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OB > OB ch 10-11 quiz > Flashcards

OB ch 10-11 quiz Flashcards

1
Q

abrupt increase of FHR above baseline

A

accelerations

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2
Q

fluctuations in fetal heartbeat

A

variability

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3
Q

decelerations with contractions

A

early decelerations

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4
Q

decelerations after contractions

A

late decelerations

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5
Q

change in fetal heart rate at any point during contraction

A

variable decelerations

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6
Q

long decelerations

A

prolonged decelerations

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7
Q

normal discharge of fluid from uterus after birth

A

lochia

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8
Q

artificial rupture of membranes

A

amniotomy

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9
Q

Cesarean birth

A

C-section

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10
Q

vacuum baby’s head if stuck

A

vacuum extraction

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11
Q

pulls babies head out

A

forceps

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12
Q

seaweed that absorbs moisture and expands cervix

A

laminaria

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13
Q

induction by moms choice - not medical reason

A

elective induction

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14
Q

cut through to make space bigger for baby to come through

A

episiotomy

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15
Q

stuff in lungs that keep alveoli from sticking

A

surfactant

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16
Q

what is normal FHR

A

110-160

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17
Q

why should vaginal exams be performed as infrequently as possible

A

infection

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18
Q

what are possible complications of internal fetal monitoring

A

infections, membrane rupture, cellulitis

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19
Q

what is the most commn complication when membranes rupture

A

cord prolapse

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20
Q

How can nurse assess for cord prolapse

A

feel in vagina for cord

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21
Q

what is the most common type of shock surrounding delivery

A

hypovolemic shock

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22
Q

what are symptoms of hypovolemic shock

A

decrease BP
increased HR
increased R
headache

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23
Q

what is one of the first treatments for concerning fetal decelerations

A

change position, increase blood flow, give mom O2

24
Q

what is kangaroo care - why is it done

A

put baby on mom’s bare skin - bonding time

25
Q

what is normal color of amniotic fluid

A

clear

26
Q

what would indicate a positive nitrazine test

A

dark blue nitrazine paper - indicates alkaline

27
Q

what are 3 phases of a contraction

A

mild, moderate, strong

28
Q

what are 3 components when monitoring contractions

A

nose, chin, forehead

29
Q

in active labor in a low risk client, how often should mom and baby be assessed

A

every 30 minutes

30
Q

in recovery phase, how often should mom be assessed (1st hr)

A

every 15 minutes

31
Q

what is important to assess about uterine size

A

firm and shrinking

32
Q

how does pain and anxiety affect the labor process

A

slow labor

33
Q

What is normal fetal pH

A

7.25-7.45

34
Q

What are fetal side effectsof vacuum extraction

A

scalp wounds, skull fracture, bleeding within skull

35
Q

what can happen when a pregnant woman lies on her back

A

mom faints

36
Q

what is the treatment for when mom faints when on her back

A

put on her side and wake up

37
Q

when applying an external fetal monitor, where should the nurse apply it

A

around stomach, under belly button

38
Q

when is it okay for the woman to push

A

birth stage - 10 cm dilated

39
Q

why is early ambulation important after surgery

A

improve blood flow, less chance for clots and infection

40
Q

what is the primary concern for babies born by C section

A

breathing problems

41
Q

why is breathing a problem

A

chest didn’t get squeezed through birth canal so fluid could still be in lungs

42
Q

what is the term when the cervix is ready

A

ripe(shortened, soft, dilated)

43
Q

why is c section not the method of choice for moms and babies

A

infection, vaginal birth, uterine rupture

44
Q

what conditions have to occur before forceps or vacuum extraction can be used

A

cervix dilated 10 cm

45
Q

how is fluid balance maintained in the majority of women in labor

A

IV

46
Q

what is the scale used to determine if a cervix is ready

A

Bishop score

47
Q

what is an acceptable bishop score

A

greater than 6

48
Q

why is c section the delivery of choice for a preterm infant

A

head, small & soft - don’t have skull development - could get squashed

49
Q

what is the most important indicator of fetal maturity

A

LS ratio 2:1

surfactant in lungs

50
Q

how is an amniotomy done

A

a hook is used to snag & rupture membranes

51
Q

Is there an increasing number of c sections

A

yes

52
Q

When on an oxytocin drip, what should the nurse be monitoring for

A

long contractions over 90 sec

53
Q

is it possible to have a vaginal birth after a cesarean

A

yes

54
Q

what is the best uterine incision if the woman wishes to deliver vaginally after a cesarean

A

low transverse “bikini cut”

55
Q

what is the worst type of uterine incision if woman wants to deliver vaginally

A

vertical (midline of lower abdomen)

56
Q

vacuum assisted deliveries and forceps deliveries are known as what type of deliveries

A

assisted delivery

operative vaginal delivery

57
Q

if a vacuum doesn’t work, what will most likely be the route of delivery

A

C-section

OB (9 decks)

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