Term
| What is the 1st part that enters through the pelvic inlet called? |
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Definition
| Presenting part/ presentation |
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Term
| You have a baby that is posterior, to the right side and is presenting with the occiput. How do you record the fetal position? |
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Definition
ROP
*Three part, first letter is baby right or left. Second letter is presenting part for example occiput or sacrum, and the last letter is where the baby is in relaton to the maternal pelvis. For example, anterior, posterior or transverse. |
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Term
| You have a patient who is in pain. Her contractions are 6 min apart, lasting for 35 seconds, and mild in intensity. How do you help her cope? |
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Definition
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Term
| What denotes the second stage is ending and the third stage is beginning? |
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Definition
| Birth of the baby and waiting for the placenta to be expelled. |
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Term
| How do you use leopold's maneuver? |
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Definition
| Start palpating with the finger tips at the fundus and move down. |
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Term
| What is the 2nd part of leopold's maneuver? |
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Definition
| Feel with finger tips the fetal back. |
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Term
| What must have happened before you can use internal fetal monitoring? |
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Definition
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Term
| When is the best time to push medications to a woman in labor? |
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Definition
| During the acme phase of the contraction |
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Term
| What indicates a problem with the baby? |
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Definition
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Term
| When you go into look at the monitor, you notice early decelerations. What should you do? |
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Definition
| Not worry b/c they are uaually benign. |
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Term
| Which of the following is a match? |
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Definition
| Late decelerations=uteroplacental insufficiency |
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Term
| A mother comes in and her vital signs are 124/80, temp 101, and heart rate is 95. How do you suspect the fetus is reacting? |
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Definition
| The fetus will have tachycardia. |
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Term
| A father is observing you apply fetal monitoring and wants to know why you are using fetal monitoring. What should you tell him? |
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Definition
| This is used to watch the baby and make sure the heart rate stays between 110-160. |
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Term
| A mom has posterior pressure, and is in a lot of pain. What could you do to help ease her pain? |
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Definition
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Term
| A patient is prescribed an opioid agonist medication. You know with this type of medication you would want to watch a patient with cardiac problems, what medication is this? |
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Definition
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Term
| Before a patient receives an epidural, what does the doctor usually order? |
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Definition
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Term
| How would you position a woman for an epidural? |
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Definition
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Term
| A pre-eclampsia patient is receiving magnesium sulfate. Why do you think she is receiving it? |
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Definition
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Term
| A mom is dilated 2 cm and has been 2 cm for 5 hours. She reports that she is in severe pain. What condition do you think she is experiencing? |
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Definition
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Term
| After birth a patient is pale, weak, and her uterine cord is hanging from her vagina. What do you think is the cause of this? |
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Definition
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Term
| What type of forceps are used for a woman that is above a +2? |
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Definition
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Term
| What is an absolute contraindication to VBAC? |
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Definition
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Term
| Baby had meconium during burth, what type of resuscitation device to expect to use after this baby is delivered? |
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Definition
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Term
| A patient calls and reports she feels like she needs to have a bowel movement. The patient was dilated 7cm but hasn't been checked in 2 hours. What should you do? |
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Definition
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Term
| When you go in to check on the mother, you notice the baby's heart rate is 75. You reposition the mother, but after 20 min, the baby's heart rate is 74. What should you do? |
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Definition
| Notify the doctor immediately. |
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Term
| You know all of the following are important for intrauterine resuscitation, but of the following which are your first priority? |
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Definition
| Change the position of the mother, give oxygen, and increase IV fluids |
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Term
| A patient is expected to have an epidural. Her lab values are HgB 11, HCT 32%, and platelets are 80,000. Which of the following is a contraindication for the CRNA to do an epidural? |
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Definition
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Term
| A patient wants to know why she is given marcane with sublinase. What is your best response? |
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Definition
| That the 2 drugs together will decrease the amount of medicine given, and will improve the outcome for you and your baby. |
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