What are the causes of variable decelerations?
head compression, cord compression, uteroplacental insufficiency, maternal pushing
efforts
What is a fetal heart rate that consistently stays the same with no variations
considered?
silent
What is the midwife mainly checking for when examining the placenta and cord?
abnormalities
When performing an emergency episiotomy, when should the midwife cut?
during a contraction as head crowns
Which episiotomy cut is said to heal the fastest?
midline
What is the most important thing to do immediately after the delivery of the
placenta?
massage the uterus
What may keep the uterus from contracting?
a full bladder
What is not a sign of respiratory distress in a newborn?
fever
What is preterm labor?
Labor starting prior to 37 weeks
What is the midwife's first concern when a mother reports that her baby only
nurses for 10 minutes at a time, sleeps for 6 hours between each feeding, and
hardly ever poops or pees?
Dehydration
What is the most common type of shock a midwife will encounter?
Hypovolemic
What should be given to a woman in hypovolemic shock to replace blood volume
lost?
IV fluids
What do shock patients often complain of?
Thirst
What do women in shock after blood loss following childbirth often feel?
cool and clammy
What is not a characteristic of normal neonates?
their color deteriorates with crying
What is not generally true about the character of an infant's cry?
a persistent inconsolable cry is common in infants before the milk comes in
What is the most important thing to do if the client continues to hemorrhage in
third stage?
get the placenta out
If a baby is delivering in face presentation, what position must he rotate to?
mentum anterior position
What is the midwife suspecting when FHT drops from 152 to 100?