Explore More Session: 1/12/22 Jeopardy Practice Questions - - - - - - - - The stage of labor from 0 cm to 10cm – first stage of labor Stage of labor that starts at 10cm and ends with birth of baby – stage 2 These decels indicate head compression of the fetus and do not require intervention – early decels Explain the mechanism of labor – the way fetus positions itself through the labor and delivery process. AKA seven cardinal movements. The fetus must go through as it adapts to and passes through the birth canal. These include: engagement, descent, flexion, internal rotation, extension, external rotation (restitution), and expulsion Define primary and secondary powers – primary are involuntary (UCs) that cause dilation and effacement and secondary (bearing down) occur once the fetus reaches the pelvic floor and the woman has the urge to push What are Leopold’s maneuvers and what information do they yield? – A series of four specific movements used to palpate the gravid abdomen. Assessment can tell us which fetal part is in the fundus, where the fetal back is located, and what is the presenting fetal part Term pregnancy: pregnancy from beginning of 38 weeks to end of week 42 of gestation 2 signs of fetal well-being: variability and FHR accelerations Name the four opioid agonists and opioid agonist-antagonist used during labor: o Opioid agonists: meperidine (Demerol) and fentanyl (sublimaze) o Opioid antagonists: butorphanol (Stadol) and nalbuphine (Nubain) What is zero station?: When the head or presenting part is at the ischial spines After delivery of baby and ends with delivery of placenta: stage 3 of labor These decels vary in timing, length, and depth. Easy to recognize due to rapid fall and rapid rise in FHR? Variable decels Also called the recovery stage – stage 4 Name and define the 2 phases of the first stage of labor: early/latent (0-5cm) 100% effaced, contractions Q5-30mins, she is excited; and active (6-10cm) UCs Q2-3mins; she is serious Define 2/25/-2/LOP: Mother is 2cm dilated, 25% effaced, -2 is station (2cm above ischial spines), LOP is left occiput posterior. What are nursing considerations prior to placement of epidural anesthesia?: Have patient void before, perform baseline VS for mom and fetus, preload with IV fluids (5001,000cc of LR or NS bolus), have oxygen and suction equipment available (10L/mins via nonrebreather face mask and must be humidified), help position the patient, perform VS per protocol after epidural placed Side effects of epidural: bladder distention, backache, disruption of labor: increased length of 1st and 2nd stage of labor, increased use of oxytocin b/c of increased length of 1st and 2nd stages of labor, increased C/S rate, increased used of instrument delivery Decelerations are greater than 2 minutes in length but return to baseline within 10 minutes: prolonged deceleration - Parity: the number of pregnancies in which fetus has reached 20 weeks Explain the Gate Control Theory and what clocks the gate: Fear, tension, and pain. Distractors reduce the capacity of nerve pathways to transmit pain 5 P’s of labor: passageway, passenger, position, power, psychological response
