Flashcards in NUR 102 Exam 1 Intrapartal Care Deck (101)
What is a visually abrupt increase in fetal heart rate of 15 or more beats per minute above baseline?
What's a rapid assessment of five physiological signs that indicate the physiological status of the newborn at birth?
The Apgar score
What is Amniotomy?
(AROM) The artificial rupture of membranes?
What is the average FHR over 10 minute segment EXCLUDING episodic changes?
What is beat to beat changes in baseline?
What is a physiological and mechanical process in which uterine muscles contract and retract rhythmically resulting in delivery of baby & placenta?
What is a force (contraction) exerted on a movable object (baby) meeting resistance (cervix&pelvic floor) resulting in a gove (effacement, dilation and descent)?
>Fetus undergoes changes in position (rotation)
>Purpose is to present smallest possible diameter of presenting part to irregular shape of pelvic canal
and to decrease resistance. This is called what?
The mechanism of Labor
What maternal factors trigger labor?
Secretion of hormones to stimulate contractions
What fetal factors trigger labor?
>Secretion of hormones by fetus
What are the 6 signs of impending labor?
>Lightening = Baby drops
>Cervical softening or "ripening"
>Weight loss and/or GI disturbances
>Burst of Energy
Can you go into labor without any of the 6 signs of labor?
YES YOU CAN!
What are the 4 S&S of TRUE LABOR?
>Uterine contractions which are regular, become more frequent and intense
>Bloody show (loss of muscous plug)
>Rupture of membranes (may occur before labor begins or during labor
Do Braxton -Hicks contractions change the cervix?
NOO NOT AT ALL!!
What is PROM?
Premature Rupture of Membranes
PROM can cause what?
The 5 "Ps" that affect labor are called what?
What do they stand for?
>Power-uterine contractions, abdominal muscles of mother while pushing
>Passageway- Pelvis-size & shape; soft tissue
>Passenger -size, position & presentation
>Position- frequent changes during the 1st and 2nd Stages
>Psyche- response of the woman i.e if she doesn't want to push anymore.
What is a nice shape pelvis? (passageway)
We want the baby's head at what station? where is this located anatomically?
The Ischial Spine
What is it called when the baby's (passenger) head is too large to fit through mother's pelvis?
Cephelopelvic disproportion (CPD)
What's another word for the "Position" of the baby?
What is the normal attitude (position) for the passenger?
Norm=flexed:head toward the chest, arms and legs flexed over thorax, back curved in "C"
Baby is laying on pelvis with but up and elbow pointing toward pelvis is called what?
Presentation, part that enters the pelvis first is called what?
What are the 2 primary lies for fetal position?
The longitudinal lie has what two ways? what is the percentage of each?
The transverse lie consists of what? & percentage?
Why should the head come out 1st?
Because it's the largest part of the body and it helps to stretch out the CERVIX.
If the baby is looking at the floor when delivered, what cephalic presentation is this?