Term
|
Definition
| Fetal head is 3-4cm visible in the vaginal opening |
|
|
Term
| What is the vertex presentation? |
|
Definition
| When the fetal head is fully flexed. |
|
|
Term
| What is the most favorable cephalic variation? |
|
Definition
|
|
Term
| What is the military presentation? |
|
Definition
| The fetal is neither flexed nor extended. |
|
|
Term
| What is the brow presentation? |
|
Definition
| The fetal head is partly extended. |
|
|
Term
| What does the brow presentation normally covert to? |
|
Definition
| Vertex or a face presentation. |
|
|
Term
| What is the face presentation? |
|
Definition
| When the fetal head is fully extended. |
|
|
Term
| What is the most common presentation? |
|
Definition
|
|
Term
| What is the second most common presentation? |
|
Definition
|
|
Term
|
Definition
| The fetal legs are flexed at the hips and extend toward the shoulders. |
|
|
Term
| What is the most common breech position? |
|
Definition
|
|
Term
| What is present in the frank breech? |
|
Definition
|
|
Term
| What is the full or complete breech? |
|
Definition
| A reversal of the cephalic presentation, with flexion of the head and extremities. |
|
|
Term
| In the full or complete breech what is present at the cervix? |
|
Definition
| Both feet and the buttocks |
|
|
Term
| What is present at the cervix in the fooling breech? |
|
Definition
|
|
Term
| What presentation calls for a cesarean section? |
|
Definition
| Transverse lie. The shoulder enters and pelvis first. |
|
|
Term
|
Definition
| To provide traction and rotation to the fetal head when the mothers pushing efforts are insufficient to accomplish a safe delivery. |
|
|
Term
|
Definition
| Instruments with curved blades that fit around the fetal head without unduly compressing it. |
|
|
Term
| What disorders in the mother usually require forcep extraction? |
|
Definition
|
|
Term
| What is required for a forceps extraction? |
|
Definition
| Cervix be fully dilated, membranes ruptured, bladder empty, fetal head engaged, and at +2 station for optimal outcome. |
|
|
Term
| What is the main risk for forcep extraction to both the mother and fetus? |
|
Definition
|
|
Term
| What happen to the mothers vagina with forcep extraction? |
|
Definition
|
|
Term
| What can happen to the infant during forcep extraction? |
|
Definition
| Bruising, facial, or scalp lacerations or abrasions, cephalhematoma, or intracranial hemorrhage. |
|
|
Term
| What is needed before a forcep extraction? |
|
Definition
|
|
Term
| What nursing care is used when forcep extraction is used? |
|
Definition
| Ice applied to the perineum to reduce bruising and edema. Examine the infants head for lacerations, abrasions, or bruising. |
|
|
Term
| How can you tell if the facial nerve has been injured during forcep extraction? |
|
Definition
|
|
Term
| What is a cesarean birth? |
|
Definition
| Surgical delivery of the fetus through incisions in the mothers abdomen and uterus. |
|
|
Term
| What conditions necessitate cesarean delivery? |
|
Definition
| Abnormal labor, inability of the fetus to pass through the mothers pelvis (cephalopelvic disproportion), maternal conditions such as gestational hypertension or DM, active maternal herpes virus, pervious surgery on the uterus, fetal compromise, placenta previa, and abruptio placentae. |
|
|
Term
| What are maternal risk for a cesarean birth? |
|
Definition
| Risk r/t anesthesia, respiratory complications, hemorrhage, blood clots, injury to the urinary tract, delayed intestinal peristalsis, and infection. |
|
|
Term
| What are risk to the infant during a cesarean birth? |
|
Definition
| Inadvertent preterm birth, respiratory problems bc of delayed absorption of lung fluid, and injury such as laceration or bruising. |
|
|
Term
| What are the two incisions in cesarean birth? |
|
Definition
|
|
Term
|
Definition
| The intentional initiation of labor before it begins naturally. |
|
|
Term
|
Definition
| The stimulation of contractions after they have begun naturally. |
|
|
Term
| What is the bishop score used to assess? |
|
Definition
| The status of the cervix in determining its response to induction. |
|
|
Term
| What does a bishop score of 6 or more indicate? |
|
Definition
| Favorable prognosis for induction. |
|
|
Term
| What are indications for induction? |
|
Definition
| Gestational hypertension, ruptured membranes without spontaneous onset of labor, infection within the uterus, medical problems in the women that worsen during pregnancy, such as diabetes, kidney disease, or pulmonary disease, fetal problems, placental insufficiency, or fetal death. |
|
|
Term
| What are some contraindications for labor induction? |
|
Definition
| Placenta previa, umbilical cord prolapse, abnormal fetal presentation, high station, active genital herpes, abnormal size or structure of mothers pelvis, and previous classic cesarean incision. |
|
|
Term
| How can labor be induced? |
|
Definition
| Amniotomy, oxytocin,laminaria, walking, and nipple stimulation. |
|
|
Term
| Why is prostaglandin used for? |
|
Definition
|
|
Term
| How does prostaglandin come? |
|
Definition
| Gel or commercially prepared vaginal insert. |
|
|
Term
| What drugs are used to reduce uterine contractions? |
|
Definition
|
|
Term
| When is oxytocin induction started after the insert is removed? |
|
Definition
|
|
Term
| What is the sign of uterine hyperstimulation? |
|
Definition
| Uterine contractions that last longer than 90 seconds and/or more than five contractions in 10 minutes. |
|
|
Term
|
Definition
| Narrow cone of a substance the absorbs water and is known as an "osmotic dilator". |
|
|
Term
|
Definition
| Swells inside the cervix, thus beginning cervical dilation. |
|
|
Term
| What is the most common method of labor induction and augmentation? |
|
Definition
|
|
Term
| How does walking stimulate contraction? |
|
Definition
| By easing the pressure of the fetus on the mothers back and adds gravity to the downward force of contractions. |
|
|
Term
| Besides walking, what are other upright positions improve effectiveness of each contraction. |
|
Definition
| Sitting, squatting, and kneeling. |
|
|
Term
| What does stimulating the nipples do for induction? |
|
Definition
| Causes the posterior pituitary gland to naturally secrete oxytocin. |
|
|
Term
| How can the women stimulate her nipples? |
|
Definition
| Pulling or rolling them, one at a time. Gently brushing them with a dry washcloth. Using water in a whirlpool tub or a shower. Applying suction with a breast pump. |
|
|
Term
| What is the most common complication related to overstimulation of contractions is? |
|
Definition
| Fetal compromise and uterine rupture. |
|
|
Term
| What are the most common signs of fetal compromise? |
|
Definition
| Fetal heart rate outside the normal range of 110 to 160b/m. Late declarations. Loss of variability. |
|
|
Term
| How does the nurse correct the adverse maternal or fetal reactions to the oxytocin infusion? |
|
Definition
| Increasing the nonmedicated intravenous solution. Changing the women's position, avoiding supine position. Giving oxygen via face mask 8-10 L/min. |
|
|
Term
|
Definition
| change that the reproductive organ, particularly the uterus, undergo after birth to return to their prepregnant size and condition. |
|
|
Term
| After the placenta is expelled when can the fund is be felt? |
|
Definition
| Midline, at or below the level of the umbilicus as a firm mass. |
|
|
Term
| What can a full bladder do to the fundus? |
|
Definition
| Interferes with uterine contractions bc it pushes the fundus up and causes it to deviate to one side, usually the right. |
|
|
Term
| When should the fundus no longer be palpable? |
|
Definition
|
|
Term
| When should the fundus return to prepregnant state? |
|
Definition
| 5-6 weeks following delivery. |
|
|
Term
|
Definition
| Intermittent uterine contractions. |
|
|
Term
| When do afterpains rapidly decrease? |
|
Definition
|
|
Term
| Who do afterpains more often occur in? |
|
Definition
| Multiparas, women whos uterus is overly distended, and breastfeeding mothers |
|
|
Term
| What is the vaginal discharge often seen after birth? |
|
Definition
|
|
Term
| What is lochia composed of? |
|
Definition
| Endometrial tissue, blood, and lymph. |
|
|
Term
|
Definition
| Red bc it is composed mostly of blood. Last for about 3 days following birth. |
|
|
Term
|
Definition
| Pinkish due to blood and mucous. Last from about the third through the tenth day following birth. |
|
|
Term
|
Definition
|
|
Term
| One gram of wt equals how many mL? (lochia) |
|
Definition
|
|
Term
| What does an uncontracted uterus allow? |
|
Definition
| Blood to flow freely from vessels at the placenta insertion site. |
|
|
Term
|
Definition
| Mostly mucous. Its clear and colorless or white. Last from the tenth through the twenty first day following birth. |
|
|
Term
|
Definition
| Mostly mucous. Its clear and colorless or white. Last from the tenth through the twenty first day following birth. |
|
|
Term
| What should the nurse do if the uterus is soft or boggy? |
|
Definition
|
|
Term
| What is the sign that the bladder is full? |
|
Definition
| Poor uterine contractions. |
|
|
Term
| What does REEDA stand for? |
|
Definition
R- Redness with pain indicates infection. Without is a normal sign.
E- Edema in the mold form is common but servers edema interferes with healing.
E- Ecchymosis is bruising. Severe Ecchymosis interferes with healing.
D- Discharge should not be present.
A- Approximation. Suture lone should not be separated. |
|
|
Term
| When is ice and heat applied to the perineal area? |
|
Definition
| Cold is the first 12-24 hours. Heat is after 24 hours. |
|
|
Term
| What is the nursing care for an episiotomy? |
|
Definition
| Cold packs for the first 12-24 hours, followed by heat after 24 hours. A sits bath. Thoroughly clean the perineal area after voiding. Perineal pad are removed front to back. Topical agents such as Hydrocortisone or benzocaine. Donuts. |
|
|
Term
| How would you describe engorged breast? |
|
Definition
| Hard, erect, and very uncomfortable. |
|
|
Term
| What is nursing care for women with engorged breast or sore nipples? |
|
Definition
| Wear a support bra, wash nipples with plain water, avoid direct water contact in the shower to avoid stimulation. In the non nursing mother teach them to not stimulate the nipples. |
|
|
Term
| Why do mothers experience chills following birth? |
|
Definition
| Thought to be r/t a sudden release of pressure on the pelvis nerves and a vasomotor response involving epinephrine during the birth process. |
|
|
Term
| When do the chills usually stop? |
|
Definition
|
|
Term
| What does chills accompanied by fever after 24 hours indicate? |
|
Definition
|
|
Term
| What does the nurse offer the mother experiencing chills? |
|
Definition
| Reassurance and a war, blanket. |
|
|
Term
|
Definition
| Yellowish fluid that is rich in protective antibodies. |
|
|
Term
| When does colostrum appear? |
|
Definition
| First few days following birth. |
|
|
Term
| What are the three phases of milk production? |
|
Definition
1)Colostrum
2)Transitional milk
3)Mature milk |
|
|
Term
| When does transitional milk emerge? |
|
Definition
| 7-10 days following birth |
|
|
Term
| When does mature milk emerge? What color is it? |
|
Definition
| 14 days following birth. Bluish. |
|
|
Term
| Breast feeding should be done when? |
|
Definition
| Within the first hour of birth. |
|
|
Term
| How long and often should breast feeding take place? |
|
Definition
| 10-15 mins per breast and 8-10 times daily. |
|
|
Term
| When do most postpartum hemorrhages occur? |
|
Definition
|
|
Term
| What is early postpartum hemorrhage? |
|
Definition
| Occurs within 24 hours of birth. |
|
|
Term
| What is late postpartum hemorrhage? |
|
Definition
| Occurs after 24 hours and within 6 weeks after birth. |
|
|
Term
| What is the major risk of hemorrhage? |
|
Definition
|
|
Term
| What is the first sign of Hypovolemic shock? |
|
Definition
|
|
Term
| How is Hypovolemic shock r/t hemorrhage treated? |
|
Definition
| Stopping the bleeding, giving IV fluids, giving blood transfusions, giving oxygen, and catheter. |
|
|
Term
| Why does early postpartum hemorrhage occur? |
|
Definition
| Uterine atony, lacerations, hematoma. |
|
|
Term
| What are normal newborn behaviors? |
|
Definition
| Frequent moro reflex, tremors, crying, increased motor activity. |
|
|
Term
| What is a normal respiration rate for a newborn? |
|
Definition
| 30-60 breaths per minute. |
|
|
Term
| What is normal pulse rate for a newborn? |
|
Definition
| 110-160 beats per minute. |
|
|
Term
| What is the normal temperature of the newborn? |
|
Definition
|
|
Term
| What are some benefits to breast feeding? |
|
Definition
| Contains full range of nutrients, easily digested, does not cause allergic reaction, provides natural immunity, promotes mouth development, and rarely constipated. |
|
|
Term
|
Definition
| Peripheral blueness of the hands and feet. |
|
|
Term
|
Definition
|
|
Term
|
Definition
| White pinpoint "pimples" caused by the obstruction of sebaceous. May be seen on the nose and chin. |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Standardized method of evaluating the newborns condition immediately after delivery. |
|
|
Term
| When is the apgar score obtained? |
|
Definition
| 1 and 5 minutes following birth. |
|
|
Term
| What are the five object signs obtained during the apgar test? |
|
Definition
| Heart rate, color, reflexes, muscle tone, and respirations. |
|
|
Term
| An apgar score of what requires gently stimulation? |
|
Definition
|
|
Term
| An apgar score of what require resuscitation? |
|
Definition
|
|
Term
| What is the leading cause of neonatal death? |
|
Definition
|
|
Term
| What reflexes are evident in the newborn? |
|
Definition
| Head lag, moro, rooting, and tonic neck. |
|
|
Term
| What is the first priority in the delivery room for the newborn? |
|
Definition
|
|
Term
| What is caput succedaneum? |
|
Definition
| Swelling on the head due to pressure from the cervix during labor. |
|
|
Term
| When does Caputo succedaneum subside? |
|
Definition
| 24-48 hours following birth. |
|
|
Term
| What is the difference between Caput succedaneum and cephalohematoma? |
|
Definition
| Caputo succedaneum can cross the suture lines. |
|
|
Term
| Why type of eye care is given to the newborn? |
|
Definition
| Prophylactic erythromycin eye ointment within the first hour. |
|
|
Term
| Why is prophylactic erythromycin given? |
|
Definition
| To prevent ophthalmia neonatorium caused by neisseria gonorrhea. |
|
|
Term
| What are behaviors during the transition phase? |
|
Definition
| Irritable, rejects support person, introverted, wants to give up, restless, tremor of legs, fears of losing control, and request medication. |
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