Signs of Placental Separation during third stage of labor? - Third stage of labor is delivery of placenta, after the placenta separates from the uterine
... [Show More] wall the uterus changes from discoid to globular.
If patient SROMs and heart rates drop below normal limits (ex. 60 bpm) What is RN's initial action? - Perform vaginal exam, to check for cord prolapse.
The primary goal of intervention in working with women who are in an abusive relationship is to: - Empower her and improve her self-esteem to regain control of her own life. (Enable her to make necessary changes to protect her and her children, do not victimized)
Cardinal movement of restitution during second stage of labor. - Second stage of labor is pushing stage. Rotation of the fetal head 45 degrees after head delivery
Risks for toxoplasmosis - 1. Eating under-cooked meats and/or not washing hands after handling raw meat.
2. Handling cat litter.
3. Not washing hands/wearing gloves when handling raw fruits and vegetables or gardening.
4. Eating unpasteurized cheese or milk.
Complication that occurs with cordocentesis (percutaneous umbilical blood sampling) 3% of the time is... - Miscarriage
Time allotted to very that epidural anesthetic is causing a motor/sensory block... - 20 minutes
Primary Cesarean Section - First time having a C/S.
Potential Complications of Multiple Pregnancies: - 1. Preterm labor
2. Gestational HTN
3. Anemia
4. Birth Defects
5. Miscarriage
6. Twin-to-twin Transfusion Syndrome
7. Hydramnios
8. Oligohydramnios
9. Cesarean Delivery
10. Postpartum Hemorrhage
Second Period of Reactivity - Characterized by infant alertness, stabilized heart and respiratory rates, and the passage of meconium.
Which condition may be missed if an infant has newborn screen test performed before it has tolerated protein feedings for at least 24-48 hrs? - Phenylketonuria- in order for this to be detected in newborn screen, certain amino acids found in breastmilk or formula must accumulate so then the deficiency of the enzyme that should metabolized these proteins can be detected.
False Labor vs. True Labor - Progressive cervical change is a finding that indicates true labor.
Breast engorgement is caused by what physiological change? - An increase in blood and lymph supply to the breasts to produce milk for newborn.
Taking-in Phase of Maternal Role Adaptation - Mother is passive and dependent on others the first 24 hours after delivery.
Maternal Supine Hypotension - caused by the compression of the aorta and vena cava.
EFM monitoring during first stage of labor. - Every 30 minutes
Hyperventilation - Condition of breathing deeper and faster than normal, decreasing CO2 in blood stream, leading to a sense of lightheadedness, tachycardia, and shortness of breath ( also may cause numbness or tingling of extremities, anxiety, syncope, and sore chest muscles).
Which BPP finding would confirm poor oxygenation to fetus? - Decreased muscle tone.
GBS Testing - Done between 35-37 weeks
For Forceps use by Practitioner... - The patient should be fully dilated, membranes ruptured, fetus vertex, and no possibility of cephalopelvic disproportion.
Goal of Amnioinfusion - To relieve umbilical cord compression which may cause repeated variable decelerations.
Amniotic Fluid Embolus/Anaphylactoid Syndrome of Pregnancy - Rare but potentially lethal condition with sudden and rapid onset. Symptoms include: shortness of breath, pulmonary edema, drop in BP, cardiovascular collapse, DIC, altered mental status (anxiety), nausea, vomiting, chills, tachycardia, dysrhythmias, seizures and coma. In an undelivered pt, fetal distress is noted (usually fetal bradycardia.
Normal Cord Blood Gases - pH: 7.27-7.28 [Show Less]