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Peds/OB > OB exam 2 > Flashcards

OB exam 2 Flashcards

(96 cards)

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1
Q

VEAL CHOP MINE

A

Acronym for the FHR pattern, cause, and management

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2
Q

FHR variability

A

Normal irregularity of rhythm; determinant of fetal wellbeing

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3
Q

FHR absent variability

A

Absent or smooth flat baseline is a sign of fetal compromise

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4
Q

FHR minimal variability

A

Detectable but equal to or. Less than 5/min

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5
Q

FHR moderate variability

A

6 to 25/min

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6
Q

FHR marked variability

A

Greater than 25/min

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7
Q

FHR sinusoidal variability

A

Repeat cycle of upward increase in the HR followed by a decrease longer than 30 min
R/t severe fetal anemia, fetal asphyxia, fetal infection, fetal cardiac anomalies,etc

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8
Q

Cord compression and how it is relieved

A

reposition mother to side or trendelenburg or knee to chest to move baby off of cord.

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9
Q

What interventions are performed for absent variability

A
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10
Q

Normal FHR

A

Baseline 110-160 over 10 minutes

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11
Q

FHR tachycardia

A

Above 160- r/t maternal fever, fetal hypoxia, intrauterine infection, drugs

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12
Q

FHR bradycardia

A

Baseline below 110; r/T profound hypoxia, anesthesia, Beta adrenergic blocking drugs

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13
Q

Interventions for late decelerations

A

Roll mom to L side for perfusion =priority
Stop oxytocin and inc IVF and O2

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14
Q

Differences between intermittent vs continuous monitoring

A
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15
Q

Epidural complications

A

CNS depression
hypotension
dec RR
allergic rxn

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16
Q

Prevention for epidural complications

A
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17
Q

Epidural

A
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18
Q

First stage of labor

A

dilation 0cm-10cm
Latent phase=0-3cm
Active phase=4-7cm
Transition phase=8-10 cm

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19
Q

How many stages of labor

A

Four

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20
Q

Phases of first stage of labor

A

Latent, active, and transition phase
Stage of cervical dilation-Starts with onset of regular contractions and ends with complete dilation

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21
Q

Describe second stage of labor

A

Stage of expulsion- Begins with complete cervical dilation and ends with delivery of fetus

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22
Q

Describe the third stage of labor

A

Delivery of neonate and placenta(- begins immediately after fetus is born and ends when placenta is delivered

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23
Q

Describe the fourth stage of labor

A

Maternal homeostatic stabilization stage-begins after the delivery of the placenta and continues for one to four hours after delivery

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24
Q

VBAC

A

vaginal birth after ceasarean

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25
Qualifications for VBAC
26
What is OP position?
27
What will help with back labor
28
Fetal fibronectin test
29
Bishop score
30
What is Bishop score used for
31
What score is best for induction(Bishop)
32
Describe pain management in labor
33
Pharmacologic pain management in labor
34
Non-pharmacologic pain management in labor
35
Contractions
36
How are contractions measured
37
Duration-contractions
38
Resting phase-contractions
39
Strength-contractions
40
Frequency-contractions
41
How are contractions measured
42
Chorioamnionitis
43
Tx for chorioamniotis
44
Diagnostics for chorioamniotis
45
5 P’s of labor
Passenger, passageway, powers, position, psychological
46
What causes variable decelerations
Cord compression
47
When is a vacuum delivery indicated?
48
What medications are needed in the room for birth- medications mom and baby
49
What happens during uterine rupture
50
S/s uterine rupture
51
True vs false labor
True labor has cervical change!
52
Signs of true labor
Bloody show, contractions that increase with intensity, presenting part of infant engages, CERVICAL CHANGE
53
Where do we listen for FHR? What if baby is breech?
54
What are tocolytics
55
When are tocolytics used
56
When is oxytocin given
57
When is oxytocin contraindicated
58
What is GBS screening done for
59
GBS screening
60
Why is it important to know? -GBS screening
61
What is station
62
How is station measured
63
How do we facilitate descent of fetus
64
Precipitous delivery
65
What do we need to monitor for in precipitous delivery
66
When is mag sulfate given
67
When is it no longer safe to give/use mag sulfate
68
Signs of labor
69
Cord prolapse
70
Interventions for cord prolapse
71
What is betamethasone for
72
What is a doula how do they assist?
73
Effleurage
74
When is effleurage done
75
What is ROM? What needs to be documented
76
Important to know about ROM
77
What are Leopold’s done for?
78
Leopolds maneuer
79
C section indications
80
7 cardinal movements
81
Acceleration-FHR
Increase in FHR from baseline by 15bpm lasting 15 seconds or more; determinant of fetal wellbeing
82
Deceleration-FHR
Decreases in FHR from normal baseline: variable, early,late, prolonged
83
Management for variable deceleration
Maternal repositioning -L side=best
84
Management for early deceleration
Identify labor progress
85
Management for acceleration
No interventions
86
Late deceleration management
Execute interventions—*PERFUSION FIRST*
87
Passenger- 5 P’s
Presentation, lie(relationship brown maternal and fetal spine-transverse/parallel), attitude(relationship btwn fetal body parts-flexion=normal,extension), fetal position, station
88
Fetal station-5 P’s
Fetal head relation to mother’s ischial spine -3 to+3
89
Passageway-5 P’s
Birth canal- bony pelvis, pelvic floor, vagina, vaginal opening
90
Powers-5P’s
Uterine contractions(causes effacement and dilation) Involuntary urge to push Voluntary bearing down
91
Position-5P’s
Occiptoposterior=normal, occiptotransverse=okay Occipitoanterior=makes things slower
92
Psychological-5P’s
Mental state influences course of labor Relaxed=more tolerant of pain Anxiety and fear—>release catecholamines->inhibit contractions and divert bloodflow from placenta
93
Variable deceleration interventions
Change position first (r/t cord compression)
94
Late decel intervention
Roll mom to L side, stop oxytocin, inc IVF and O2 immediately (r/t utero-placental insufficiency)
95
Early decel interventions
Labor check- how far along is mom, intervention not necessary
96
Prolong decel interventions
Lasts greater than 2 minutes-intervention Necessary! Reposition mom, inc IVF, stop oxytocin , OR prep

Peds/OB (12 decks)

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