Module 5

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Nursing

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35 Terms

1
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Obstructed labor

Failure to descend through the birth canal and usually occurs at the pelvic outlet, brim, or cavity

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More than 8 hours

Prolonged latent phase lasts for how many hours?

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More than 12-14 hours

Prolonged active phase lasts for how many hours?

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Second stage

Obstructed labor mostly occurs after it enters what stage?

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More than 1 hour

Prolonged second stage of labor for multipara lasts for how many hours?

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More than 2 hours

Prolonged second stage of labor for multipara lasts for how many hours?

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Late decelerations

Aside from monitoring VS, FHR, contractions, and fetal movement, what should also be monitored to identify fetal distress?

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110-160 bpm

Normal FHR

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Vagal

What reflex/response is stimulated with hypoxia, leading to increased bowel motility and loss of rectal control?

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Breech presentation

Meconium staining is common in what fetal presentation?

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40-70%

Normal O2 saturation for fetus

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9-10cm, +2-3

NSD is possible in cases of fetal distress as long as the mother is dilated at __cm and the baby is stationed at __.

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Dilatation and maternal pelvis

What should be checked prior to labor induction in cases of fetal distress?

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Primrose oil/cerviprime

What medications are given to soften the cervix?

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Relieve pressure on the cord

What is the therapeutic goal for umbilical cord prolapse?

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Knee-chest and Trendelenburg

What are the possible positions advised for umbilical cord prolapse?

17
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Every hour

During amnioinfusion, when should the nurse record for temperature?

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Polyhydramnios and uterine rupture

What would be the consequences if amnioinfusion isn’t halted when vaginal leakage stops?

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LOA

What is the most favorable fetal presentation?

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Asynclitism

What term refers to the fetal head presenting at a different angle than expected?

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135-degrees

Instead of the normal 90-degree rotation for LOA, at what degree will a fetus presented as LOP rotate?

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Hands-and-knees, squatting, and side-lying

What are the best possible positions for a mother with a fetus presented as LOP/ROP?

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38 weeks

At approximately what week does a baby go from breech to cephalic presentation?

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Delivering the head

What is the most hazardous part of breech birth?

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Head entrapment, skull injury, and brain injury

What are the three dangers of forceps delivery?

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4000-4500g (9-10lbs)

A fetus is considered macrosomic if their weight is more than __.

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Hydrocephalus

It refers to the abnormal expansion of the cerebral ventricles.

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Anencephaly

It refers to the absence of cerebral hemispheres.

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11cm

What is the normal measurement for ischial tuberosity?

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Dorsal recumbent

What position is associated with the McRobert’s maneuver?

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34-38 weeks

When can an external cephalic version be performed?

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Turtle sign and facial flushing

What are the two most prominent s/sx of shoulder dystocia?

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Hypertonic contractions

This type of contraction is painful and often occurs during the latent phase.

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Respiratory rate

What should be monitored first before administering Morphine Sulfate for patients with hypertonic contractions?

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Hypotonic contractions

This type of contraction is painless and commonly occurs during the active phase.