Labor & birth Theories why labor begins - dec progesterone - inc prostaglandins [cervix release] - uterine muscle stretches - fetus presses on cervix - release of oxytocin - placenta
Birth - coordinated effort - depending on 5 interrelated factors - abnormalities in an y of the 5 can alter or prev...
NUR 335 Quiz 3 Questions and Correct
Answers
Labor & birth
Theories why labor begins ✅- dec progesterone
- inc prostaglandins [cervix release]
- uterine muscle stretches
- fetus presses on cervix - release of oxytocin
- placenta
Birth ✅- coordinated effort
- depending on 5 interrelated factors
- abnormalities in an y of the 5 can alter or prevent labor progress, putting mother and
baby at risk
5 ps of birth
- p brith canal
- p fetus
- p contractions
- p mental state
- p mother ✅- passage through birth canal
- passenger (fetus)
- powers (contractions)
- psyche (psychological state)
- position of the mother
Best fetal positions for labor ✅roa or loa
Shoulder/transverse presentation
- requires what? ✅- immediate c section
Fetal station ✅location of the presenting part in relation to the midpelvis or ischial
spines; expressed as cm above or below the spines; station 0 is engaged, station -2 is 2
cm above the ischial spines
- +4 - baby crowning
- 0 - baby locked in pelvis
- -#s - baby is floating
Cardinal movements of labor
- des
- fle
- in ro
- exten
- exter ro
Frequency of uterine contractions ✅- from the beginning of one contraction to the
beginning of the other
- duration: from the beginning of the contraction to the end of the contraction
* only push during contraction
Cervical changes during labor ✅- effacement
- dilation
Effacement ✅- thinning of the cervix
Dilation cervix ✅10 begin labor [should be fully dilated before pushing]
Uterine contractions at labor
- where do they state
- where will the baby move down ..... And out of ... . ✅- uterine muscles contraction
starting at the to pf the muscle (fundus)
- contractions will move baby down pelvis and out of the cervical opening into the
vagina and birth canal
Signs of true labor
- what contraction
- what is showing
- rupture of what
- changes of what ✅- uterine contractions
- show
- rupture of membranes
- cervical changes
First stage of labor
- what begins regularly
- what dilates
- what phases [late, act,trans] ✅the initial stage of childbirth in which regular
contractions begin and the cervix dilates
- latent phase, active phase, transition phase [difficult but the shorters]
,Second stage of labor
- dilation is
- cervical ef
- bir ✅full dilation, cervical effacement
Intense contractions
Birth!!
Third stage of labor
- what is delivered [sep - exp] ✅delivery of placenta
- placental separation
- placental expulsion
Maternal response to labor
- what in increases in response to pain
- wbcs
- o2
- emotional distress d/t fa and fea ✅- increases up to 50%
- bp inc - response to pain
- increase in wbcs
- o2 needs increase
- emotional distress r/t fear fatigue and fear
Fetal response to labor ✅- neuro system: pressure on head r/t contractions
- cv system - fhr variation are normal
- resp system
Maternal danger signs during labor ✅- abnormal pulse
- abnormal bp
- inadequate or prolonged contractions
Fetal danger signs of labor
- what kind of staining
- hyperactivity could be a s/sx of
- normal o2 sat in utero ✅- hr
- meconium staining
- hyperactivity - might be a s/sx of hypozia
- low o2 sat [40-7o%]
Assessment of fhr
- how often during early labor
- how oftern during active labor
- how often during 2nd stage of labor ✅- assess q 30 miin during early labor
- q 15 min during active labor
- q5 during 2nd stage of labor
, Late decelerations
- when does it happen in relation to contractions
- what is the rn intervention for fetus ✅- after contraction begins (peak
- nursing intervention to improve blood & oxygen supply
Rn intervention for late deceleration ✅- immediately improving placental blood flow
- oxygenation
Prolonged deceleration
- what might the baby be doing
- rn intervention [position, o2, what to admin, what exam to perform] ✅-lasts longer
- baby might be lying on the cord
- ** change mothers position, give o2, ivf, and perform a vaginal exam
Variable decelerations
- good or bad
- what does it mean according to the cord
- mom position [what to do, head ] ✅hr up or down, cord compression = very bad
Prolapsed cord= push head up, change mom position
Variable decelrations rn interventions
- what to d/c
- mom position
- what to admin
- what to assess in mom
- who to notify
- what to assist with if prx ✅- d/c oxytocin
- change mother position
- admin o2
- assess mom vs
- notify hcp
- assist with amnioinfusion if prx
Early decelerations ✅head pressed on. This is ok.
Sinuisoidal pattern
- can be caused by what
- what to do if you do not know what is happening ✅- caused by a narcotic
- call provider if they do not know what it is causing it
Rn interventions for fetal decelerations
- what to prepapre for if it does not return to normal ✅- change maternal position
- ivf
- o2
- continue to monitor
Les avantages d'acheter des résumés chez Stuvia:
Qualité garantie par les avis des clients
Les clients de Stuvia ont évalués plus de 700 000 résumés. C'est comme ça que vous savez que vous achetez les meilleurs documents.
L’achat facile et rapide
Vous pouvez payer rapidement avec iDeal, carte de crédit ou Stuvia-crédit pour les résumés. Il n'y a pas d'adhésion nécessaire.
Focus sur l’essentiel
Vos camarades écrivent eux-mêmes les notes d’étude, c’est pourquoi les documents sont toujours fiables et à jour. Cela garantit que vous arrivez rapidement au coeur du matériel.
Foire aux questions
Qu'est-ce que j'obtiens en achetant ce document ?
Vous obtenez un PDF, disponible immédiatement après votre achat. Le document acheté est accessible à tout moment, n'importe où et indéfiniment via votre profil.
Garantie de remboursement : comment ça marche ?
Notre garantie de satisfaction garantit que vous trouverez toujours un document d'étude qui vous convient. Vous remplissez un formulaire et notre équipe du service client s'occupe du reste.
Auprès de qui est-ce que j'achète ce résumé ?
Stuvia est une place de marché. Alors, vous n'achetez donc pas ce document chez nous, mais auprès du vendeur twishfrancis. Stuvia facilite les paiements au vendeur.
Est-ce que j'aurai un abonnement?
Non, vous n'achetez ce résumé que pour €13,63. Vous n'êtes lié à rien après votre achat.
