OB Final (Xavier ABSN)
fetal activity monitoring - CORRECT ANSWER-low-tech, inexpensive way to monitor
fetal well-being
reactive non-stress test (figure 13-4) - CORRECT ANSWER--baseline: 130
-shows accelerations of 15 bpm lasting longer than 15 sec
biophysical profile - CORRECT ANSWER-Comprehensive assessment of the fetal well-
being after 28 weeks
1: fetal breathing movement
2: fetal movement of body and limbs
3:fetal tone extension and flexion of extremities
4:amniotic fluid volume
5: reactive fetal heart rate with activity or non stress test
ectopic pregnancy - CORRECT ANSWER-implantation of the fertilized egg in any site
other than the normal uterine location
pre-eclampsia assessment - CORRECT ANSWER--chronic hypertension
-headache
-sudden onset of severe edema
-clonus
-blurry vision
-overactive reflexes
-oliguria
-epigastric pain
station of fetal head - CORRECT ANSWER-relationship of the presenting part to an
imaginary line drawn between the ischial spines of the maternal pelvis
transition phase - CORRECT ANSWER-- contractions reach max intensity, last about
60-90 seconds, occur every 2-3 min.
- cervix dilated from 8-10cm
- 100% effaced
- peaks when cervical dilatation slows slightly at 9cm and signifies the end of the first
stage of labor
-increased bloody show
-hyperventilation
-restlessness/anxiety
-nausea/vomiting
, first stage of labor - CORRECT ANSWER--divided into latent, active and transition
-begins with onset of true labor and ends when cervix is completely dilated
active stage of labor - CORRECT ANSWER--cervix dilates 4-7 cm
-moderate to strong contractions q 3-5 min; lasts 40-70 sec
-increased anxiety
cardinal movements of labor - CORRECT ANSWER--descent
-flexion
-internal rotation
-extension
-restitution
-external rotation
-expulsion
internal intrauterine monitoring - CORRECT ANSWER--best way to measure
contractions
-provides the frequency/duration of contractions as well as intensity
baseline fetal heart rate - CORRECT ANSWER-110-160 bpm
variable decelerations - CORRECT ANSWER-sharp drops and return; sinusoidal
pattern; abrupt onset not related to contractions
cause of early decelerations - CORRECT ANSWER-fetal head compression
interventions for late decelerations - CORRECT ANSWER--O2 by face mask (7-10
L/min)
-report to provider
-monitor FHR
-maintain maternal position on left side
-hydrate w/ IV fluids
-d/c oxytocin
-monitor maternal BP/HR
-assess labors progress
apgar score - CORRECT ANSWER-HR (absent=0/<100=1/>100=2)
respiration (absent=0/slow=1/normal=2)
muscle tone (flaccid=0/some flexion=1/active=2)
reflex response (absent=0/grimace=1/vigorous cry=2)
skin color (pale/blue=0/acrocyanosis=1/pink=2)
postpartum fundal management - CORRECT ANSWER-critical that uterine fundus stay
well-contracted to clamp off uterine blood vessels at the placental site to prevent
hemorrhage
fetal activity monitoring - CORRECT ANSWER-low-tech, inexpensive way to monitor
fetal well-being
reactive non-stress test (figure 13-4) - CORRECT ANSWER--baseline: 130
-shows accelerations of 15 bpm lasting longer than 15 sec
biophysical profile - CORRECT ANSWER-Comprehensive assessment of the fetal well-
being after 28 weeks
1: fetal breathing movement
2: fetal movement of body and limbs
3:fetal tone extension and flexion of extremities
4:amniotic fluid volume
5: reactive fetal heart rate with activity or non stress test
ectopic pregnancy - CORRECT ANSWER-implantation of the fertilized egg in any site
other than the normal uterine location
pre-eclampsia assessment - CORRECT ANSWER--chronic hypertension
-headache
-sudden onset of severe edema
-clonus
-blurry vision
-overactive reflexes
-oliguria
-epigastric pain
station of fetal head - CORRECT ANSWER-relationship of the presenting part to an
imaginary line drawn between the ischial spines of the maternal pelvis
transition phase - CORRECT ANSWER-- contractions reach max intensity, last about
60-90 seconds, occur every 2-3 min.
- cervix dilated from 8-10cm
- 100% effaced
- peaks when cervical dilatation slows slightly at 9cm and signifies the end of the first
stage of labor
-increased bloody show
-hyperventilation
-restlessness/anxiety
-nausea/vomiting
, first stage of labor - CORRECT ANSWER--divided into latent, active and transition
-begins with onset of true labor and ends when cervix is completely dilated
active stage of labor - CORRECT ANSWER--cervix dilates 4-7 cm
-moderate to strong contractions q 3-5 min; lasts 40-70 sec
-increased anxiety
cardinal movements of labor - CORRECT ANSWER--descent
-flexion
-internal rotation
-extension
-restitution
-external rotation
-expulsion
internal intrauterine monitoring - CORRECT ANSWER--best way to measure
contractions
-provides the frequency/duration of contractions as well as intensity
baseline fetal heart rate - CORRECT ANSWER-110-160 bpm
variable decelerations - CORRECT ANSWER-sharp drops and return; sinusoidal
pattern; abrupt onset not related to contractions
cause of early decelerations - CORRECT ANSWER-fetal head compression
interventions for late decelerations - CORRECT ANSWER--O2 by face mask (7-10
L/min)
-report to provider
-monitor FHR
-maintain maternal position on left side
-hydrate w/ IV fluids
-d/c oxytocin
-monitor maternal BP/HR
-assess labors progress
apgar score - CORRECT ANSWER-HR (absent=0/<100=1/>100=2)
respiration (absent=0/slow=1/normal=2)
muscle tone (flaccid=0/some flexion=1/active=2)
reflex response (absent=0/grimace=1/vigorous cry=2)
skin color (pale/blue=0/acrocyanosis=1/pink=2)
postpartum fundal management - CORRECT ANSWER-critical that uterine fundus stay
well-contracted to clamp off uterine blood vessels at the placental site to prevent
hemorrhage
