OB Exam 2 cram
Call Kai
Learn
Practice Test
Spaced Repetition
Match
Flashcards
Knowt Play1/155
Earn XP
Description and Tags
Nurs 310
Name | Mastery | Learn | Test | Matching | Spaced | Call with Kai | Chat |
|---|
No analytics yet
Send a link to your students to track their progress
156 Terms
What does screening look for
Risk for a condition.
What does diagnostic testing do
Confirms or identifies a condition.
What is the main purpose of a birth plan
Promote patient autonomy and communicate birth preferences.
What are the 4 Cs of trauma
informed care
What are the Five P's of labor
Power, Passageway, Passenger, Psyche, Position.
What is primary power
Involuntary uterine contractions.
What is secondary power
Voluntary maternal pushing.
What are the phases of the first stage of labor
Latent, active, and transition.
What happens during the first stage of labor
The cervix dilates and effaces.
What is the transition phase
The final phase of the first stage, approximately 8–10 cm.
What happens during the second stage of labor
Complete dilation through birth of the baby.
What happens during the third stage of labor
Birth of the baby through delivery of the placenta.
What happens during the fourth stage of labor
Immediate postpartum recovery and monitoring.
What are the cardinal movements of labor
Engagement, descent, flexion, extension, external rotation, and expulsion.
What confirms true labor
Progressive cervical dilation and effacement.
What is the difference between true and false labor
True contractions become stronger/closer and cause cervical change; false contractions are irregular and may stop with rest or hydration.
What does 10 cm dilation mean
Complete cervical dilation.
What does 100% effacement mean
Complete cervical effacement.
What does 0 station mean
The presenting fetal part is engaged at the level of the ischial spines.
What is fetal presentation
The fetal part entering the pelvis first.
What is fetal lie
The relationship between the fetal long axis and maternal long axis.
What are the main fetal presentations discussed
Cephalic, breech, and transverse/shoulder.
What should the nurse assess after rupture of membranes
Color, odor, amount, and time.
What are the three major FHR monitoring methods
Auscultation, palpation, and electronic fetal monitoring.
What is the normal FHR baseline
110–160 bpm.
What is bradycardia
FHR below 110 bpm.
What is tachycardia
FHR above 160 bpm.
What is the acceleration rule at 32 weeks or greater
15 bpm increase for 15 seconds: 15 × 15.
What is the acceleration rule before 32 weeks
10 bpm increase for 10 seconds: 10 × 10.
What causes early decelerations
Fetal head compression.
What causes late decelerations
Poor placental perfusion.
What causes variable decelerations
Umbilical cord compression.
What is a prolonged deceleration
A decrease of at least 15 bpm lasting 2–10 minutes.
What MUST Category I have
Baseline 110–160, moderate variability, and NO late or variable decelerations.
Can early decelerations occur in Category I
Yes.
What is Category II
Any tracing that is not Category I or Category III.
What MUST Category III have
Absent variability PLUS recurrent late decelerations, recurrent variable decelerations, or bradycardia.
What other finding makes a tracing Category III
A sinusoidal pattern.
What is the easiest way to identify Category II
Exclude Category I and Category III; if it fits neither, it is Category II.
What is the key difference between Category I and Category III
Category I has moderate variability; Category III has absent variability with the specified abnormal findings.
What should the nurse do first for a nonreassuring fetal tracing
Change the mother's position.
What should the nurse do with Pitocin during a nonreassuring tracing
Stop Pitocin if it is running.
Why are IV fluids given for a nonreassuring tracing
To correct maternal hypotension.
When should oxygen be given according to the lecture
When maternal oxygen saturation is low.
Why perform a cervical/vaginal assessment for a nonreassuring tracing
To assess cervical status and rule out prolapsed cord.
What is the final action after initiating interventions for a nonreassuring tracing
Notify the provider.
What is the nursing sequence for a nonreassuring tracing
Position → Stop Pitocin → IV fluids/correct hypotension → O₂ if maternal SpO₂ is low → Assess cervix → Notify provider.
What is an NST
A test that evaluates fetal heart rate reactivity.
What makes an NST reactive
Two appropriate accelerations.
What may be done after a nonreactive NST
A BPP may be performed.