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Labor and birth
ppt
57
Nursing
Undergraduate 1
04/03/2023

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Cards

Term
the four P's
Definition
powers, passage, passenger, psyche
Term
factors that influence the progress fo labor
Definition
preparation, position, professional, place, procedures, people
Term
effects of contractions on the cervix
Definition
effacement, dilation
Term
phase of contractions
Definition
increment, peak, decrement
Term
measures of contractions
Definition
frequency, duration, intensity
Term
phases of intensity
Definition
mild, moderate, firm
Term
report ot the RN any contractions that occur more frequently than every _, last longer than _ or have intervals shorter than _
Definition
2 minutes, 90 sec, 60 sec,
Term
excessive anxiety or fear, can cause greater:
Definition
pain, inhibit progress of labor, reduce blood flow to the placent and fetus
Term
Voluntary pushing added to involuntary uterine contractions (fully dilated) to push or propel the fetus
Definition
Maternal Pushing
Term
most feel a strong urge to push when _ and the fetus begins to _
Definition
fully dilated, descend
Term
Parts of the pelvis
Definition
true, false
Term
the true pelvis is:
Definition
directly involved in child birth
Term
true pelvis consists of
Definition
inlet, midpelvis, outlet
Term
the false pelvis
Definition
flares, upper portion of pelvis
Term
the passengers
Definition
fetus, placenta, amniaotic membranes, amniotic fluid
Term
the fetus consists of
Definition
fetal head, anterior fontanel, posterior fontanel, sutures, biparietal diameter, antero-posterior diameter
Term
Different types of Lie
Definition
lie, longitudinal, transverse, oblique
Term
refers to the position of the fetus in relation to the maternal spine.
Definition
Fetal lie
Term
can influence the course of labor
Definition
mental state
Term
signs of impending labor
Definition
braxton hicks contractions, increased vaginal discharge, bloody show, rupture of the membranes, energy spurt, wight loss
Term
mechanisms of labor
Definition
descent, engagement, flexion, internal rotation, extension, external rotation, expulsion
Term
When to Go to the Hospital or Birth Center
Definition
contractions, ruptured membranes, bleeding other than bloody show, decreased fetal movement, any other concern
Term
Three major assessments performed promptly on admission
Definition
fetal conditions, maternal condition, impending birth
Term
false labor
Definition
irregular contractions, walking relieves contractions, no bloody show, no change in effacement/dilation of cervix
Term
signs of true labor
Definition
contractions develop regular patter, contractions become stronger and more effective with walking, discomfort in lower back/abdomen, bloody show often present, progressive effacement and dilation of cervix
Term
After admission to the labor unit, nursing care consists of
Definition
monitoring the fetus, monitoring the laboring woman, helping the woman cope with labor
Term
fetal monitoring consists of
Definition
fetal heart rate, intermittent auscultation, continuouse electronic fetal monitoring
Term
any FHR _ and any slowing of the FHR that persists after the _ is promptly reported to the health care provider
Definition
outside the normal limits, contraction ends
Term
baseline FHR
Definition
110-160
Term
fetal bradycardia
Definition
<110
Term
fetal tachycardia
Definition
>160
Term
Fetal HR patterns
Definition
baseline variability, moderate variability, marked variability, absent variability
Term
types of accelerations
Definition
Early decelerations
Variable decelerations
Late decelerations
Prolonged decelerations
Recurrent decelerations
Intermittent decelerations
Sinusoidal pattern
Term
reassuring patterns
Definition
stable fetal heart rate, moderate variability, accelerations, uterine contractions frequency > every 2 min and durations <90sec and relaxation interval of at least 60 sec
Term
nonreassuring patters
Definition
tachycardia, bradycardia, decreased or absent variability, late decelerations, variable decelerations
Term
green stained amniotic fluid may indicate fetus passed:
Definition
meconium
Term
amniotic fluid should not
Definition
smell
Term
amound of amniontic fluid: scant _, moderate _, large _
Definition
trickle, 500ml, >1000 ml
Term
Six Lamaze Institute Basic Practices for Maternity Care
Definition
Labor should begin on its own.
Woman should have freedom of movement.
Woman should have a birth support person or doula.
No routine interventions should be performed.
Woman should be in non-supine positions.
Woman should not be separated from infant.
Term
first stage of labor
Definition
dilation and effacement
Term
the first stage of labor can last
Definition
4 to 6 hrs
Term
second stage of labor
Definition
expulsion of fetus
Term
second stage of labor can last
Definition
30 min to 2 hrs
Term
third stage of labor
Definition
expulsion of placenta
Term
third stage of labor lasts
Definition
5 to 30 min
Term
forth stage of labor
Definition
recovery
Term
main concern for vaginal birth after cesarean
Definition
uterine scar will rupture
Term
phase 1 care of newborn
Definition
from birth to 1 hr
Term
phase 2 care of the newborn lasts
Definition
from 1 to 3 hrs (usually in in transition nursery/postpartum)
Term
phase 3 care of the newborn
Definition
from 2 to 12 hrs (usually w/mother in postpartum unit)
Term
Initial care for phase 1 includes
Definition
Maintaining thermoregulation
Maintaining cardiorespiratory function
Observing for urination and/or passage of meconium
Identifying the mother, father, and newborn
Performing a brief assessment for major anomalies
Encouraging bonding/breastfeeding
Term
The Apgar is used to score
Definition

Heart rate

Respiratory effort

Muscle tone Reflex response to suction or gentle stimulation on the soles of the feet

Skin color

Term
This type of blood is capable of regenerating stem cells that are able to replace diseased cells.
Definition
umbiliical cord blood banking
Term
blood for umbilical cord blood banking is collected after _
Definition
cord has been clamped
Term
blood for umbilical cord blood banking must be transported within _ of collection
Definition
48 hrs
Term
type of waveform analysis that detects intrapartal changes in fetal ST waveforms, indicative of developing fetal metabolic acidosis.
Definition
STAN technology
Term
computerized interpretation of real-time FHR patterns that provides automatic analysis of fetal heart pattern to compliment clinical judgment as well as permanent documentation in EMR.
Definition
PERICALM-EFM
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