Abnormalities of Labor & Brith Flashcards Preview

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Flashcards in Abnormalities of Labor & Brith Deck (15)
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1
Q

Description of normal contractions during active labor?

A
  • moderate to strong to palpation (>50 mmHg)
  • last 45-60 secs
  • 2-5 q 10 mins
2
Q

medical term for dysfunctional labor?

A

dystocia

3
Q

What is hypotonic uterine dysfunction?

A

contractions are infrequent and weak

4
Q

Abnormal labor patterns?

A

prolonged, protracted dilation, protracted descent, arrested dilation, arrested descent

5
Q

Abnormal Labor Pattern - Prolonged Latent Phase:

1) nulligravida
2) multigravida
3) tx

A

1) labor lasting > 20hrs
2) labor lasting > 14 hrs
3) rest or induction

6
Q

Abnormal Labor Pattern - Protracted Dilation:

1) nulligravida
2) multigravida
3) tx

A

1) < 1.2 cm/hr
2) < 1.5 cm/hr
3) stimulate labor

7
Q

Abnormal Labor Pattern - Protracted Descent:

1) nulligravida
2) multigravida
3) tx

A

1) < 1 cm/hr
2) < 2 cm/hr
3) stimulate labor, change positions

8
Q

Abnormal Labor Pattern - Arrested Dilation:

1) nulligravida
2) multigravida
3) tx

A

1) > 2hrs without progress
2) > 2hrs without progress
3) stimulate labor, operative delivery

9
Q

Abnormal Labor Pattern - Arrested Descent:

1) nulligravida
2) multigravida
3) tx

A

1) > 1 cm
2) > 1 cm
3) stimulate labor, operative delivery

10
Q

What is the normal uterine resting tone?

A

10 mmHg

11
Q

medical term for overstimulation of the uterus with no break in between contractions?

A

hypertonic

12
Q

Nursing Care for Abnormal Labor Progress?

A
  • Careful assessment of contractions & pattern
  • Assessment
    • Fetal position
    • Fetal presentation
  • Report any abnormalities or deviations
  • Reassure patient and her family
  • Prevent exhaustion
  • Closely assess for infection
  • Prepare for potential fetal distress
  • Prepare for possible operative delivery
  • Prepare for potential hemorrhage
  • Augment labor as needed
13
Q

Methods of labor augmentation?

A
  • Artificial Rupture of Membranes (AROM)
  • Diluted IV Pitocin (DIVP)
  • Nipple stimulation
  • Acupressure
    • Ho-Ku point
14
Q

What is the purpose of labor augmentation?

A

to enhance the strength and frequency of contractions

15
Q

What is considered a “favorable” Bishops Score?

A

> 8-9