Labor and Delivery - Nursing Review & Mnemonics
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Obstetrics | Registered Nurse (RN) School Study Aid
Decelerations (and Accelerations) Overview
- VEAL CHOP
- Variable Deceleration
- Cord Compression
- Early Deceleration
- Head Compression
- Acceleration
- Okay
- Late Deceleration
- Placental Insufficiency
2 mins
Early Decelerations
- Cause
- Fetal Head Compression
- Occurs During
- Uterine Contractions
- Placement of Internal Mode of Monitoring
- Vaginal Examination
- Fundal Pressure
- Considerations
- Normal Pattern
1 min
Late Decelerations
- Cause
- Uteroplacental Insufficiency
- Occurs During
- Disruption of Oxygen Transfer to Fetus
- Considerations
- Abnormal Pattern
- Interventions
- Discontinue Oxytocin
- Oxygen with Non-Rebreather (8-10 L/min)
- Side-lying Position
- Elevate Legs
- Increase Rate of IV Solution
2 mins
Variable Decelerations
- Mechanism
- Umbilical Cord Compression
- Occurs During
- Abnormal Cord Position
- Considerations
- Transition Phase
- Interventions
- Oxygen with Non-Rebreather (8-10 L/min)
- Change Maternal Position
- Discontinue Oxytocin
2 mins
Mechanism of Labor
- Engagement
- Descent
- Flexion
- Internal Rotation
- Extension
- External Rotation (Restitution)
- Expulsion of Infant
2 mins
Induction of Labor
- Indications
- Premature Rupture of Membranes
- Danger to Fetus or Mother
- Prolonged Gestation
- Contraindications
- Placenta Abnormalities
- Transverse Fetal Position
- Prolapsed Umbilical Cord
- Active Genital Herpes Infection
- Transfundal Uterine Incision
- Hemorrhage
3 mins
True vs. False Labor
- Bloody Show
- True Labor
- Regular, Strong Contractions
- Progressive Effacement and Dilation
- Engagement of Presenting Part
- False Labor
- Irregular Contractions
- Cervix Soft
- No Engagement of Presenting Part
2 mins
Terbutaline (Brethine)
- Mechanism of Action
- Beta-2 Agonists
- Indications
- Asthma
- Tocolytic
- Side Effects
- Hypotension
- Tremor
- Tachycardia
- Pulmonary Edema
- Hyperglycemia
2 mins
Oxytocin (Pitocin)
- Mechanism of Action
- Increase Uterine Contractions
- Indications
- Labor Induction
- Control Postpartum Hemorrhage
- Side Effects
- Uterine Rupture
- Water Intoxication
- Contraindications
- Fetal Lung Immaturity
- Cervix Not Ripened
- Active Genital Herpes Infection
- Considerations
- Use Lowest Dose
- IV Pump
3 mins
Cesarean Section - Indications
- Maternal Indications
- Active Genital Herpes Infection
- Cervical Cancer
- Eclampsia (Preeclampsia)
- History of Uterine Surgery
- History of C-section (Vertical)
- Fetal Indications
- Malpresentation
- Fetal Distress
- Cord Compression/Prolapse
- Other Indications
- Failed Vaginal Delivery
- Cephalopelvic Disproportion
- Abruptio Placentae or Placenta Previa
2 mins
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