Term
1. WHAT IS DYSFUNCTIONAL LABOR?
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Definition
- a labor that does not result in a normal progress of cervical dilation, cervical effacement and fetal descent. |
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Term
WHAT FACTORS ARE INVOLVE IN LABOR?
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Definition
| -power of labor, psyche, passenger and passage. |
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Term
WHAT ARE THE SIGNS FOR OPERATIVE BIRTH?
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Definition
| -nonreassuring FHR, meconium passage, maternal exhaustion and infection |
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Term
4. WHAT IS A HYPOTONIC CONTRACTIONS?
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Definition
| -contractions that are two weak maybe from uterine over distention. The uterus is contracting too poorly. |
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Term
WHAT ARE THE NURSING MANAGEMENT FOR HYPTONIC CONTRACTIONS?
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Definition
| -Position change, usually standing straight up and promote fetal descent. Give IV fluid to correct fluid/electrolyte imbalance |
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Term
WHAT ARE THE THERAPUETIC MANAGEMENT FOR HYPOTONIC CONTRACTIONS?
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Definition
| Amniotomy, oxytocin augmentation, and c-section. |
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Term
WHAT IS HYPERTONIC CONTRACTIONS?
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Definition
| -hypertonic contractions are uncoordinated and weak. Painful and cramplike. The uterine resting tone is high causing occlusion of blow floow. |
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Term
WHAT ARE THE NURSING INTERVENTION FOR HYPERTONIC CONTRACTIONS? |
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Definition
-Pain management is a concern. Warm bath or shower to promote relaxation.
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Term
WHAT ARE THE THERAPEUTIC MANAGEMENT FOR HYPERTONIC CONTRACTIONS?
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Definition
| -tocolytic drugs, hydration and sedation. |
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Term
WHAT IS SHOULDER DYSTOCIA?
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Definition
| -it’s the delayed birth of the shoulder of the fetus. |
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Term
WHAT ARE THE NURSING CONSIDERATION FOR SHOULDER DYSTOCIA?
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Definition
| help rotate the fetus and check for sign of crepitus when the baby is delivered. Suprapubic maneuver and mcroberts maneuver is used to help deliver shoulder. |
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Term
WHAT IS THE NORMAL POSITION IN DELIVERING A BABY?
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Definition
| -The normal position is anterior occiput. |
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Term
WHAT ARE THE POSITION YOU CAN USE TO PROMOTE FETUS TO ROTATE TO ANTERIOR OCCIPUT?
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Definition
| side lying position(left-to-right, right-to-left), hands and knees, rocking the abdomen side to side. Squatting or sitting, kneeling forward. |
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Term
WHAT IS A BREECH PRESENTATION?
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Definition
| -it is when the buttocks or feet goes first. External cephalic version is necessary to change the presentation of the fetus. C-section is needed when the fetus doesn’t change its presentation. |
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Term
WHAT ARE THE RISKS FOR MULTIFETAL PREGNANCY?
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Definition
| -bleeding can occur because of uterine distention and decreased uterine atony. |
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Term
WHAT ARE THE NURSING CONSIDERATION FOR MULTIFETAL PREGNANCY?
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Definition
| -Monitor FHR, nurse should change the mother’s position to promote uterine blood flow and monitor for hypotonic contractions. |
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Term
WHAT IS THE MOST FAVORABLE PELVIC PASSAGE?
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Definition
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Term
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Definition
| dysfunctional labor that results from problems with any of the factors of labor. |
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Term
WHAT ARE THE POTENTIAL PROBLEMS OF PROLONG LABOR?
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Definition
| maternal infection, neonatal infection and maternal exhaustion. |
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Term
WHAT ARE THE NURSING CONSIDERDATION FOR PROLONG LABOR?
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Definition
| -maternal support, change position, provide comfort, conservation of energy and assess for infection. |
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Term
WHAT ARE THE NURSING CONSIDERATION FOR PROLONG LABOR FOR THE FETUS?
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Definition
| monitor oxygenation and neonatal infection. |
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Term
WHAT IS A PREMATURE RAPTURE OF MEMBRANE?
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Definition
| it’s a rupture of the amniotic sac before the onset of labor, regardless of length of gestation. |
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Term
WHAT ARE THE POSSIBLE CAUSES FOR PROM?
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Definition
| -infections, stress, sexual intercourse, previous preterm birth, maternal hormonal changes and maternal nutrition deficiencies. |
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Term
WHAT ARE THE NURSING INTERVENTION FOR PROM?
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Definition
| -induce labor if the gestational age is 34-36 weeks. For 34 weeks and less, accurate gestational age must be done and check for lung maturity. Assess for infection. |
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Term
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Definition
| preterm labor begins after the 20th week and before the 37th week of pregnancy. |
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Term
NURSING CONSIDERATION FOR PROM?
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Definition
| Avoid sexual intercourse, teach patient to check temperature, avoid breast stimulation to prevent contractions and avoid any activity |
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Term
HOW TO PREDICT PRETERM BIRTH?
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Definition
| cervical dilation, fetal fibroncetin (present with the onset of labor) and infections. |
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Term
WHAT IS THE COMPLICATION FOR PROLONGED PREGNANCY?
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Definition
| -placental insufficiency, the placenta is old. Reduced transfer of oxygen and nutrients. |
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Term
WHAT ARE THE NURSING CONSIDERATIONS FOR PROLONGED PREGNANCY?
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Definition
| get the accurate gestational age. Stress test to see if the fetus is tolerating stimulation well. Get ultrasound and check to see if the baby is deteriorating. Watch for passage of meconium. |
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