Intrapartum
passenger, passageway, powers, psyche
4P's of labor
heavy
A nurse is monitoring the amount of lochia drainage in a client who is 2 hours postpartum and notes that the client has saturated a perineal pad in 1 hour. The nurse reports the amount of lochial flow as:
every 15 minutes
A patient is in the second stage of labor. During this stage, how frequently should the nurse in charge assess her uterine contractions?
taking in, taking hold, letting go
According to Rubin's theory of maternal role adaptation, the mother will go through 3 stages during the postpartum period. These stages are:
elevate leg and keep the patient on bedrest
An appropriate nursing intervention when caring for a postpartum mother with thrombophlebitis is:
amniotomy
Artificial rupture of amniotic sac to augment or induce labor
inspect placenta for completeness including the membranes
As soon as the placenta is delivered, the nurse must do which of the following actions?
during uterine contraction
At what stage of labor is the mother is advised to bear down?
at the beginning of each fetal movement
During a nonstress test (NST), the electronic tracing displays a relatively flat line for fetal movement, making it difficult to evaluate the fetal heart rate (FHR). To mark the strip, the nurse in charge should instruct the client to push the control button at which time?
LOA
During an internal examination, the nurse palpated the posterior fontanel to be at the left side of the mother at the upper quadrant. The interpretation is that the position of the fetus is:
6-8 weeks
In a woman who is not breastfeeding, menstruation usually occurs after how many weeks?
transverse incision
Incision made through lower portion of the uterus
Lightening
It occurs 10 to 14 days before labor begins
1st stage of labor
Stage of Cervical Dilatation
2nd stage of labor
Stage of Expulsion
decrement
The 'letting down' phase of a contraction
determine of cord compression followed the rupture
The fetal heart rate is checked following rupture of the bag of waters in order to:
21-24 weeks
The lower limit of viability for infants in terms of age of gestation is:
forceps delivery
Use of forceps to aid delivery or relieve fetal head compression
Progesterone
What hormone causes slight loss of weight?
Ritgen technique
When delivering the baby's head the nurse supports the mother's perineum to prevent tear. This technique is called
laceration of soft tissues of the cervix and vagina
When the uterus is firm and contracted after delivery but there is vaginal bleeding, the nurse should suspect:
maternal cardiac condition
Which of the following conditions will lead to a small-for-gestational age fetus due to less blood supply to the fetus?
do noting because this is normal finding for age
While performing a physical assessment of a 12 month-old, the nurse notes that the infant's anterior fontanel is still slightly open. Which of the following is the nurse's most appropriate action?
station -1cm
above the ischial spine
local anesthesia
administered to block pain neuropathways that pass from the uterus to the spinal cord
engagement
at the level of the ischial spine
latent phase
cervical dilation 0 -3cm
Oxytocin
drug of choice that increases uterine contractions and minimizes uterine bleeding
show
indicates the beginning of cervical dilatation
Local infiltration
injection of anesthesia into the perineal nerves
water birth
involves the patient sitting or reclining in a warm bath during labor
nuchal cord
loop of umbilical cord is encircling the neck
Duncan
maternal surface evident
ischial spines
midpoint of the pelvis
120-180 bpm
normal FHR
Presentation
part of the fetus that enters the pelvic inlet first and leads through the birth canal during labor at term
acme
peak of contraction
active phase
phase of 1st stage of labor known as frightening time
Attitude
relationship of the fetal body parts to each other
lie
relationship of the long axis of the fetus to the long axis of the mother
Presenting part
the part first felt by the examining finger during the vaginal examination
uterine contraction
the primary power involved in labor and delivery is
Fetal position
the relationship of the presenting part to the ischial spines
Face
this cephalic presentation may result extreme edema and distortion of the face may occur
4th stage of labor
time from delivery of placenta to homeostasis
Complete
type of breech presentation where thighs of the fetus are tightly flexed on the abdomen
hemorrhage secondary to uterine atony
Upon assessment, the nurse got the following findings: 2 perineal pads highly saturated with blood within 2 hours postpartum, PR= 80 bpm, fundus soft and boundaries not well defined. The appropriate nursing diagnosis is:s
Station 0
When the fetal head is at the level of the ischial spine, it is said that the station of the head is
floating
When the nurse palpates the suprapubic area of the mother and found that the presenting part is still movable, the right term for this observation that the fetus is
duration
beginning of increment to end of decrement
Frequency
beginning of one contraction to the beginning of the next
station +1cm
below the ischial spine
Pudendal block
blockage of the pudendal nerve used to ease pain during delivery
active phase
cervical dilation 4-7cm
Molding
change in the shape of the fetal skull produced by the force of uterine contractions
Leopold's Maneuver
combined abdominal inspection and palpation
transitional phase
complete effacement and cervical dilation 8 -10cm
Dilation
enlargement or widening of the cervical canal
hemorrhage
falling BP and pulse greater than 180 are signs of?
Shultze
fetal surface evident
station -4cm
head is floating
Relaxin
hormone which soften the cartilage between bones
3
how many vessels are present in the umbilicus?
vertex
most common presentation and allows suboccipitobregmatic diameter to present to the cervix
fetal head
most important part of the fetus
Fetal position
relationship of the presenting part to a specific quadrant and side of a woman's pelvis
Engagement
settling of the presenting part of the fetus far enough into the pelvis
Effacement
shortening and thinning of the cervical canal
placental stage
stage of labor from delivery of infant to delivery of placenta
2nd
stage of labor where crowning occurs
Crowning
station +4cm at the perineum
rupture of membranes
sudden gush of clear fluid from the vagina
episiotomy
surgical incision of the perineum used to enlarge the vaginal outlet
increment
the building up phase and longest phase during uterine contractions
"babies need to be held and cuddled; you wont spoil her this way
the mother of a 2-month-old is concerned that she may be spoiling her baby by picking her up when she cries. Which of the following would be the nurse's best response?
Frank
type of breech presentation; fetal hips are flexed but the legs are extended and resting on the chest
classic
vertical midline incision is made in the skin and the body of the uterus
oxytocin and prostaglandins
what hormones stimulate contractions
1 to 4 hours after birth of placenta
when does the 4th stage of labor usually occurs?
5-30 minutes after the birth of the infant
when does the placenta expulsion usually occur?