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Pharmacology, Maternity, Pediatrics, L+D
Typology: Quizzes
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Stages of Labor First Stage: Begins with onset of labor, ends with complete dilation.
Passenger: Consists of fetus and placenta.
m < m "0^ c ;o z
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o Occiput (0), Sacrum (S), Mentum (M), or Scapula (Sc)
Position: Upright, sitting, kneeling, squatting promotes fetal descent. t..:P=s:::!y::c=h=o=lo~g=ic=a=I=re=s=p=o=n=s::.e:s_t.....:re...::.s..:..s':_:a:.:.n~x:.:ie:.::ty:__c=a:.:..n:...:i:.:.:m~p=ai::r .:la::b,::or:..:. _ _J
True labor: Contractions that may start irregularly, but become stronger, more frequent, and regular. Walking increases intensity of contractions. Comfort measures (oral hydration, bladder emptying) do not stop contractions. Cervical changes present (dilation, effacement, bloody show). Presenting part of fetus engaged in pelvis. False labor: Painless, irregular, intermittent contractions. Walking or position changes decrease intensity/duration of contractions. Comfort measures (oral hydration, bladder emptying) often stop contractions. No cervical changes. ,__^ Presenting_____________________^ part^ of^ fetus^ not^ engaged^ in^ pelvis. _ MATERNAL NEWBORN NURSING
Nonpharmacological:
Epidural block: Eliminates sensation from umbilicus to thighs. Administer when mom is at least 4cm dilated.
.___^ infection ____________________^ to^ mom^ or^ baby. _ MATERNAL NEWBORN NURSING
ECV: Ultrasound-guided manipulation of the abdominal wall to turn a baby in a breech or transverse position to the normal vertex presentation (i.e. head-down position). Performed after 37 weeks gestation. HIGH risk of umbilical cord compression or placental abruption. Nursing care: ,... ..< !!. C 'tJ ,::, z (^00) 3 @ N 0>
to detect fetal blood in maternal circulation (if> 15ml present, i z
Cervical ripening: Promotion of cervical softening, dilation, and effacement. Examples: balloon catheter, membrane stripping, dilators, chemical agents (ex: misoprostol, dinoprostone) administered orally or vaginally. Oxytocin: Uterine stimulant. Increases strength, frequency, and length of uterine contractions.
using a sharp instrument.
Amnioinfusion: Infusion of NaCl or LR into amniotic cavity. I
suction device. Baby must be in vertex presentation.
through cervix ahead of the baby, causing cord compression and compromising fetal circulation.