Intrapartum
What is a footling breech position?
1 or both feet through the cervix
A client with active genital herpes is admitted to the labor and birth unit during the first stage of labor. Which plan of care does the nurse anticipate for this client?
1) Prepare the client and partner for a cesarean birth as soon as possible. 2) For a client with active genital herpes lesions, cesarean birth helps avoid infection transmission to the neonate, which would occur during a vaginal birth 3) Valacyclovir is a treatment for an active herpes infection, but would not work in time for the client to deliver vaginally.
What is a prudendal block?
1) used for vaginal births to relieve pain primarily in the perineum and vagina 2) It does not relieve discomfort in the back, abdomen, or fundus.
What does a steady trickle of blood indicate post delivery with firm fundus?
A laceration somewhere
What is complete breech presentation
Baby appears to be squatting
Betamethasone is prescribed for what reason?
Develop fetal lung maturity
What is Frank Breech presentation?
Frank Breech means the buttocks is presenting. Feet are against the face.
What is the most important nursing intervention for a patient who has just received an epidural block?
Monitor for hypotension
A nurse has been providing care to a client in labor for the past 9 hours. The fpartner remains at the bedside while the laboring client is sleeping with the epidural block in situ. Which is the mostappropriate nursing action?
Offer to remain with the client while the partner takes a short break.
What is the typical color of amniotic fluid?
Pale, straw color white flecks of vernix
Which question should the nurse ask her first?
Questions about due date and G-TPAL Allergies and history afterwards
What determines the analgesia or anesthesia for pain during labor?
Stage of labor method of birth
When a woman is in the 2nd stage of labor, what measures can enhance the progress of fetal descent?
Standing, squatting, various upright positions
Which does the nurse identify as a sign that the second stage of labor has begun?
The client's cervix cannot be felt during a vaginal examination.
Who is responsible for obtaining the informed consent prior to a cesarean section?
The physician the nurse makes sure though
What is involution?
Uterus descends 1-2cm per day
What is open glottis pushing?
encourages women to listen to their own body cues for when to breathe and when to bear down.
What is the vertex position of the baby?
head engaged in the pelvis
Assessment of a primigravid client in active labor who has had no analgesia or anesthesia reveals complete cervical effacement, dilation of 8 cm, and the fetus at 0 station. The nurse should expect the client to exhibit which behavior during this phase of labor?
loss of control loss of control or irritability. Leg tremors, nausea, vomiting, and an urge to bear down also are common.
Which finding suggests an adverse reaction to the anesthesia?
maternal hypotension, and fetal and maternal bradycardia
according to the gate-control theory of pain, a closed gate means that the client should experience what type of pain?
no pain
When a client has severe back pain during labor, what position is the baby most likely in?
occipital posterior
That is lithotomy position?
positioning of an individual's feet above or at the same level as the hips (often in stirrups)
What factors influence cervical dilation?
strong uterine contraction for of the presenting fetal part agains the cervix pressure applied by the amniotic sac Scarring of the cervix
A client tells a nurse that she's in a nontraditional same-sex relationship. The woman's partner is the healthcare surrogate for the client and her fetus. The sperm donor, who is their best friend, has waived parental rights. If the client can't make healthcare decisions for the fetus, who's responsible for making them?
the client's partner
What is closed glottis pushing?
when a woman is told to hold her breath when she pushes typically while the nurse typically counts to 10
