Week 6 - Management of Obstetrical & Neonatal Health During the Intrapartum Period

Flashcards covering key terms and concepts related to the management of obstetrical and neonatal health during the intrapartum period.

Stage 1 of Labour

The onset of labour to full dilation of the cervix.

Stage 2 of Labour

From full dilation to the birth of the neonate.

Stage 3 of Labour

From the birth of the neonate to the delivery of the placenta.

Stage 4 of Labour

From the delivery of the placenta to approximately one hour postpartum.

Immediate Newborn Care

Care required right after birth to ensure the well-being of the newborn.

Low-Risk Clients

Pregnant individuals presenting with no significant underlying health concerns.

Fetal Wellness Assessment

Continuous monitoring of the fetal condition during labour.

Open Communication

Encouraging respectful discussion of risks, benefits, and preferences with clients.

Culturally Safe Environment

A supportive care atmosphere that respects diverse cultural backgrounds.

Hormonal Changes in Labour

The rise of prostaglandins and oxytocin to facilitate the onset of labour.

Maternal Factors Influencing Labour

Hormonal changes and uterine readiness affecting the initiation of labour.

Fetal Factors Influencing Labour

Cortisol release from the fetal adrenal gland triggering contractions.

Obstetrical Triage Acuity Scale (OTAS)

A system used to assess the urgency of a labouring client's situation.

External Cephalic Version (ECV)

A procedure used to turn a breech baby to a head-down position.

Artificial Rupture of Membranes (ARM)

A procedure to induce or augment labour by breaking the amniotic sac.

Mandatory Triaging in Labour

All clients beyond 20 weeks of pregnancy should be assessed in acute care.

Electronic Fetal Monitoring (EFM)

A method used to continuously monitor the fetal heart rate during labour.

Bishop's Score

A quantitative assessment of cervical ripeness used to gauge labour progress.

External Exam in Labour

Inspection of perineum, vulva, and vagina before conducting internal exams.

Vaginal Exam Procedure

A method of assessing cervix dilation and effacement during labour.

Dilated Cervix

The opening of the cervix measured in centimeters during labour.

Cervical Effacement

The thinning of the cervix that occurs as labour progresses.

Fetal Station

Position of the fetal head in relation to the ischial spines of the pelvis.

Active Labour Indicators

Signs indicating that a patient is in active labour, such as strong contractions.

Delayed Cord Clamping

Waiting 45–60 seconds before clamping the umbilical cord after birth.

APGAR Score

A quick assessment of the newborn's health at one and five minutes post-delivery.

Skin-to-Skin Contact

Immediate physical contact between the newborn and caregiver for bonding.

Hypotonic Contractions

Weak contractions that can inhibit progression of labour.

Pudendal Block

An injection of local anesthetic to provide pain relief during the delivery process.

Non-Pharmacological Comfort Measures

Techniques such as continuous support, hydration, and movement to aid comfort during labour.

Epidural Analgesia

A method of pain relief involving an injection into the epidural space.

SROM (Spontaneous Rupture of Membranes)

The natural breaking of the amniotic sac before or during labour.

Intrapartum Period

The time during which labour occurs, encompassing care for both the birthing person and the fetus.

Continuous Fetal Monitoring

Method used to monitor fetal heart rate throughout labour.

Vaginal Exam Findings

Results from internally assessing the cervix that indicate labour progress.

Gestational Age Determination

Assessing the age of the fetus based on physical and behavioral characteristics.

Nursing Documentation

Accurate record-keeping of maternal and fetal assessments during labour.

Neonatal Assessment

A systematic evaluation of the newborn's physical condition and health post-delivery.

Vitamin K Administration

An injection given to newborns to prevent bleeding disorders.

Erythromycin Eye Ointment

Applied to newborns' eyes to prevent infection from chlamydia or gonorrhea.

Skin Assessment of Newborn

Evaluation of the newborn's skin condition including color, lesions, and overall appearance.

Emergency Protocol in Labour

Immediate measures taken if birth is imminent, ensuring preparedness.

Breastfeeding Reflexes

Reflexes that newborns exhibit which aid in the breastfeeding process.