Operative Deliveries Flashcards Preview

Maternal Nursing > Operative Deliveries > Flashcards

Flashcards in Operative Deliveries Deck (30):
0

Episiotomy

Surgical incision of the perineum to enlarge the area to allow for a safe delivery preventing a tear

1

Types of episiotomy

Midline, mediolateral (to the side)

2

Indications of episiotomy

Prevent damage to perineum, sphincter and rectum, prevent jagged tears, reduce risk to fetus, protect bladder, prevent future over stretching

3

Complications with episiotomy

Blood loss, infection, pain, discomfort, painful intercourse

4

Methods to reduce need for episiotomy

Kegel exercises, massage, avoid lithotomy position when pushing, side lying, warm compresses, breathing techniques

5

Nursing care for episiotomy

Offer support and comfort, available for surgical needs, document, maintain sterility

6

Care to episiotomy

Ice, assess pain, assess perineum, teach care, sitz bath, topical creams

7

Cesarean section

A surgical procedure with an incision through the transabdominal site to remove a fetus

8

C section purpose

Preserve life or health of mom and baby, prevent further complications

9

Types of c section incisions

Vertical through skin and uterus
Horizontal though skin, vertical through uterus
Horizontal through skin and uterus

10

What type of c section is the only kind that can be considered for future vaginal birth?

Horizontal

11

Indications for c section

Malpresentation of fetus, prolapsed cord, implanted placenta, herpes/HIV, pelvic disproportion, failure to progress

12

Number one issue for mortality

Hemorrhaging

13

Major complications of c section

Aspiration, PE, would infection, dehiscence, thrombophlebitis, hemorrhage, uti, injury to bowel or bladder

14

Preop nursing care

Education of possible c section, if scheduled do labs, vs, shave, bath, h&p, decide on anesthesia, npo 8 hrs, antacids, consent

15

Immediate preop prep

IV, catheterization, remove dentures and stuff, allergies, npo, consent, explain procedure, emotional support

16

In trap nursing care

Time out, I'd patient, sterile field, assist with counts, positioning, safety, assist father, baby care

17

Post op nursing care

Assess fundus, lochia, vital signs, dressing, pain, foley, IV, deep breathing, anti thrombotic stockings

18

Estimated blood loss for vaginal delivery

500ml

19

Estimated blood loss for c section

1000ml

20

Daily care and assessment of c section

BUBBLIE
Peri care, homan sign, assess incision, sutures, vs, oob, bonding, pain Meds

21

Systemic analgesia

Crosses placental barrier, blood brain barrier, stadol

22

Nerve block analgesia

Local injection of xylocaine into perineal tissues or pudendal nerve block

23

Epidural anesthesia

Into subarachnoid space

24

General anesthesia

Unconsciousness, not usually choice

25

Nursing responsibilities r/t epidural

Assess IV, we'll hydrated, maintain sterility, support patient, assess for hypotension, decrease respirations, fetal hr, loss of sensation

26

Complications with epidurals

Hypotension, bradycardia, dura tear, spinal headache, catheter migration, abscess, hematoma

27

Post delivery care

Assess for hypotension and resp depression, stress incontinence, spinal headache, itchiness, n/v

28

General anesthesia care

Not done unless emergency
Assess anesthesia, cricoid pressure, roll pt hip to relieve aorta and vena cava

29

VBAC

Vaginal birth after cesarean section- must have had horizontal incision, good pelvis, risk for uterine rupture