Podcast
Questions and Answers
Which of the following fetal heart rate (FHR) patterns is considered to be the most serious and requires immediate action?
Which of the following fetal heart rate (FHR) patterns is considered to be the most serious and requires immediate action?
What is the most common cause of early decelerations during labor?
What is the most common cause of early decelerations during labor?
What does a sinusoidal pattern on a fetal heart rate monitoring strip indicate?
What does a sinusoidal pattern on a fetal heart rate monitoring strip indicate?
Which of the following is NOT a characteristic of Category II fetal heart rate tracings?
Which of the following is NOT a characteristic of Category II fetal heart rate tracings?
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What is the recommended intervention for a Category III fetal heart rate tracing?
What is the recommended intervention for a Category III fetal heart rate tracing?
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Which childbirth education method emphasizes avoiding medications and interventions during labor?
Which childbirth education method emphasizes avoiding medications and interventions during labor?
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During triage assessment, what maternal vital sign is typically monitored every hour?
During triage assessment, what maternal vital sign is typically monitored every hour?
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What does the acronym TACO refer to when assessing amniotic fluid?
What does the acronym TACO refer to when assessing amniotic fluid?
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What is the term for a fetal heart rate that is consistently below 110 beats per minute?
What is the term for a fetal heart rate that is consistently below 110 beats per minute?
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Which of the following fetal heart rate patterns indicates a reassuring pattern according to the Fetal Heart Rate Category System?
Which of the following fetal heart rate patterns indicates a reassuring pattern according to the Fetal Heart Rate Category System?
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During labor monitoring, what is the primary purpose of Leopold's Maneuvers?
During labor monitoring, what is the primary purpose of Leopold's Maneuvers?
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Which of these is NOT a common labor term?
Which of these is NOT a common labor term?
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Which of the following is NOT a component of the Fetal Heart Rate Category System?
Which of the following is NOT a component of the Fetal Heart Rate Category System?
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Study Notes
Week 4 Nursing Care Intrapartum Outline
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Childbirth Education: Relaxation methods such as Dick-Read, Bradley, and Lamaze are used to manage pain during childbirth, focusing on relaxation techniques and breathing exercises. Lamaze emphasizes concentration and relaxation.
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Locations for Birth: Childbirth can occur at home, birthing centers, or hospitals.
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Triage & Admission: Assessments include contractions, maternal history, GTPAL (gravida, term, para, abortions, living), EDD (estimated date of delivery), meds/allergies, last meal, induction of labor (IOL) and C-section considerations, and cultural/partner preferences.
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Triage Assessment: Monitoring includes NST (non-stress test), EFM (electronic fetal monitoring), contraction frequency/intensity, vital signs (VS), temperature, urinalysis (UA), complete blood count (CBC), Rh factor, and sterile vaginal exam (SVE) with dilation, effacement, and station assessment. Amniotic fluid assessment (TACO: time, amount, color, odor) and SROM testing determine if the membranes have ruptured.
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Fetal Monitoring: Monitoring placement using Leopold's Maneuvers, baseline variability (absent, minimal, moderate, marked), accelerations, and decelerations (early, variable, late, prolonged). Internal and external monitoring techniques are used. Category I - Normal (reassuring) and categories II and III (indeterminate and abnormal/non-reassuring, emergency) are used to categorize fetal heart rate monitoring.
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Induction of Labor: Scenarios for induction include non-reactive NST, preeclampsia, placenta previa, history of loss, PROM/PPROM, preeclampsia, fetal demise, post-dates, chorioamnionitis, IUGR, etc.
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Augmentation & Induction: Methods include cervical ripening (Cervidil, Misoprostol, Foley bulb), oxytocin, and rupture of membranes.
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Signs of Labor: Hormonal and physical changes, bloody show, loss of mucus plug, lightening, nesting, and spontaneous rupture of membranes (SROM) are evaluated.
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Pain Management: Non-pharmacological (imagery, hydrotherapy, positioning, massage, ambulation), and pharmacological methods like Meperidine, Fentanyl, Butorphanol, Nalbuphine, and regional anesthesia (epidural, spinal-epidural, pudendal, nitrous oxide) are used.
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Elimination & Nutrition: Urinary considerations include full bladder concerns and catheterization options. Bowel considerations include nausea/vomiting (anti-emetics like Ondansetron and Metoclopramide), and diet (clear liquids) are recommended.
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Stages of Labor: Cardinal movements (engagement, descent, flexion, internal rotation, extension, external rotation, expulsion) during first stage (0–10cm dilation): Latent (0-3cm), Active (4-7cm), Transition (8-10cm). The second stage (dilation to delivery), third stage (placental delivery), and fourth stage (postpartum recovery) are defined. Post-partum assessment of vital signs, fundal checks, and placental assessment are performed.
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Cesarean Section (C-Section): Indications include fetal distress, macrosomia, malpresentation, multiples, failed labor. Pre-op procedures include CBC, blood typing, medications, consents, and antibiotics. Post-op monitoring includes VS, I&Os, incision, pain, response to analgesics, and infection risk assessment.
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TOLAC/VBAC (Trial of Labor After Cesarean): Considerations include previous C-section type, prior history of failed labor, and contraindications.
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Post-Delivery Care: Includes vital signs, fundal assessments, lochia (vaginal discharge), and perineal tissue monitoring.
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True vs. False Labor: Comparison of characteristics, determining if labor is truly underway.
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VEAL CHOP MINE (Mnemonic): Used for fetal heart rate interpretation, categorizing patterns and actions taken by nurses.
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Description
This quiz covers essential aspects of nursing care during the intrapartum period. Topics include childbirth education techniques, triage assessments, and location options for childbirth. Prepare to explore vital assessments and interventions crucial for maternal and fetal safety.
