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nursing care of women with complications during labor & birt
Linton
18
Nursing
Undergraduate 1
04/16/2023

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Cards

Term
intentional initiation of labor before it begins naturally
Definition
induction of labor
Term
stimulation of contractions after they have begun naturally
Definition
augmentation of labor
Term
induction is avoided before
Definition
39 wks gestation
Term
indications for induction
Definition
gestational hypertension, ruptured membranes without spontaneous onset of labor, infection within the uterus, medical problems in the woman that owrsen during pregnancy, fetal problems, placental insufficinecy, fetal death
Term
contraindications to induction
Definition
palcenta previa, umbilical cord prolapse, abnormal fetal presentation, high station of the fetus, active herpes infection, abnormal size or structure of mother's pelvis, previous classic cesareean section
Term
mechanical methods
Definition
stripping the amniotic membranes, hdroscopic dilators, transcervical ballon dilators
Term
involves separation of the chorioamniotic membranes fromt he wall of the lower uterin segment and cervix by insertion of the examiner's gloved finger through the cervix and beyond the internal cervical os and rotating the finger along the lower uterine segment
Definition
stripping the amniotic membrans
Term
complications of amniotomy
Definition
cord prolapse, infection, abruptio placentae
Term
injection of warmed sterile saline or lactated ringer's into the uterus via an intrauterine pressure catheter during labor after the membranes have ruptured
Definition
aminoinfusion
Term
indications for amnioinfusion
Definition
oligohydamnios, umbilical cord compression r/t low amniotic fluid, reducing recurrent variable declerations, diluting meconium stained amniotic fluid
Term
external version is done after _ but before labor
Definition
37 wks
Term
involves the superfiscial vaginal mucosa
Definition
first degree lacerations
Term
involves vaginal mucosa, perineal skin and deeper tissues of the perineum
Definition
third degree
Term
same as second degre plus involves the anal sphincter into the rectal mucosa
Definition
third degree
Term
extends through the anal sphincter into the rectal mucosa
Definition
fourth degree
Term
extending directly from the lower vaginal border toward the anus
Definition
midline episiotomy
Term
extending from the lower vaginal border toward the mother's right or left
Definition
mediolateral episiotomy
Term
allows more room if a loarge fetus is being delivered and it is usually needed for an obese woman
Definition
vertical incision
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