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Chapter 27
The woman with an intrapartum complication
29
Nursing
Undergraduate 1
03/29/2013

Additional Nursing Flashcards

 


 

Cards

Term

1.         WHAT IS DYSFUNCTIONAL LABOR?

Definition

- a labor that does not result in a normal progress of cervical dilation, cervical effacement and fetal descent.

Term

WHAT FACTORS ARE INVOLVE IN LABOR?

            

Definition
-power of labor, psyche, passenger and passage.
Term

WHAT ARE THE SIGNS FOR OPERATIVE BIRTH?

            

Definition
-nonreassuring FHR, meconium passage, maternal exhaustion and infection
Term

4.         WHAT IS A HYPOTONIC CONTRACTIONS?

            

Definition
-contractions that are two weak maybe from uterine over distention.  The uterus is contracting too poorly.
Term

WHAT ARE THE NURSING MANAGEMENT FOR HYPTONIC CONTRACTIONS?

           

Definition
 -Position change, usually standing straight up and promote fetal descent.  Give IV fluid to correct fluid/electrolyte imbalance
Term

WHAT ARE THE THERAPUETIC MANAGEMENT FOR HYPOTONIC CONTRACTIONS?

            -

 

Definition
Amniotomy, oxytocin augmentation, and c-section.
Term

WHAT IS HYPERTONIC CONTRACTIONS?

            

Definition
-hypertonic contractions are uncoordinated and weak.  Painful and cramplike.  The uterine resting tone is high causing occlusion of blow floow.
Term

WHAT ARE THE NURSING INTERVENTION FOR HYPERTONIC CONTRACTIONS?

Definition

-Pain management is a concern.  Warm bath or shower to promote relaxation.

 
Term

WHAT ARE THE THERAPEUTIC MANAGEMENT FOR HYPERTONIC CONTRACTIONS?

            

Definition
-tocolytic drugs, hydration and sedation.
Term

WHAT IS SHOULDER DYSTOCIA?

            

Definition
-it’s the delayed birth of the shoulder of the fetus.
Term

WHAT ARE THE NURSING CONSIDERATION FOR SHOULDER DYSTOCIA?

            -

Definition
help rotate the fetus and check for sign of crepitus when the baby is delivered.  Suprapubic maneuver and mcroberts maneuver is used to help deliver shoulder.
Term

WHAT IS THE NORMAL POSITION IN DELIVERING A BABY?

        

Definition
-The normal position is anterior occiput.
Term

WHAT ARE THE POSITION YOU CAN USE TO PROMOTE FETUS TO ROTATE TO ANTERIOR OCCIPUT?

            -

Definition
side lying position(left-to-right, right-to-left), hands and knees, rocking the abdomen side to side.  Squatting or sitting, kneeling forward.
Term

WHAT IS A BREECH PRESENTATION?

            

Definition
-it is when the buttocks or feet goes first.  External cephalic version is necessary to change the presentation of the fetus.  C-section is needed when the fetus doesn’t change its presentation.
Term

WHAT ARE THE RISKS FOR MULTIFETAL PREGNANCY?

            

Definition
-bleeding can occur because of uterine distention and decreased uterine atony.
Term

WHAT ARE THE NURSING CONSIDERATION FOR MULTIFETAL PREGNANCY?

           

 

Definition
-Monitor FHR, nurse should change the mother’s position to promote uterine blood flow and monitor for hypotonic contractions.
Term

WHAT IS THE MOST FAVORABLE PELVIC PASSAGE?

            

Definition
-Gynecoid.
Term

WHAT IS PROLONG LABOR?

            -

Definition
dysfunctional labor that results from problems with any of the factors of labor.
Term

WHAT ARE THE POTENTIAL PROBLEMS OF PROLONG LABOR?

            -

Definition
maternal infection, neonatal infection and maternal exhaustion.
Term

WHAT ARE THE NURSING CONSIDERDATION FOR PROLONG LABOR?

          

Definition
-maternal support, change position, provide comfort, conservation of energy and assess for infection.
Term

WHAT ARE THE NURSING CONSIDERATION FOR PROLONG LABOR FOR THE FETUS?

            -

Definition
monitor oxygenation and neonatal infection.
Term

WHAT IS A PREMATURE RAPTURE OF MEMBRANE?

            -

Definition
it’s a rupture of the amniotic sac before the onset of labor, regardless of length of gestation.
Term

WHAT ARE THE POSSIBLE CAUSES FOR PROM?

            

Definition
-infections, stress, sexual intercourse, previous preterm birth, maternal hormonal changes and maternal nutrition deficiencies.
Term

WHAT ARE THE NURSING INTERVENTION FOR PROM?

            

Definition
-induce labor if the gestational age is 34-36 weeks.  For 34 weeks and less, accurate gestational age must be done and check for lung maturity.  Assess for infection.
Term

WHAT IS PRETERM LABOR?

            -

Definition
preterm labor begins after the 20th week and before the 37th week of pregnancy.
Term

NURSING CONSIDERATION FOR PROM?

            -

Definition
Avoid sexual intercourse, teach patient to check temperature, avoid breast stimulation to prevent contractions and avoid any activity
Term

HOW TO PREDICT PRETERM BIRTH?

            -

Definition
cervical dilation, fetal fibroncetin (present with the onset of labor) and infections.
Term

WHAT IS THE COMPLICATION FOR PROLONGED PREGNANCY?

             

Definition
-placental insufficiency, the placenta is old.  Reduced transfer of oxygen and nutrients.
Term

WHAT ARE THE NURSING CONSIDERATIONS FOR PROLONGED PREGNANCY?

            -

Definition
get the accurate gestational age.  Stress test to see if the fetus is tolerating stimulation well.  Get ultrasound and check to see if the baby is deteriorating.  Watch for passage of meconium.
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