
  6. spinal headache - take blood out of mom - push blood thru cath to patch the space from spinal to fill the headache space
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

COntraindication of Epidural

A

Hypotension
low platelets
spinal cord injury

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

Nursing Interventions
R/T Epidural Side Effects

Hypotension

A
  1. Hypotension
    ~ preload with IV fluid bolus (500-1000ml LR)
    ~ monitor mom BP & FHR
  2. LOW BP occurs -
    ~increase fluid
    ~change position
    ~administer O2 via face mask 8-10 L
    ~ephedrine

MOM increased temp
pyrexia

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

Nursing Interventions
R/T Epidural Side Effects

Decreased Motility

A
  1. protect limbs - cushion bony prominences
    ~full sensation before ambulating
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Nursing Interventions
R/T Epidural Side Effects

High Block - level of block too high (above umbilicus)
= Respiratory Drive decreasing

A

Assessments:
~Dermatomes - spray water and see where sensation is to check dermatomes

~RR
~LOC

Stop infusion
Sit patient up

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

Spinal Anesthesia:
most common with c-sect.

Advantages

A

~single injection
~immediate onset
~smaller drug volume
~same level as epidural if labor block - nipple line down (c-section)
umbilicus down (vag)
~subarachnoid space

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

Spinal Anesthesia:
most common with c-sect.

Disadvantages

A
  1. high incidence of low BP
  2. Wears OFF
  3. Unable to adjust
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pudenal Block - Saddle Block

A

Provides peri anesthesia

latter part of first stage of labor & second stage
birth
episiotomy repair

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

General Anesthesia

Indications

A

Emergent C-section

surgical intervention with complications

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

General Anesthesia

Risks

A
  1. fetal depression
  2. uterin relaxation
  3. maternal vomitting & aspiration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Second stage - pushing & Birth

Passive

A

non- direct pushing

cannot feel due to epidural

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

Second stage - pushing & Birth

Open GLottis

A

spontaneous, involuntary pushing

bearing down

breathing

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

Second stage - pushing & Birth

Directed - closed glottis

A

Hold breath not longer than 8 seconds

otherwise too long mom/baby need oxygen

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

Second stage - pushing & Birth

Ferguson Reflex

Study These Flashcards
A

intense urge to push when baby reaches pelvic floor

18
Q

Second stage - pushing & Birth

length

Study These Flashcards
A

2-4 hours common

may last longer with epidurals

19
Q

Second stage - INTERVENTIONS

Study These Flashcards
A
  1. sterile vaginal exams
    ~position of head
    ~bleeding
    ~progress
  2. Assessments FHR
    ~q 15 min - low risk
    ~q 5 min - high risk
  3. Assessment mom VS
    ~ q30 min or more
  4. monitor/support pt & family
  5. encourage & reassure mom
  6. Ensure infant resuscitation equipment are ready
  7. prepare for delivery - sterile
  8. turn on warmer
  9. advocate for birthing plan
20
Q

Cardinal MOvements

Every
Day
Fine
Infants
Enter
Eager &
Excited

Study These Flashcards
A

Engagement
Descent
Flexion
Internal Rotation
Extension
External Rotation
Expulsion

21
Q

Cord Clamping

Study These Flashcards
A

30-60 seconds
stops pulsating

22
Q

Third Stage:
Interventions

Study These Flashcards
A
  1. Provide newborn Care
  2. Skin to skin or warmer
  3. APGAR score (1&5 min)
  4. Deliver of placenta (5-15 min)
23
Q

Benefits of SKIN to SKIN

BABY

Study These Flashcards
A

Regulates:
~Temp
~Blood Sugar
~Cardiopulmonary function
~better feeding and suckling at breast

24
Q

APGAR SCORE

Study These Flashcards
A

A appearance - skin
P pulse 110-160
G grimace - stimulation
A activity - flexion/muscle
R respiration

25
Benefits of SKIN to SKIN Mother
Bonding decreased symptoms of depression
26
Separation & Delivery of placenta
Do not pull on cord weighed, assessed for all parts label and send off to pathology if ordered weigh all items
27
Benefits of SKIN to SKIN Father
decreased anxiety, depression improved role attainment
28
Separation & Delivery of placenta Signs
lengthening of umbilical cord gush of blood fundus firm
29
Fourth Stage first 2 hours after delivery of placenta
Maternal assessment: ~VS q15min x4 q30min x2 q1hr x2 q4hr x4 Focused assessment
30
Fourth Stage Fundal Assessment
Uterin Atony?? ~Tone - firm ~Position - midline - deviated (bladder full) ~Height - umbilical landmark measure - every day descend 1 cm (finger breadth)
31
#1 cause of increased bleeding in 1st hour? #1 Intervention?
uterine atony Fundal Massage q15 min until change from soft to firm
32
Boggy Uterus
Uterine atony retained placental parts fundal massage until change to firm q15 min support suprapubic with one hand so uterus does not come out of vagaina
33
Fourth Stage Bladder
Bladder palpation assess for distention full bladder?
34
Fourth Stage Promote urinary elimination
1. warm towel across lower abdomen 2. warm water over peri-area or hand 3. Foley if needed
35
Fourth Stage Assess Lochia
1. Color 2. Amount 3. Presence of clots
36
Fourth Stage Peri area REEDA
edema hematoma REEDA R redness E edema E ecchymosis D discharge A approximation Hand hygiene blot dry peri bottle ice
37
DIC
Run out of platelets no more clotting factors
38
Fourth Stage: Care of Newborn
APGAR scores 1. First set of VS, then q20min x 2hours 2. Maintain respirations 3. thermoregulation 4. focused assessments - APGAR 5. facilitate attachment 6. newborn ID bracelets and anklets 7. weight and height 8. recovery 9. rest 10. Bonding 11. golden hour - breast feeding
39
Newborn: First Period of Reactivity
Most active first hour or 2 after birth awake and alert appears hungry and has strong reflex Natural opportunity to start to breast feed
40
Transfer to Postpartum Care Mom
1. stable vs 2. stable bleeding 3. empty bladder 4. empty bladder 5. firm fundus 6. sensations 100%
41
Transfer to Postpartum Care Baby
VS stable WNL

NUR 103A (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions