Flashcards in Test 2 Blueprint (1) Deck (45):
What is it called when the fetus' head is at the ischial spines?
Above the ischial spines... + or - ?
Below the ischial spines... + or - ?
What are the 3 names of the lochia?
What days is lochia rubra normally seen?
1 - 3 days
What does lochia rubra look like?
bright red, bloody, small slots
What causes lochia rubra to increase?
What days is lochia serosa normally seen?
4 to 10 days after delivery
What does lochia serosa look like?
What days is lochia alba normally seen?
11 days to 6 weeks after delivery
What does lochia alba look like?
yellowish, white, creamy color
What are the 3 phases of the first stage of labor?
What defines the First Stage?
Onset of labor
What defines the Latent Phase?
Cervix 0 cm to 3 cm
- Irregular contractions
- 5-30 min frequency
- 30-45 sec duration
What are maternal characteristics of the Latent Phase?
Some dilation and effacement
Talkative and eager
What defines the Active Phase?
Cervix 4 cm to 7 cm
- More regular contractions
- 3-5 min frequency
- 40-70 sec duration
What are maternal characteristics of the Active Phase?
Rapid dilation and effacement
Some fetal descent
Anxious and restless, increases as contractions get stronger
What defines the Transition Phase?
Cervix 8 cm to 10 cm
- Strong to very strong contractions
- 2-3 min frequency
- 45-90 sec duration
What are maternal characteristics of the Transition Phase?
Most difficult part of labor
Tired, restless, irritable
Feels out of control, "cannot continue"
Urge to push
Rectal pressure, feeling of bowel movement
Increased bloody show
What defines the Second Stage?
5 min to 2 hr
Full dilation to Birth
Maternal characteristics of the Second Stage?
pushing = birth of fetus
What defines the Third Stage?
5 - 30 min
Delivery of neonate to delivery of placenta
Maternal characteristics of the Third Stage?
Placental separation & expulsion
What defines the Fourth Stage?
1 - 4 hr
Delivery of placenta to maternal vitals stabilize
Maternal characteristics of the Fourth Stage?
Lochia scant to moderate
Expected fluctuations of the baseline that are an indicator of fetal well being:
What are the 4 classifications of variability?
0 bpm, undetectable
6-25 bpm (desired range)
> 25 bpm (baby in v-fib)
What defines accelerations?
Abrupt, temporary increase in FHR
15 x 15 for 33 wks or greater
10 x 10 if 32 wks or less
The accel lasts longer than 2 min, but less than 10 min is called...
What happens when a prolonged accel is longer than 10 min?
Resets the baseline
How many accels do you want on a 10 min strip?
at least 2
What defines decelerations?
Decrease in FHR that drops below the baseline with or without a contraction
Name the 3 types of decels?
What is a periodic decel/accel?
occurs WITH a contraction
What is a non-periodic decel/accel?
occurs WITHOUT a contraction
Looks like a mirror image of a contraction, gradual descent from baseline and returns to baseline by the end of the contraction. Must be PERIODIC.
Abrupt rise and fall from baseline; looks like a V or W; at least drop of 15x15 but less than 2 min. PERIODIC or NON-PERIODIC.
FHR decreases often at the peak of contraction and returns to baseline AFTER the contraction has already ended. PERIODIC.
What causes EARLY decels? Intervention?
What causes VARIABLE decels? Intervention?
cord compression, short cord, knot in cord prolapsed cord
Observe for prolapsed cord (emergency c-section if prolapsed)
Big 5 interventions