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Mother-baby > Test 2 > Flashcards

Test 2 Flashcards

(67 cards)

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1
Q

length of each contraction from beginning to end

A

Duration

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2
Q

beginning of one contraction to beginning of next

A

Frequency

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3
Q

strength of contraction

A

intensity

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4
Q

Four P’s of labor

A
  1. Powers (contractions)
  2. Passage ( the pelvis and birth canal)
  3. Passenger (fetus)
  4. Psyche (response of woman)
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5
Q

Onset of regular uterine contractions and lasts until the expulsion of the placenta

A

Intrapartum period

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6
Q

descent of the fetus into the true pelvis that occurs approximately 2 weeks before term in 1st time pregnancies

A

Lightening (dropping)

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7
Q

Surge in energy

A

Nesting

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8
Q

brownish or blood-tinged cervical mucus discharge

A

Bloody show

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9
Q

shortening and thinning of the cervix

A

Effacement

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10
Q

enlargement or opening of the cervical os

A

Dilation

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11
Q

What triggers the urge to push?

A

Ferguson reflex-activates when the presenting part stretches the pelvic floor muscles

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12
Q

the relationship of fetal parts to one another

A

Fetal attitude or posture

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13
Q

complete flexion of the thighs and the legs extending over the anterior surfaces of the body

A

Complete breech

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14
Q

Complete flexion of thighs and legs

A

Frank breech

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15
Q

Extension of one or both thighs and legs so that one or both feet are presenting

A

footling breech

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16
Q

What is the ideal position of the baby to come out?

A

Occiput anterior

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17
Q

Relationship of the presenting part to the maternal ischial spines

A

Station-measured in cm above or below the ischial spine

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18
Q

begins with the onset of labor and ends with complete cervial dilation

A

Stage 1

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19
Q

begins with complete dilation of cervix and ends with delivery of baby

A

Stage 2

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20
Q

begins after delivery of baby and ends with delivery of placenta

A

Stage 3

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21
Q

begins after delivery of placenta and is completed 4 hour later

A

Stage 4

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22
Q

involves the tearing of perineal skin and vaginal mucous membrane

A

first-degree laceration

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23
Q

tear involves skin, mucous membrane, and fascia of perineal body tear

A

2nd degree laceration

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24
Q

tear involves skin, mucous membrane, and muscle of the perineal body and extends to the rectal sphincter

A

3rd degree laceration

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25
rectal mucosa, and exposes the lumen of the rectum
4th degree laceration
26
advocates birth without fear by education and environmental control and relaxation
Dick-Read method (birthing class)
27
artificial rupture of membranes
amniotomy
28
What is noted on the external monitor tracing during a contraction if the nurse suspects umbilical cord compression?
Variable decelerations
29
an assessment of the cervix to assess cervical ripeness before induction?
Bishop score
30
A score of what is considered favorable using the Bishop score for successful induction of labor?
Greater than 6
31
When the greatest diameter of the fetal head passes through the pelvic inlet Can occur late in pregnancy or early in labor
Engagement
32
Movement of the fetus through the birth canal during the fist and second stages of labor
descent
33
When the chin of the fetus moves toward the fetal chest Occurs when the descending head meets resistance from maternal tissue Results in the smallest fetal diameter to the maternal pelcic dimensions Occurs in early labor
Flexion
34
What are the mechanisms of labor
``` Engagement Descent Felxion Internal rotation Extension External rotation Expulsion ```
35
When the rotation of the fetal head aligns the long axis of the fetal head with the long axis of the maternal pelvis Occurs during second stage of labor
Internal rotation
36
Facilitated by resistance of the pelvic floor that causes the presenting part to pivot beneath the pubic symphysis and he head to be delivered Occurs during second stage of labor
Extension
37
The sagittal suture moves to transverse diameter and the shoulders align in the anteroposterior diameter. The sagittal suture maintains alignment with the fetal trunk as the trunk navigates through the pelvis.
External rotation
38
The shoulders and remainder of the body are delivered
Expulsion
39
Promotes psychoprophylaxis with conditioning and breathing
Lamaze
40
Husband coached childbirth and support by working with and managing the pain rather than being distracted from it
Bradley
41
what is the most important predictor of adequate fetal oxygenation and fetal reserve during labor?
variability
42
What is the most common reason for primary c-sections
Dystocia
43
abnormal labor that results from abnormalities of the power, passenger or the passage
Dystocia
44
Uncoordinated uterine activity Contractions are frequent and painful but ineffective in promoting dilation and effacement If happens in early labor its known as prodromal labor
Hypertonic uterine dysfunction
45
occurs when the pressure of the UC is insufficient to promote cervical dilation and effacement Less than 25 mm HG
Hypotonic uterine dysfunction
46
Labor that lasts fewer than 3 hours from onset of labor to birth
Precipitous labor
47
Women is unable to push or bear down
Inadequate expulsive forces
48
COndition in which the size, shape, or position of the fetal head prevents it from passing through the lateral aspect of the maternal pelvis or when the maternal pelvis is of a size or shape that prevents the descent of the fetus through the pelvis
Cephalopelvic disproportion
49
Five or more UC in 10 mins over a 30 min window or Series of single UC lasting 2 mins or longer or UCs occuring w/in 1 min of each other
Tachysystole
50
Most concerning side effect of oxytocin
Tachysystole
51
artificial rupture of membranes to induce or augment labor
Amniotomy
52
What should you do immediately after an Amniotomy
Check FHR d/t risk of umbilical prolapse
53
Retraction of the fetal head against the maternal perineum after delivery of the head
Turtle SIgn
54
hyper flexing the birthing women's legs onto her abdomen and simultaneously providing suprapubic pressure to assist the fetus in adducting the arms closer to body in an attempt to release the impacted shoulders
McRoberts maneuver
55
When the umbilical cord is palpated through the membranes but does NOT drop into the vagina
Occult prolapse
56
an embolus that forms when the amniotic fluid that contains fetal cells, lanugo, and vernix enters the maternal vascular system and results in cardio respiratory collapse
Anaphylactic syndrome
57
Maternal indications for a c-section
``` Previous c-section Placental abnormalities Dystocia Previous uterine surgery failure to progress through labor pre-existing or pregnancy-related maternal health factors like cardiac disease, HTN, preeclampsia, or severe diabetes mellitus ```
58
Fetal indication for c-section
Malpresentation Category II or III FHR pattern Multiple gestation
59
All hospitals should have capability of responding to obstetrical emergencies within how much time?
30 mins
60
Mean FHR rounded to increments of 5 beats per minute during a 10 min window, excludes acceleration or decelerations
Baseline FHR
61
Baseline FHR > 160 bpm lasting 10 mins or longer
Tachycardia
62
Baseline FHR <110 bpm lasting 10 mins or longer
Bradycardia
63
FLuctuations in the baseline FHR that are irregular in amplitude and frequency. The flucutuations are visually quantified as the amplitude of the peak to trough in bpm, 10 min window exlcudes accelerations and decelerations
Baseline variability
64
Visually apparent, abrupt increase in FHR above the baseline. The peak of the acceleration is greater than or equal to 15 bpm over the baseline FHR for greater than or equal to 15 seconds and greater than 2 mins
Accelerations
65
Gradual decrease in FHR below the baseline. The lowest point of the deceleration occurs at the same time as the peak of the UC
Early deceleration
66
Abrupt decrease in FHR below the baseline is greater than 15 bp lasting longer than 15 seconds and is less than 2 mins in duration
Variable deceleration
67
gradual decerase in FHR beloe the baseline. the lowest point of the deceleration occurs after the peak of the contraction
Late deceleration

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