Test 2 Blueprint (1)

Question 1

What is it called when the fetus’ head is at the ischial spines?

Answer 1

Engaged

0 station

Question 2

Above the ischial spines… + or - ?

Answer 2

-

Question 3

Below the ischial spines… + or - ?

Answer 3

+

Question 4

What are the 3 names of the lochia?

Answer 4

Rubra
Serosa
Alba

Question 5

What days is lochia rubra normally seen?

Answer 5

1 - 3 days

Question 6

What does lochia rubra look like?

Answer 6

bright red, bloody, small slots

Question 7

What causes lochia rubra to increase?

Answer 7

breastfeeding

standing up

Question 8

What days is lochia serosa normally seen?

Answer 8

4 to 10 days after delivery

Question 9

What does lochia serosa look like?

Answer 9

pinkish brown

serosanguineous

Question 10

What days is lochia alba normally seen?

Answer 10

11 days to 6 weeks after delivery

Question 11

What does lochia alba look like?

Answer 11

yellowish, white, creamy color

Question 12

What are the 3 phases of the first stage of labor?

Answer 12

Latent
Active
Transition

Question 13

What defines the First Stage?

Answer 13

12.5 hr
Onset of labor
Complete dilation

Question 14

What defines the Latent Phase?

Answer 14

4-6 hr
Cervix 0 cm to 3 cm
- Irregular contractions
- 5-30 min frequency
- 30-45 sec duration

Question 15

What are maternal characteristics of the Latent Phase?

Answer 15

Some dilation and effacement

Talkative and eager

Question 16

What defines the Active Phase?

Answer 16

2-3 hr
Cervix 4 cm to 7 cm
- More regular contractions
- 3-5 min frequency
- 40-70 sec duration

Question 17

What are maternal characteristics of the Active Phase?

Answer 17

Rapid dilation and effacement
Some fetal descent
Feels helpless
Anxious and restless, increases as contractions get stronger

Question 18

What defines the Transition Phase?

Answer 18

20-40 min
Cervix 8 cm to 10 cm
- Strong to very strong contractions
- 2-3 min frequency
- 45-90 sec duration

Question 19

What are maternal characteristics of the Transition Phase?

Answer 19

Most difficult part of labor
Tired, restless, irritable
Feels out of control, "cannot continue"
N/V
Urge to push
Rectal pressure, feeling of bowel movement
Increased bloody show

Question 20

What defines the Second Stage?

Answer 20

5 min to 2 hr

Full dilation to Birth

Question 21

Maternal characteristics of the Second Stage?

Answer 21

pushing = birth of fetus

Question 22

What defines the Third Stage?

Answer 22

5 - 30 min

Delivery of neonate to delivery of placenta

Question 23

Maternal characteristics of the Third Stage?

Answer 23

Placental separation & expulsion

Question 24

What defines the Fourth Stage?

Answer 24

1 - 4 hr

Delivery of placenta to maternal vitals stabilize

Question 25

Maternal characteristics of the Fourth Stage?

Answer 25

Vitals stabilize | Lochia scant to moderate

Question 26

Expected fluctuations of the baseline that are an indicator of fetal well being:

Answer 26

variability

Question 27

What are the 4 classifications of variability?

Answer 27

Absent Minimal Moderate Marked

Question 28

Absent variability...

Answer 28

0 bpm, undetectable

Question 29

Minimal variability...

Answer 29

0-5 bpm

Question 30

Moderate variability...

Answer 30

6-25 bpm (desired range)

Question 31

Marked variability...

Answer 31

> 25 bpm (baby in v-fib)

Question 32

What defines accelerations?

Answer 32

Abrupt, temporary increase in FHR 15 x 15 for 33 wks or greater 10 x 10 if 32 wks or less

Question 33

The accel lasts longer than 2 min, but less than 10 min is called...

Answer 33

prolonged acceleration

Question 34

What happens when a prolonged accel is longer than 10 min?

Answer 34

Resets the baseline

Question 35

How many accels do you want on a 10 min strip?

Answer 35

at least 2

Question 36

What defines decelerations?

Answer 36

Decrease in FHR that drops below the baseline with or without a contraction

Question 37

Name the 3 types of decels?

Answer 37

Early Variable Late

Question 38

What is a periodic decel/accel?

Answer 38

occurs WITH a contraction

Question 39

What is a non-periodic decel/accel?

Answer 39

occurs WITHOUT a contraction

Question 40

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.

Answer 40

EARLY decel

Question 41

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.

Answer 41

VARIABLE decel

Question 42

FHR decreases often at the peak of contraction and returns to baseline AFTER the contraction has already ended. PERIODIC.

Answer 42

LATE decel

Question 43

What causes EARLY decels? Intervention?

Answer 43

head compression | no interventions

Question 44

What causes VARIABLE decels? Intervention?

Answer 44

cord compression, short cord, knot in cord prolapsed cord Observe for prolapsed cord (emergency c-section if prolapsed) Big 5 interventions

Question 45

What causes LATE decels? Intervention?

Answer 45

Uteroplacental insufficiency...fetus not reoxygenated quickly following contraction Big 5 interventions