Pearson Chpt 10 NCLEX PN Uncomplicated Labor and Delivery Care

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harstanner
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164316
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Pearson Chpt 10 NCLEX PN Uncomplicated Labor and Delivery Care
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2012-07-29 00:51:10
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Pearson Chpt 10 NCLEX PN Uncomplicated Labor Delivery Care
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Pearson Chpt 10 NCLEX PN Uncomplicated Labor and Delivery Care
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  1. differentiated by cervical change: effacement and dilation
    True verses false labor
  2. an ultrasound transducer is placed over fetal back and detects movement of fetal heart; fetal or maternal movement and maternal obeseity may interfere with obtaining a continuous reading
    External monitoring
  3. is average heart rate between contractions; measured in beats per minute normally 120-160; bradycardia <110; tachycardia >160
    Baseline fetal heart rate
  4. transient increase in FHR that can be spontanous or periodic
    Acceleration
  5. decrease in FHR beginning at oneset of contraction and returning to baseline by end of contraction with lowest rate at peak of contraction
    Early deceleration
  6. begin after contraction starts, with lowest rate occuring after peak of contraction and returning to baseline after endo of contraction
    Late decelerations
  7. is relationship of fetal parts to one another; normal attitude is flexion of neck, arms and legs
    Attitude
  8. is relationship of cephalocaudal axis of fetus to cephalocaudal axis of mother; is either longitudinal (or vertical, most common) or transverse (lateral)
    Lie
  9. is fetal part entering pelvis first; most common is cephalic (with subctegories of vertex, military, brown or face presentation), but breech (subtypes of complete, frank or footling) and shoulder (also called transvers lie) can also occur
    Presentation
  10. is relationship of fetal presenting part to mternal pelvis; a three-letter notation describes fetal position; most common positions at delivery are ROA (Right occiput anterior) and LOA (Left occiput anterior)
    Position
  11. occurs when largest diameter of presenting part reaches pelvic inlet and be be detected by vaginal exam
    engagement
  12. time in seconds or minutes from onset of one contraction to onest of next
    Frequency
  13. strength of contraction at acme, which can be palpated as mild, moderate, or strong
    Intensity
  14. length of contraction measured in seconds from beginning of increment to end of decrement
    duration
  15. Stage of Labor:
    8-10 cm dilated, effacement is completed and decent increases.  Contractions are every 1.5 - 2 minutes and lasting 60 to 90 seconds. 
    Transition phase
  16. Stage of Labor:
    4-7 cm dilated, effacement and descent are progressive, contractions every 2-3 minutes and 60 seconds in duration.  Only phase where medication can be given
    Active phase
  17. Stage of Labor:
    0-3 cm dilated, with little descent occured.  Contractions begin irregularly and become more regular with increased frequency, duration and intensity
    Latent phase
  18. Extends from complete dilation of cervix to delivery of fetus; accompanied by involuntary efforts to expel fetus and low pitched, guttural, grunting sounds
    Second stage of labor
  19. During the third stage of labor which extends from the birth of newborn to delivery of placenta, how often should vitals be checked
    every 5 minutes
  20. this is a surgical incision into perineum to enlarge vaginal opening; usually done during or just prior to crowing; it is often performed to prevent tearing of perineal tissues becuase lacteraions have irregular edges and are more difficlut to repair
    Episiotomy
  21. Types are midline or mediolateral
    Episiotomy
  22. During the 4th stage of labor, which includes first 1 to 4 hours after delivery how often should vitals be taken
    usually every 15 minutes for first hour, every 30 minutes for 2 hours and once every 60 minutes for 1 hour
  23. Do all systemic durgs cross placental barrier in varying amounts?
    Yes

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