Shared Flashcard Set

Details

OB Test #1
Intrapartum and Post partum
44
Nursing
Graduate
09/16/2011

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Cards

Term
fetal lie
Definition
relationship of fetal spine to maternal spine
Term
fetal attitude
Definition
position of fetal body parts to each other
how the baby is jammed into the uterus
Term
laboring down
Definition
let the uterus continue to contract without pushing
Term
oxytocin
Definition
stimulate uterine contractions
used for inductions
Term
true labor
Definition
regular contractions that intensify with walking
cervical changes
Term
effacement
Definition
thinning of the cervix
Term
primiparas
Definition
efface then dilate
Term
multiparas
Definition
efface as they dilate
Term
dilation
Definition
opening of the cervix
closed 0cm
open 10cm
Term
latent phase
Definition
-0-3cm dilated
-ctx 5-30 min apart, lasting 30-45 sec
-0- -2 station
-mom is alert, excited, may be at home, walking, may take fluids
Term
active phase
Definition
-4-7 dilated
-ctx 3-5min apart, 40-70 secs
-+1 to +2 station
-can get epidural
-mom is working hard, fatigue, focused, internalized, may become anxious
Term
transition phase
Definition
-8-10cm dilated
-ctx strong to very strong, 2-3 min apart, last 60-90 secs
-+2-+3 station
-mom very irritable and tired, trouble following directions, hurting is no epidural, may fall asleep in between ctx, shakes, vomit
Term
ferguson reflex
Definition
urge to push when baby's head presses on receptors
Term
internal rotation
Definition
-head rotates after entering inlet sideways to exit outlet
- begins at ischial spines and ends as it hits pelvic floor
Term
external rotation
Definition
restitution
head turns back to side it was facing in inlet
anterior shoulder born, then other shoulder
Term
expulsion
Definition
rest of body generally slides out
Term
engagement
Definition
head goes into true pelvis
station 0
Term
3rd stage of pregnacy
Definition
-delivery of placenta
-cord lengthens
-uterus becomes globular ovoid in shape
-gush of blood
Term
4th stage
Definition
-recovery
-bonding of family unit
-maintain firm uterus to prevent bleeding
-mom is hungry and thirsty
-baby is awake and may feed
Term
toco transducer
Definition
over fundus
measures duration and frequency but not intensity
Term
internal monitor
Definition
-done after ROM, 2cm 0 station
-spiral electrode directly to presenting part
Term
IUPC
Definition
reads intrauterine pressure, duration, and frequency
passes beside fetus
Term
ultrasound transducer
Definition
PMI
usually on fetal back
Term
visceral pain
Definition
cervical changes and uterine ischemia secondary to contractions
-in lower abdomen and back and thighs
Term
somatic pain
Definition
-perineal stretching
-pressure on other structures
Term
effeurage
Definition
to skim lightly or touch lightly
Term
precipitous labor
Definition
< 3hrs from onset of contractions to birth
-comp: ruptured uterus, PP hemorrhage, lacerations, amniotic fluid embolism
-fetal comp: hypoxia, intracranial hemorrhage
Term
bishop score
Definition
Cervical dilation
Cervical effacement
Cervical consistency
Cervical position
Fetal station
Term
involution
Definition
changes in the uterus after birth as it returns to pre pregnant size and condition
Term
What promotes involution
Definition
breastfeeding
voiding
fundal massage
oxytoxic medications
Term
1st degree laceration
Definition
vaginal mucous membrane and skin of perineum
Term
2nd degree laceration
Definition
subcutaneous tissue of the perineal body
Term
3rd degree laceration
Definition
involves fibers of the external rectal sphincter
Term
4th degree laceration
Definition
through rectal sphincter exposing the lumen of the rectum
Term
diuresis
Definition
decrease in aldosterone causing Na excretion
output could be just 3000ml in 1st few days or even first 24hours
Term
contradictions to rubella virus vaccine
Definition
avoid pregnancy for 3 months
sensitivity ro neomycin
had a blood transfusion in the last 3 months
Term
taking in
Definition
mothers start by touching baby with finger tips then embracing and talking about delivery for 1st few down
Term
taking hold
Definition
a week later
how to care and whats important
Term
letting on
Definition
moving on and looking for other resources
Term
maternal role attainment
Definition
process by which a woman learns mothering behaviors and becomes comfortable with her identity as a mother
Term
en face
Definition
the arrangement of mother or newborn so that her face and eyes and infant's meet on the same vertical plane of rotation
Term
mutual regulation
Definition
behaviors in which mother and baby modify their relationship in an attempt to make it as enjoyable as possible
Term
reciprocity
Definition
process of communication in which a mother and infant monitor cues and respond to each other in rhythms of interaction
maternal instinct
Term
engrossment
Definition
fathers' sense of absorption, preoccupation, and interest in his infant
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