Get Answer: Intrapartum Please Define Question Guide

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Intrapartum: Please define the following terms 1: Family centered care ________________________________________________________ 2: Fetal heart rate average baseline­______________________________________ 3: Fetal decelerations __________________________________________________________ 4: What is a sign of True labor? ________________________________________________________________ 5: First stage of labor __________________________________________________________ ____________________________________________________________________________ 6: Second stage of labor _______________________________________________________ 7: Third stage of labor _________________________________________________________ 8: Fourth stage of labor _______________________________________________________ ____________________________________________________________________________ 9: Please describe two non-pharmacologic methods of pain relief the nurse may use for the laboring patient: ____________________________________________________________________________ ____________________________________________________________________________ 10: Please describe two pharmacologic methods of pain relief that may be ordered by the provider for the laboring patient: ____________________________________________________________________________ ____________________________________________________________________________ 11: Please identify three high-risk conditions that may present at any time during the labor process: ____________________________________________________________________________ ____________________________________________________________________________ CASE STUDY: 12: A 24yo, pregnant client, G2P1, (Gravida 2, Para 1001), presents in the labor triage area for an evaluation. She has an EDC of 6/24/25. She states she has been having contractions every 2-4 minutes apart for two hours. Her first baby was born three years ago. As the nurse gathers more information, please identify 3 things that are relevant to this patient’s care: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 13: The patient in question #12 is admitted to the labor floor in the active phase of labor. Please list 3 things the nurse will do while admitting a patient in “active labor” and why they are important: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 14: As the patient in question #12 progresses in labor she becomes irritable, anxious, and begins to experience nausea and pressure. What is your nursing impression of why these symptoms are likely occurring? __________________________________________________ ___________________________________________________________________________ 15: The patient in question #12 advances to fully dilated and is feeling the “urge to push”. What stage of labor has this patient progressed to? ____________ 16. Based on the nurse’s knowledge of the differences of labor progress in the Primipara and the Multipara; How long would you anticipate the length of this stage of labor to be for the patient in question # 14? __________________ 17: To prevent a tear of the perineum the provider chose to manually cut, with a sterile scissors. This procedure is known as a ___________________________ 18: What is the average length of time of the third stage of labor for a multipara and primipara? ______________________________________________________________________ 19: Immediately upon delivery of the infant, please identify three priority responsibilities for the nurse responsible for the newborn and why? ________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 20: Postpartum care of the maternity patient immediately following a vaginal delivery includes what three responsibilities of the delivery room nurse and why? ___________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Postpartum: Please define the following terms: 21: lochia ___________________________________________________________________ 22: Fundus _________________________________________________________________ 23: involution ________________________________________________________________ 24: Subinvolution _____________________________________________________________ 25: uterine atony _____________________________________________________________ 26: Skin-to-skin bonding _____________________________________________ 27: engorgement: ___________________________________________________________ 28: colostrum______________________________________________________________ 29: postpartum (baby) blues___________________________________________________ 30: Immediately after the delivery process, lochia in the amount of 500ml. or greater is defined as a postpartum hemorrhage (PPH). Please identify three pharmacologic agents that may be used to stop or prevent this condition: ___________________________________________________________________________ ___________________________________________________________________________ 31: During assessment of a postpartum patient the nurse finds the uterus displaced to the right and slightly higher than anticipated (above the umbilicus). What is the likely cause of this and what would be the most appropriate nursing action? __________________________________________________________________________ ___________________________________________________________________________ 32: Appropriate care of a woman with a 2nd-degree perineal repair during the postpartum recovery would include? Identify 1 nursing non-pharmacologic interventions used in the 1st 24-hour period: __________________________________________________________________________ 33: The nurse caring for the post-op c-section patient is concerned that this woman may be experiencing a deep vein thrombosis of her left calf. Please identify 3 signs or symptoms of a DVT the patient may complain of? __________________________________________________________________________ 34: The nursing woman is experiencing pain with her newborn latching on to her breast. Please identify 3 things the nurse will teach the mother about proper nursing technique: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 35: Please identify 2 things the nurse may identify in the maternal-newborn bonding experience that reassure that bonding is going well between the mother and infant: ___________________________________________________________________________ ___________________________________________________________________________ Newborn: Please define the following terms 36: lanugo __________________________________________________________________ 37: vernix caseosa ____________________________________________________________ 38: rooting reflex ______________________________________________________________ 39: acrocyanosis _____________________________________________________________ 40: caput succedaneum ________________________________________________________ ____________________________________________________________________________ 41: Cephalhematoma __________________________________________________________ ____________________________________________________________________________ 42: What is the acceptable range for the heart rate for an infant that is 12 hours old? ___________________________________________________________________________ 43: What is the expected range of respirations for the newborn? ________________________ 44: Please identify two ways in which we keep the newborn’s temperature stable during the postpartum stay in the hospital: __________________________________________________ ___________________________________________________________________________ 45. Please Explain why vitamin k is given to a neonate 46: Please identify each of the five components of the Apgar score and how frequently it is done & by whom: ___________________________________________________________________________ ____________________________________________________________________________

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