Placenta Patty

Early Decels?

-head compression - Indicate progression of labor and are benign. - Nurses should continue to observe FHR.

Normal fetal heart rate

110-160 bpm

Which deceleration of the fetal heart rate would not require the nurse to change the maternal position? a. Early decelerations b. Late decelerations c. Variable decelerations d. It is always a good idea to change the woman's position.

A

Which method of pain management is safest for a gravida 3 para 2 admitted at 8 cm cervical dilation? a.Epidural anesthesia b.Narcotics c.Spinal block d.Breathing and relaxation techniques

A narcotic given at this time may reach its peak about the time of birth and result in respiratory depression in the newborn.

A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and says that they are very painful. Her cervix is dilated 2 cm and has not changed in 3 hours. The woman is crying and wants an epidural. What is the likely status of this woman's labor?a. She is exhibiting hypotonic uterine dysfunction.b. She is experiencing a normal latent stage.c. She is exhibiting hypertonic uterine dysfunction.d. She is experiencing pelvic dystocia.

ANS: CWomen who experience hypertonic uterine dysfunction, or primary dysfunctional labor, often are anxious first-time mothers who are having painful and frequent contractions that are ineffective at causing cervical dilation or effacement to progress. With hypotonic uterine dysfunction, the woman initially makes normal progress into the active stage of labor; then the contractions become weak and inefficient or stop altogether. The contraction pattern seen in this woman signifies hypertonic uterine activity. Typically uterine activity in this phase occurs at 4- to 5-minute intervals lasting 30 to 45 seconds. Pelvic dystocia can occur whenever contractures of the pelvic diameters reduce the capacity of the bony pelvis, including the inlet, midpelvis, outlet, or any combination of these planes.

Nurse assessing client in labor, relation of infant parts to one another A.lie B.Presention C.Attitude D.Position

Attitude : look at this little guy's parts , thats an attitude

Methylergonovine is prescribed for a client with postpartum hemorrhage caused by uterine atony. Before administering the medication the nurse checks which important client parameter?

BP

Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before the administration of methylergonovine, the nurse should check which priority item?

BP

A 31-week preterm labor client dilated to 4 centimeters has been started on magnesium sulfate. Her contractions have stopped. If the client's labor can be inhibited for the next 48 hours, which medication does the nurse anticipate will be prescribed?

Betamethasone

As a perinatal nurse you realize that a fetal heart rate that is tachycardic, is bradycardic, or has late decelerations with loss of variability is nonreassuring and is associated with A) Cord compression B) Hypotension C) Hypoxemia/acidemia D) Maternal drug use.

C

With regard to the use of tocolytic therapy to suppress uterine activity, nurses should be aware that:A) the drugs can be given efficaciously up to the designated beginning of term at 37 weeks.B) there are no important maternal (as opposed to fetal) contraindications.C) its most important function is to afford the opportunity to administer antenatal glucocorticoids.D) if the client develops pulmonary edema while on tocolytics, IV fluids should be given.

C Baby gotta breathe More surfactant yo

The baseline fetal heart rate is average rate for 10 min. Late decels noted. Most likely cause A.fetal movement B.compression of head C.Placental abruption D.cord around neck E.Maternal hypotension

C E

The nurse is monitoring a preterm labor client who is receiving magnesium sulfate intravenously. The nurse should monitor for which adverse effects of this medication? Select all that apply.

Flushing Depressed Respirations Extreme Muscle Weakness

The nurse is caring for a client in preterm labor who is receiving terbutaline sulfate to stop uterine activity. During this medication therapy, the nurse implements nursing interventions to monitor which specific body organs that can be affected by this medication?

Heart and lungs

The nurse is assisting in preparing a plan of care for a client who will be receiving a calcium antagonist to prevent preterm delivery. Which action does the nurse include in the plan of care for the client to detect a side effect of the medication?

Maternal and Fetal Heart Rate

strength of contraction

Mild nose Moderate chin Strength forehead

five ps of labor

Passenger, passageway, powers, position, and psychological response

VEAL CHOP

V- Variable C- Cord Comphression E- Early Decels H- Head Compression A- Accelerations O - OK L-Late Decels P - Placenta

sudden change in LOC sudden resp cardia collapse cogaulopathy

amniotic fluid embolism

A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is the serum therapeutic range for digoxin? a. 0.1 to 1.5 ng/mL b. 0.5 to 2.0 ng/mL c. 1.0 to 2.5 ng/mL d. 2.0 to 4.0 ng/mL

b. 0.5 to 2.0 ng/mL

mecomium aspiration

caused by maternal infections past due date long hard labor baby in distress

Cytotec and Cervidil

cervix ripening

varible

cord prolapse?

Bishop score

has to do with inducitons

Maternal blood flow during contraction is

increased bc blood sent to placenta is decreased

Labor and Cardio output

increases 51% With each contraction 400 ml sent to uterus

Stages of Labor first

longest 20 hrs ends when fully dialated

tocolytic contraindications

mother's health compromised like

Third stage

placenta is expelled

Secound stage

pushing, ends with baby being born

Fourth stage

recovery 2 hour period after delivery of placenta

fetal position

the relationship of the occiput, sacrum, chin, or scapula of the fetus to the front, back, or sides of the mother's pelvis

Tertabuline

tocolytic used for pre term labor Toco-: Prefix meaning childbirth. For example, tocolysis is the slowing or halting of labor. Sometimes spelled tok-, toko-. Baby pls don't go

Late Decels?

uteroplacental insufficiency 1.give o2 by facemask 2.reposition on right or left side 3.oxytocin stopped 4. provide IV bolus prepare for deliver is decelerations persist

The priority after water breaks

water will still be sitting there, check the baby's heart beat