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Flashcards in Test 2 Blueprint (1) Deck (45):
1

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

Engaged
0 station

2

Above the ischial spines... + or - ?

-

3

Below the ischial spines... + or - ?

+

4

What are the 3 names of the lochia?

Rubra
Serosa
Alba

5

What days is lochia rubra normally seen?

1 - 3 days

6

What does lochia rubra look like?

bright red, bloody, small slots

7

What causes lochia rubra to increase?

breastfeeding
standing up

8

What days is lochia serosa normally seen?

4 to 10 days after delivery

9

What does lochia serosa look like?

pinkish brown
serosanguineous

10

What days is lochia alba normally seen?

11 days to 6 weeks after delivery

11

What does lochia alba look like?

yellowish, white, creamy color

12

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

Latent
Active
Transition

13

What defines the First Stage?

12.5 hr
Onset of labor
Complete dilation

14

What defines the Latent Phase?

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

15

What are maternal characteristics of the Latent Phase?

Some dilation and effacement
Talkative and eager

16

What defines the Active Phase?

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

17

What are maternal characteristics of the Active Phase?

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

18

What defines the Transition Phase?

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

19

What are maternal characteristics of the Transition Phase?

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

20

What defines the Second Stage?

5 min to 2 hr
Full dilation to Birth

21

Maternal characteristics of the Second Stage?

pushing = birth of fetus

22

What defines the Third Stage?

5 - 30 min
Delivery of neonate to delivery of placenta

23

Maternal characteristics of the Third Stage?

Placental separation & expulsion

24

What defines the Fourth Stage?

1 - 4 hr
Delivery of placenta to maternal vitals stabilize

25

Maternal characteristics of the Fourth Stage?

Vitals stabilize
Lochia scant to moderate

26

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

variability

27

What are the 4 classifications of variability?

Absent
Minimal
Moderate
Marked

28

Absent variability...

0 bpm, undetectable

29

Minimal variability...

0-5 bpm

30

Moderate variability...

6-25 bpm (desired range)

31

Marked variability...

> 25 bpm (baby in v-fib)

32

What defines accelerations?

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

33

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

prolonged acceleration

34

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

Resets the baseline

35

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

at least 2

36

What defines decelerations?

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

37

Name the 3 types of decels?

Early
Variable
Late

38

What is a periodic decel/accel?

occurs WITH a contraction

39

What is a non-periodic decel/accel?

occurs WITHOUT a contraction

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.

EARLY decel

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.

VARIABLE decel

42

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

LATE decel

43

What causes EARLY decels? Intervention?

head compression
no interventions

44

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

45

What causes LATE decels? Intervention?

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