Stages of Labour | Essential Assessments | Risky Business | Oh Baby! | Culturally Appropriate Care |
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What is the bloody show?
A blood-tinged or brownish cervical mucus that may be passed prior to labour (may indicate labour may begin in the coming days).
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What are the 5 "P"s that affect the process of labour?
Passenger, Passageway, Powers, Position of labouring patient and psychological state
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What is fundus?
This should be firm in the 4th stage of labour. If not firm it can be massaged to help it contract and expel any clots.
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What is the fetal heart rate at term?
110 to 160 beats per minute!
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What is the birth plan?
A tool in which the parents can explore their options and help guide them in decision making during labour.
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What is the first stage of labour?
From the onset of regular uterine contractions to full cervical dilation.
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What is cervical dilation?
Enlargement of widening to 10 cm.
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What is a deceleration?
The medical term when the fetal heart rate drops.
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What is cephalic presentation?
Fetal presentation as it enters the pelvis in 96% of births... medical term only!
Daily Double- if you know the other 2 fetal presentations! |
What is an epidural?
Inserted by an anesthetist to help with pain relief.
Daily Double is you can describe 3 nursing interventions if they have one inserted. |
What is active labour?
Type of labour, when contractions are moderate to strong lasting 40-90 secs and are 2-5mins apart.
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What is cardiac output?
This increases 10-15% in the first stage of labour and 30-50% in the second stage of labour.
(Think cardiovascular system!)... medical term only! |
What is GBS (Group B strep) infections?
An infection associated with poor pregancy outcomes and is present in 10-30% of healthy pregnancy patients.
Daily double... what do we do before they deliver?? |
What is intrauterine growth restriction? (IUGR)
A term used for inadequate fetal growth, infants who have low birth weights who are not necessarily born preterm.
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What is water birth?
A growing number of hospital and birthing center provide this option for birth. Can help relieve back pressure.
Daily Double is you can describe 2 nursing interventions to monitor? |
What is Oxytocin?
Medication given to help induce labour or make contractions stonger.
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What is the placenta?
Delivered in the 3rd stage of labour by either passive or an active approach.
Daily double if you can describe the difference in passive or active approach. |
What is pre-eclampsia?
An elevated Blood pressure can lead to this complication.
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What is glucocorticoid/ steroid therapy?
All mothers should be given this prior to delivery (if between 24- 35 weeks pregnant) to help with fetal lung maturity.
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What is Nitrous oxide?
An inhaled gas to help with pain relief
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What is COAT- colour, odour, Amount and time?
A acronym, for a series of questions to evaluate the status of the amniotic fluid if it ruptured.
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What is Leopold manoevers?
A type of assessment, performed while the patient is lying on their back to help identify fetal lie, fetal presentation and fetal attitude.
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What is oligohydramnios?
A medical term for decreased amniotic fluid (less than 400 ml) . Common in post term pregnancy.
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What is fetal hypoxemia?
Complicated decelerations in the fetal heart rate and failure to return to baseline or lasting more than 60 secs and lower than 60 beats per minute can lead to depletion of fetal reserve and lead to this in the baby. Immediate intervention must happen to prevent this in the baby.
Daily Double if you get the medical term! |
What is effleurage?
A term for light massage, stroking of the abdomen with controlled breathing to help with relaxation during contractions
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