Shared Flashcard Set

Details

obgyn
ch 26
19
Nursing
Undergraduate 1
09/03/2009

Additional Nursing Flashcards

 


 

Cards

Term
lightening is
Definition
the woman may notice the fetus seems to have settled or "dropped" into the pelvis
Term
effaces is
Definition
thinning of the cervix
Term
dilates is
Definition
opening of the cervix
Term
braxton hicks is
Definition
irregular tightening of the pregnant uterus that begins in the 1st trimester and increases in frequency, duration, and intensity as pregnancy progresses
Term

the 5 p's and there description are

 

Definition

passageway: the pelvis and soft tissue

passengers:the fetus and placenta

powers:contractions

position of mother: standing, squatting, etc..

psyche:psychological response

Term

the pelvis

 

Definition
function:support for the uterus and fetus druing the lat mths of pregnancy
Term
the true pelvis
Definition
size and shape of the true pelvis are more imprtant than the false pelvis because the fetal head must be able to pass throught his section for vaginal delivery
Term
the true pelvis is divided into
Definition
3 segments: inlet, cavity or midpelvis, outlet
Term

molding is

 

Definition
bones of the skull are not rigidly joined (fused) th is allows the bony plates to overlap as the fetus progresses throught the maternal pelvis
Term
fontanels are
Definition

anterior is the larger diamond shaped

posterior is smaller and triangular

Term
normal fetal heart rate is
Definition
120-160 beats per min
Term
how many beats over may indicate fetal distress
Definition
30 beats more per min, needs to be reported immediatly
Term
what are the mechanism of labor in order
Definition

engagement

descent

flexion

internal rotation

extension

external rotation and restitution

expulsion

Term
the apgar score
Definition

score can range from 1-10 and taken 1-5min after birth

high-indicates good condition

low-indicates serious problems

criteria: heart rate, resp effort, muscle tone, reflex irritability, and color

Term
what can interfere with the progress of labor
Definition
a full bladder
Term
fetal distress is caused by
Definition

hypoxia: indicated by nonreassuring FHR patterns

meconium: stool released from the rectum of the fetus in response to hypoxia

prolapsed cord: pressure on the umbilical cord that occludes blood flow

Term
induction is done when
Definition
the membranes have ruptured for longer than a few hrs, in case of severe pregnancy-induced hypertension, or in a post-term pregnancy
Term
how is induction done
Definition

by amniotomy-repture of the fetal membranes by a sterile hook to open the sac

prostaglandin gel app-gel to start contractions usually within a hr

oxytocin stimulation-induce/stimulate labor

Term
medical interventions to deliver baby
Definition

forceps-spoon-lk devices that fit around the fetal head to aid in expulsion of the fetus

vacuum-attachment of a vacuum cup to the fetal head and application of neg pressure

ceserean-abd and uterine incision

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